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¹M.D. Professor, Celal Bayar University, Faculty of Medicine, Department of Ophthalomology, Manisa/TURKEY
²M.D., Sifa University Faculty of Medicine, Department of Ophthalomology, İzmir/TURKEY This study presents two cases that had subfoveal perfluorocarbon liquid (PFCL) after rhegmatogenous retinal detachment surgery. The first case was a 65-year-old pseudophakic male patient. The superior temporal retinal tear and a bullous retinal detachment that reached the macula border was observed in the right eye. The patient underwent 23 G pars plana vitrectomy (PPV). Intravitreal perfluorocarbon liquid was used to reattach the retina and perform laser retinopexy around the tear. The surgical procedure was ended by PFCL-air and air-silicone exchange. In the first month, subfoveal PFCL droplets were observed in the control examination. The patient, who was reoperated, was injected with an infusion liquid using a 38 G cannula from the perifoveal area; liquid and decalin droplets were re-aspired using a flute cannula. There were no PFCL droplets in the control examination. Visual acuity, which was 0.2 pre-operatively, increased to 0.3 post-operatively, but the patient complained of metamorphopsia . The second case was a 66-year-old male patient. There was a retinal tear in the right eye at the 5 o'clock position, and a retinal detachment in the lower half. The patient underwent a 23 G PPV operation. Intravitreal perfluorocarbon liquid was used to reattach the retina. First silicone and then heavy silicone oil was used in two subsequent surgeries. In the final control examination performed after silicone removal, PFCL was detected in the subfoveal area. The patient was followed up without surgery, had a visual acuity of 0.2, and a central scotoma was present in the superior temporal fixation center of the visual field. Keywords : Metamorphopsia, scotoma, subretinal perfluorocarbon liquid