2Asist. Dr., Inonu University School of Medicine, Department of Ophthalmology, Malatya, Türkiye
3Uz. Dr., Haseki Training and Research Hospital, University of Health Sciences, Department of Ophthalmology, İstanbul, Türkiye
4Prof. Dr., Inonu University School of Medicine, Department of Ophthalmology, Malatya, Türkiye DOI : 10.37845/ret.vit.2021.30.27 Purpose: The aim of this study was to use perfl uorodecalin (PFD) as a short-term postoperative vitreoretinal tamponade and evaluate its effectiveness in retinal detachment.
Materials and Methods: This retrospective case series consisted of eight consecutive patients (four female, four male) who presented with retinal detachment (traumatic, secondary to inferior retinal tear, presence of proliferative vitreoretinopathy) at a tertiary university medical center in 2018?2019. All patients underwent pars plana vitrectomy with short-term PFD tamponade. Patients with a minimum follow-up of 3 months were included in the study. The medical charts were analyzed for patient demographics, retinal attachment rates, pre- and postoperative visual acuity, and postoperative complications.
Results: The mean duration of PFD tamponade was 16.5 ± 6.3 (range, 7?27) days. The mean follow-up time for the patients was 8.63 ± 2.5 months. The retina was reattached intraoperatively in all patients. In seven patients (87.5%), the retina was still attached throughout follow-up without further vitrectomies. A statistically signifi cant increase was observed when preoperative mean best-corrected visual acuity (BCVA) was compared with mean BCVA in the last follow-up visit (2.9 ± 0.3, 1.3 ± 0.7 logMAR respectively, p=0.018). In seven (87.5%) patients, BCVA improved postoperatively compared with preoperatively. In the postoperative period, pupillary membrane formation was observed in two (25.0%) patients, retrolental membrane in one (12.5%) patient, and epiretinal membrane in one (12.5%) patient.
Conclusion: PFD seems to be safe to use as a short-term postoperative vitreoretinal tamponade, and it is useful in retinal detachment.
Keywords : Perfl uorodecalin, Retinal detachment, Vitrectomy, Vitreoretinal tamponade