Shahid Wahab, Muhammad Hashim, Manzoor A Mirza.
Role of Perfluorocarbon Liquids in Complicated Retinal Detachment.
Pak J Ophthalmol Jan ;14(1):15-21.

We performed three-port pars plana vitrectomy in twenty-five eyes of twenty-four patients with complicated retinal detachments using perfluorodecaline (D-K-line) as intraoperative tool. The mean age was 46 years. 17(71%) were males and 7(29%) were women. Four patients (16%) were only eyed. Five patients (20%) were aphakic and 5 (20%) were pseudophakic. Twelve eyes (48%) had history of previous ocular surgery at other centres. Twenty patients (80%) had proliferative retinopathy (PVR) grades ranging from Cp-DA. Two patients were highly myopic. Eight patients (33%) had giant retinal tears, six (25%) were traumatic detachments and four (16%) had retinal detachment (RD) with vitreous hemorrhage. In fourteen eyes (56%) no tear could be identified. Majority of the patients (56%) had marked loss of vision, i.e. PL only. All patients underwent three-port pars plana vitrectomy and perfluorocarbon liquid (PFCL) was used intraoperatively. Silicone Oil was used in 19 eyes (76%) and sulphur hexafluoride (SF6) in 6 eyes (24%) as internal tamponade. Limited peripheral retinal detachment (RD) and silicone oil in A.C. were the commonest intraoperative complications. Recurrent RD due to PVR was the commonest postoperative complication. The overall anatomical success rate was 64% and functional success rate 44% after a mean follow-up of 7 months.

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