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May 1989

Giant Retinal TearsSurgical Techniques and Results Using Perfluorocarbon Liquids

Author Affiliations

From the Department of Ophthalmology, The New York Hospital—Cornell University Medical Center, New York, NY.

Arch Ophthalmol. 1989;107(5):761-766. doi:10.1001/archopht.1989.01070010779046

• Three low-viscosity perfluorocarbon liquids provided an intraoperative tool during vitrectomy to manage giant retinal tears. These clear fluids have a high specific gravity (1.8 to 1.9) and are immiscible with water. In six eyes, the giant tear was less than 180°; in 11 eyes, it was 180° or greater. In all eyes, the tear was unfolded and the retina was flattened while the patient was supine. The perfluorocarbon liquid was aspirated and replaced by air-perfluorocarbon gas mixtures (16 eyes) or silicone oil (one eye) at the end of the operation. The retina was reattached in 16 eyes (94%), with a minimum follow-up period of 6 months. In five eyes (29%), the retina was reattached without scleral buckling. Residual droplets of perfluorocarbon liquid were observed in four patients. These new materials complement present surgical techniques for managing giant retinal tears.