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December 1995

The Use of Perfluorocarbon Liquid in the Removal of Radiopaque Intraocular Glass

Author Affiliations

Ann Arbor, Mich

Arch Ophthalmol. 1995;113(12):1568-1569. doi:10.1001/archopht.1995.01100120100020

Perfluorocarbon liquids are useful in treating a variety of complex vitreoretinal surgical conditions, including complex retinal detachments, dislocated intraocular lenses, and intravitreal crystalline lenses and lens fragments.1 We report the use of perfluorocarbon liquid to facilitate the removal of two large radiopaque intraocular glass fragments.

Report of a Case.  A 14-year-old boy noted immediate pain and loss of vision in his left eye on explosion of a glass bottle packed with dry ice. He had sustained a BB injury to the left orbit without sequelae 3 months earlier. Examination revealed a visual acuity in the left eye of hand motions, a left afferent pupillary defect, hemorrhagic chemosis, hyphema, and dense vitreous hemorrhage. Orbital computed tomographic scanning demonstrated a BB in the left ethmoidal sinus and two large densely radiopaque foreign bodies along the inferior sclera of the left eye (Figure). During primary repair of a posterior scleral laceration, no

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