Spontaneous resolution of subfoveal perfluorocarbon

Patrick Oellers,1 Leon D Charkoudian,2 Paul Hahn11Department of Ophthalmology, Duke University Medical Center, Durham, NC, USA; 2Cape Fear Retinal Associates, Wilmington, NC, USA Abstract: Perfluorocarbon liquids (PFCL) have transformed the surgical approach to complex retinal detachments,...

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Autores principales:	Oellers P, Charkoudian LD, Hahn P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a90cee16f02942ddb4919ce3ade76b12
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spelling	oai:doaj.org-article:a90cee16f02942ddb4919ce3ade76b122021-12-02T06:49:36ZSpontaneous resolution of subfoveal perfluorocarbon1177-5483https://doaj.org/article/a90cee16f02942ddb4919ce3ade76b122015-03-01T00:00:00Zhttp://www.dovepress.com/spontaneous-resolution-of-subfoveal-perfluorocarbon-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Patrick Oellers,1 Leon D Charkoudian,2 Paul Hahn11Department of Ophthalmology, Duke University Medical Center, Durham, NC, USA; 2Cape Fear Retinal Associates, Wilmington, NC, USA Abstract: Perfluorocarbon liquids (PFCL) have transformed the surgical approach to complex retinal detachments, but their use can be complicated by subretinal retention. Migration of peripherally located subretinal PFCL towards the fovea is well established, but spontaneous resolution of subfoveal PFCL without surgical evacuation or displacement has rarely been described. We present a case of a large single retained subfoveal PFCL droplet following vitrectomy with membrane peeling, inferior relaxing retinectomy, and silicone oil tamponade that demonstrated spontaneous resolution 3 weeks postoperatively, with subsequent anatomic and visual improvement. No residual subretinal PFCL was noted, and we hypothesize that the PFCL droplet spontaneously extruded through a transient hole created in the thinned retina overlying the droplet, which subsequently closed spontaneously. Further understanding of the mechanisms of PFCL migration and resolution may facilitate improved treatments for this complication.Keywords: perfluorocarbon, subretinal, retained, resolutionOellers PCharkoudian LDHahn PDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 517-519 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Oellers P Charkoudian LD Hahn P Spontaneous resolution of subfoveal perfluorocarbon
description	Patrick Oellers,1 Leon D Charkoudian,2 Paul Hahn11Department of Ophthalmology, Duke University Medical Center, Durham, NC, USA; 2Cape Fear Retinal Associates, Wilmington, NC, USA Abstract: Perfluorocarbon liquids (PFCL) have transformed the surgical approach to complex retinal detachments, but their use can be complicated by subretinal retention. Migration of peripherally located subretinal PFCL towards the fovea is well established, but spontaneous resolution of subfoveal PFCL without surgical evacuation or displacement has rarely been described. We present a case of a large single retained subfoveal PFCL droplet following vitrectomy with membrane peeling, inferior relaxing retinectomy, and silicone oil tamponade that demonstrated spontaneous resolution 3 weeks postoperatively, with subsequent anatomic and visual improvement. No residual subretinal PFCL was noted, and we hypothesize that the PFCL droplet spontaneously extruded through a transient hole created in the thinned retina overlying the droplet, which subsequently closed spontaneously. Further understanding of the mechanisms of PFCL migration and resolution may facilitate improved treatments for this complication.Keywords: perfluorocarbon, subretinal, retained, resolution
format	article
author	Oellers P Charkoudian LD Hahn P
author_facet	Oellers P Charkoudian LD Hahn P
author_sort	Oellers P
title	Spontaneous resolution of subfoveal perfluorocarbon
title_short	Spontaneous resolution of subfoveal perfluorocarbon
title_full	Spontaneous resolution of subfoveal perfluorocarbon
title_fullStr	Spontaneous resolution of subfoveal perfluorocarbon
title_full_unstemmed	Spontaneous resolution of subfoveal perfluorocarbon
title_sort	spontaneous resolution of subfoveal perfluorocarbon
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/a90cee16f02942ddb4919ce3ade76b12
work_keys_str_mv	AT oellersp spontaneousresolutionofsubfovealperfluorocarbon AT charkoudianld spontaneousresolutionofsubfovealperfluorocarbon AT hahnp spontaneousresolutionofsubfovealperfluorocarbon
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Spontaneous resolution of subfoveal perfluorocarbon

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