Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment

Raul Velez-Montoya1, Jose Luis Guerrero-Naranjo2, Gerardo Garcia-Aguirre2, Virgilio Morales-Cant&oacute;n2, Jans Fromow-Guerra2, Hugo Quiroz-Mercado31Department of Ophthalmology, University of Colorado Health and Science Center, Rocky Mountain Lions Eye Institute, University of Colorado Scho...

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Autores principales:	Quiroz-Mercado H, Fromow-Guerra J, Morales-Cant&oacute;n V, Garcia-Aguirre G, Guerrero-Naranjo JL, Velez-Montoya R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fa459623ccbf4842b4fa0b9f4a5fdff0
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spelling	oai:doaj.org-article:fa459623ccbf4842b4fa0b9f4a5fdff02021-12-02T07:45:40ZPerfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment1177-54671177-5483https://doaj.org/article/fa459623ccbf4842b4fa0b9f4a5fdff02011-12-01T00:00:00Zhttp://www.dovepress.com/perfluorocarbon-perfused-23-gauge-three-dimensional-vitrectomy-for-com-a8921https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Raul Velez-Montoya1, Jose Luis Guerrero-Naranjo2, Gerardo Garcia-Aguirre2, Virgilio Morales-Cant&oacute;n2, Jans Fromow-Guerra2, Hugo Quiroz-Mercado31Department of Ophthalmology, University of Colorado Health and Science Center, Rocky Mountain Lions Eye Institute, University of Colorado School of Medicine, CO, USA; 2Retina Department, Asociaci&oacute;n para Evitar la Ceguera en M&eacute;xico IAP, M&eacute;xico City, M&eacute;xico; 3Department of Ophthalmology, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO, USABackground: Perfluorocarbon liquid (PCL)-perfused vitrectomy has been shown in previous studies to be feasible, safe, and to have advantages in managing complicated cases of tractional retinal detachment. The present study had the objectives of describing the anatomical results and measuring surgical time and PCL consumption when combining PCL-perfused techniques with modern vitrectomy equipment.Methods: A prospective, interventional consecutive case series was investigated. We enrolled patients with diabetic tractional retinal detachment, complicated by proliferative vitreoretinopathy and poor vision. A 23 gauge PCL-perfused vitrectomy was done with three-dimensional settings. During the procedure, we assessed the degree of surgical bleeding, visualization quality, and difficulty of membrane dissections. Visual acuity, intraocular pressure, and anatomical success were assessed at one and 3 months of follow-up.Results: Twelve patients were enrolled in this study. There were no statistical significant changes in intraocular pressure and visual acuity throughout the follow-up period. Surgery was performed in a hemorrhage-free environment in almost all cases, with good visualization and low technical difficulty. The mean complete surgical time was 94.92 &plusmn; 25.03 minutes. The mean effective vitrectomy time was 22.50 &plusmn; 19.04 minutes and the mean PCL consumption was 25.08 &plusmn; 9.76 mL, with a speed of 1.11 mL/minute. Anatomical success was 67% at 3 months.Conclusion: Although the technique proved to have some advantages in managing complicated cases of diabetic tractional retinal detachment, there was a high consumption of PCL. A redesign of the entire system is needed in order to decrease the amount of PCL needed for the technique.Keywords: retinal detachment, diabetic, surgery, vitrectomy, vitreoretinopathy, perfluorocarbonQuiroz-Mercado HFromow-Guerra JMorales-Cant&oacute;n VGarcia-Aguirre GGuerrero-Naranjo JLVelez-Montoya RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1709-1715 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Quiroz-Mercado H Fromow-Guerra J Morales-Cant&oacute;n V Garcia-Aguirre G Guerrero-Naranjo JL Velez-Montoya R Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
description	Raul Velez-Montoya1, Jose Luis Guerrero-Naranjo2, Gerardo Garcia-Aguirre2, Virgilio Morales-Cant&oacute;n2, Jans Fromow-Guerra2, Hugo Quiroz-Mercado31Department of Ophthalmology, University of Colorado Health and Science Center, Rocky Mountain Lions Eye Institute, University of Colorado School of Medicine, CO, USA; 2Retina Department, Asociaci&oacute;n para Evitar la Ceguera en M&eacute;xico IAP, M&eacute;xico City, M&eacute;xico; 3Department of Ophthalmology, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO, USABackground: Perfluorocarbon liquid (PCL)-perfused vitrectomy has been shown in previous studies to be feasible, safe, and to have advantages in managing complicated cases of tractional retinal detachment. The present study had the objectives of describing the anatomical results and measuring surgical time and PCL consumption when combining PCL-perfused techniques with modern vitrectomy equipment.Methods: A prospective, interventional consecutive case series was investigated. We enrolled patients with diabetic tractional retinal detachment, complicated by proliferative vitreoretinopathy and poor vision. A 23 gauge PCL-perfused vitrectomy was done with three-dimensional settings. During the procedure, we assessed the degree of surgical bleeding, visualization quality, and difficulty of membrane dissections. Visual acuity, intraocular pressure, and anatomical success were assessed at one and 3 months of follow-up.Results: Twelve patients were enrolled in this study. There were no statistical significant changes in intraocular pressure and visual acuity throughout the follow-up period. Surgery was performed in a hemorrhage-free environment in almost all cases, with good visualization and low technical difficulty. The mean complete surgical time was 94.92 &plusmn; 25.03 minutes. The mean effective vitrectomy time was 22.50 &plusmn; 19.04 minutes and the mean PCL consumption was 25.08 &plusmn; 9.76 mL, with a speed of 1.11 mL/minute. Anatomical success was 67% at 3 months.Conclusion: Although the technique proved to have some advantages in managing complicated cases of diabetic tractional retinal detachment, there was a high consumption of PCL. A redesign of the entire system is needed in order to decrease the amount of PCL needed for the technique.Keywords: retinal detachment, diabetic, surgery, vitrectomy, vitreoretinopathy, perfluorocarbon
format	article
author	Quiroz-Mercado H Fromow-Guerra J Morales-Cant&oacute;n V Garcia-Aguirre G Guerrero-Naranjo JL Velez-Montoya R
author_facet	Quiroz-Mercado H Fromow-Guerra J Morales-Cant&oacute;n V Garcia-Aguirre G Guerrero-Naranjo JL Velez-Montoya R
author_sort	Quiroz-Mercado H
title	Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
title_short	Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
title_full	Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
title_fullStr	Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
title_full_unstemmed	Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
title_sort	perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/fa459623ccbf4842b4fa0b9f4a5fdff0
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Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment

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