Sandwich technique using a combination of perfluoropropane and silicone oil for inferior retinal detachment
Loading...
Date
2018-07
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
We report a novel surgical sandwich technique using a combination of intraocular perfluoropropane (C3F8) and silicone oil for inferior retinal detachment (RD). After conventional pars plana vitrectomy and posterior vitreous detachment induction, fluid-gas exchange using 14% C3F8was done. This was followed by silicone oil injection using automated infusion pump to 50% fill of the vitreous cavity under direct visualization to achieve formation of two bubbles – gas bubble superiorly and silicone oil inferiorly. The patient was subsequently asked to maintain upright position. The two immiscible bubbles of C3F8and silicone oil provide tamponade to superior and inferior retina, respectively. With time, gas bubble reduces in size with a gradual superior shift of silicone oil. This novel sandwich technique achieves complete attachment of retina and reduces the risk of retinal redetachment in inferior RDs by adequately tamponading the inferior retina.
Description
Keywords
Inferior retinal detachment, perfluoropropane, proliferative vitreoretinopathy, sandwich technique, silicone oil
Citation
Singh SR, Dhurandhar D, Chhablani J. Sandwich technique using a combination of perfluoropropane and silicone oil for inferior retinal detachment. Indian Journal of Ophthalmology. 2018 Jul; 66(7): 988-990