Treatment of Complicated Retinal Detachments by Intraoperative Use of Perfluorphenantenanthrene Liquid.

Kim, Shin Dong; Choi, Soo Hwan; Chung, Dal Jun

Original Article

Journal of the Korean Ophthalmological Society 1993;34(7):631-641.
Published online July 1, 1993.

Treatment of Complicated Retinal Detachments by Intraoperative Use of Perfluorphenantenanthrene Liquid.

Shin Dong Kim, Soo Hwan Choi, Dal Jun Chung

Department of Ophthalmology, Medical College, Kosin University, Korea.

Perfluorophenanthrene 액을 이용한 복합성 망막박리 수술

김신동(Shin Dong Kim),최수환(Soo Hwan Choi),정달전(Dal Jun Chung)

Abstract

We have applied the intraoperative use of Perfluorophenanthrene (C14F24) liquid in 19 eyes of complicated retinal detachment surgery in 19 patients since November 1990 to October 1991. The vast majority of case of retinal detachment was trauma (9 eyes) and uveitis including pars planitis (6 eyes) remainders were juvenile retinoschisis, cataract surgery, myopIa, diabetes one eye each. The grade-D of proliferative change was found in 9 eyes (D1 3 eyes, D2 3 eyes, D3 3 eyes) and 8 eyes belong to over grade-C2 (C2 4 eyes, C3 4 eyes). Multiple anterior retinal tears were found in two. Giant retinal tear was noticed in 5 eyes and the other one was made on therapeutic purpose. Intraoperative reattachment was obtained in all eyes. The follow-up periods were 6 or more (mean 9.1) months. At last follow-up, the retina was attached in 12 eyes (63%), partially attached in 2 (10%) and redetached in 5 (26%). Visual acuity was improved or same in 12 eyes (63%), became worse in 7(37%). Visual acuity of 0.02 or better was obtained in 12(63%) eyes and 3(16%) saw 0.1 or better. Perfluorophenanthrene liquid was thought as non-toxic, heavy biomaterial and effective to treat the complicated retinal detachments.

Key Words: Perfluorophenanthrene liquid;Retinal detachment;Vitrectomy;Perfluorocarbon liquids