gms | German Medical Science

26th International Congress of German Ophthalmic Surgeons

13. to 15.06.2013, Nürnberg

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Results of the usage of 20% concentration of perfluoropropane for vitreous surgery of retinal detachment with inferior breaks

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  • Alexey Putienko - Filatov Institute of Eye Diseases and Tissue Therapy, Vitreoretinal Surgery and Laser Treatment Department, Odessa, Ukraine

26. Internationaler Kongress der Deutschen Ophthalmochirurgen. Nürnberg, 13.-15.06.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocWK 5a.14

doi: 10.3205/13doc159, urn:nbn:de:0183-13doc1598

Published: October 18, 2013

© 2013 Putienko.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Aim: To study the effectiveness of 20% concentration of C3F8 for vitreous surgery of retinal detachment with inferior breaks.

Methods: 38 eyes underwent 20G primary vitrectomy for retinal detachment with inferior tears with the 20% concentration of C3F8 for postoperative tamponade.

Results: On the first day after surgery the volume of gas mixture in the vitreous cavity in 31 eyes was 75% in 7 cases more than 75%. During next three days gas slightly expanded and its volume in 35 eyes was 90–95% and this was enough for blockage all tears which were localized very posterior. Follow up in two month showed retinal reattachment in 34 eyes (89,5%). In 4 eyes recurrences occurred. The main reason was progression of PVR–3 eyes (7,9%). After second operation final reattachment rate in a period of 6 month was 97,4% – 37 eyes. Complication: big amount of gas strongly stimulates the progression of posterior capsule cataract.

Conclusion: The usage of 20% concentration of perfluoropropane for long term internal tamponade for treatment of retinal detachment with inferior tears is effective and can be widely use.