Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachment repair

Sunir J. Garg, Alex B. Theventhiran

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: To assess the rate of retained subretinal perfluorocarbon liquid (PFCL) in patients undergoing rhegmatogenous retinal detachment (RRD) repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. Methods: A retrospective, consecutive, interventional comparative case series. All patients with a diagnosis of RRD who underwent pars plana vitrectomy with PFCL for RRD repair from November 1, 2005 through October 31, 2008 were included. Results: A total of 234 RRD repairs were performed during the study period by one surgeon. Subretinal PFCL occurred in 4 of 176 eyes (2.3%) who underwent sutured 20-gauge pars plana vitrectomy and in 6 of 58 eyes (10.3%) who underwent sutureless 23-gauge pars plana vitrectomy for repair of retinal detachment (P = 0.0167, Fisher exact test, 2-tailed). Conclusion: There is a statistically significant 4.5-fold increased incidence of retained subretinal PFCL in patients undergoing RRD repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. This may be because of higher fluid flow through open 23-gauge cannulas, which causes disruption of the PFCL surface tension resulting in formation of small PFCL bubbles that can enter the subretinal space. Reduction of fluid flow may help prevent this complication.

Original languageEnglish (US)
Pages (from-to)2127-2132
Number of pages6
JournalRetina
Volume32
Issue number10
DOIs
StatePublished - Nov 2012
Externally publishedYes

Fingerprint

Fluorocarbons
Vitrectomy
Retinal Detachment
Temazepam
Surface Tension
Incidence

Keywords

  • Complications
  • Perfluorocarbon
  • Repair
  • Retinal detachment
  • Small gauge
  • Subretinal
  • Sutureless
  • Vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachment repair. / Garg, Sunir J.; Theventhiran, Alex B.

In: Retina, Vol. 32, No. 10, 11.2012, p. 2127-2132.

Research output: Contribution to journalArticle

@article{cd6116b19f364acb891304a78617d2e3,
title = "Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachment repair",
abstract = "Purpose: To assess the rate of retained subretinal perfluorocarbon liquid (PFCL) in patients undergoing rhegmatogenous retinal detachment (RRD) repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. Methods: A retrospective, consecutive, interventional comparative case series. All patients with a diagnosis of RRD who underwent pars plana vitrectomy with PFCL for RRD repair from November 1, 2005 through October 31, 2008 were included. Results: A total of 234 RRD repairs were performed during the study period by one surgeon. Subretinal PFCL occurred in 4 of 176 eyes (2.3{\%}) who underwent sutured 20-gauge pars plana vitrectomy and in 6 of 58 eyes (10.3{\%}) who underwent sutureless 23-gauge pars plana vitrectomy for repair of retinal detachment (P = 0.0167, Fisher exact test, 2-tailed). Conclusion: There is a statistically significant 4.5-fold increased incidence of retained subretinal PFCL in patients undergoing RRD repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. This may be because of higher fluid flow through open 23-gauge cannulas, which causes disruption of the PFCL surface tension resulting in formation of small PFCL bubbles that can enter the subretinal space. Reduction of fluid flow may help prevent this complication.",
keywords = "Complications, Perfluorocarbon, Repair, Retinal detachment, Small gauge, Subretinal, Sutureless, Vitrectomy",
author = "Garg, {Sunir J.} and Theventhiran, {Alex B.}",
year = "2012",
month = "11",
doi = "10.1097/IAE.0b013e31825540ee",
language = "English (US)",
volume = "32",
pages = "2127--2132",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachment repair

AU - Garg, Sunir J.

AU - Theventhiran, Alex B.

PY - 2012/11

Y1 - 2012/11

N2 - Purpose: To assess the rate of retained subretinal perfluorocarbon liquid (PFCL) in patients undergoing rhegmatogenous retinal detachment (RRD) repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. Methods: A retrospective, consecutive, interventional comparative case series. All patients with a diagnosis of RRD who underwent pars plana vitrectomy with PFCL for RRD repair from November 1, 2005 through October 31, 2008 were included. Results: A total of 234 RRD repairs were performed during the study period by one surgeon. Subretinal PFCL occurred in 4 of 176 eyes (2.3%) who underwent sutured 20-gauge pars plana vitrectomy and in 6 of 58 eyes (10.3%) who underwent sutureless 23-gauge pars plana vitrectomy for repair of retinal detachment (P = 0.0167, Fisher exact test, 2-tailed). Conclusion: There is a statistically significant 4.5-fold increased incidence of retained subretinal PFCL in patients undergoing RRD repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. This may be because of higher fluid flow through open 23-gauge cannulas, which causes disruption of the PFCL surface tension resulting in formation of small PFCL bubbles that can enter the subretinal space. Reduction of fluid flow may help prevent this complication.

AB - Purpose: To assess the rate of retained subretinal perfluorocarbon liquid (PFCL) in patients undergoing rhegmatogenous retinal detachment (RRD) repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. Methods: A retrospective, consecutive, interventional comparative case series. All patients with a diagnosis of RRD who underwent pars plana vitrectomy with PFCL for RRD repair from November 1, 2005 through October 31, 2008 were included. Results: A total of 234 RRD repairs were performed during the study period by one surgeon. Subretinal PFCL occurred in 4 of 176 eyes (2.3%) who underwent sutured 20-gauge pars plana vitrectomy and in 6 of 58 eyes (10.3%) who underwent sutureless 23-gauge pars plana vitrectomy for repair of retinal detachment (P = 0.0167, Fisher exact test, 2-tailed). Conclusion: There is a statistically significant 4.5-fold increased incidence of retained subretinal PFCL in patients undergoing RRD repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy. This may be because of higher fluid flow through open 23-gauge cannulas, which causes disruption of the PFCL surface tension resulting in formation of small PFCL bubbles that can enter the subretinal space. Reduction of fluid flow may help prevent this complication.

KW - Complications

KW - Perfluorocarbon

KW - Repair

KW - Retinal detachment

KW - Small gauge

KW - Subretinal

KW - Sutureless

KW - Vitrectomy

UR - http://www.scopus.com/inward/record.url?scp=84871301377&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871301377&partnerID=8YFLogxK

U2 - 10.1097/IAE.0b013e31825540ee

DO - 10.1097/IAE.0b013e31825540ee

M3 - Article

C2 - 22534581

AN - SCOPUS:84871301377

VL - 32

SP - 2127

EP - 2132

JO - Retina

JF - Retina

SN - 0275-004X

IS - 10

ER -