Perfluorodecalin condensation on posterior surface of lens capsule and corneal endothelium during vitrectomy

W. C. Wu, J. D. Ho, C. L. Ho, T. L. Chen, S. N. Chen

Research output: Contribution to journalArticle

Abstract

Background. High-density vitreous substitutes, including perfluorodecalin, are widely used in current vitreoretinal surgery. We report 4 cases of perfluorodecalin condensation on the posterior capsule of the lens or corneal endothelium during vitrectomy. To the best of our knowledge, no such phenomenon has ever been reported. Methods. This study consisted of 4 patients with retinal detachment and large retinal tears. All patients were men. All of the patients underwent pars plana vitrectomy, perfluorodecalin injection, endolaser retinopexy and air-fluid exchange. Two patients received additional surgery for scleral buckling. Results. Perfluorodecalin condensation was observed on the posterior surface of the lens capsule in one phakic patient and on the endothelium in three aphakic patients during vitrectomy. The condensation obscured the image of the fundus and made air-fluid exchange difficult. The condensation could be dissipated by first removing the perfluorodecalin as completely as possible, and then by lowering the intraocular pressure below the vapor pressure of perfluorodecalin. Conclusions. Perfluorodecalin condensation may occur when perfluorodecalin is not properly used. To avoid forming condensation, high-density vitreous substitutes should never be injected into eyes that are completely air-filled, prolonged air-fluid exchanges should be avoided, and the intraocular pressure should always be kept at a higher level during air-fluid exchange.

Original languageEnglish
Pages (from-to)768-775
Number of pages8
JournalChang Gung Medical Journal
Volume23
Issue number12
Publication statusPublished - 2000
Externally publishedYes

Fingerprint

Posterior Capsule of the Lens
Corneal Endothelium
Vitrectomy
Air
Intraocular Pressure
Vitreoretinal Surgery
Scleral Buckling
Vapor Pressure
Retinal Perforations
Temazepam
perfluorodecalin
Retinal Detachment
Endothelium

Keywords

  • Air-fluid exchange
  • Condensation
  • Perfluorodecalin
  • Vitrectomy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perfluorodecalin condensation on posterior surface of lens capsule and corneal endothelium during vitrectomy. / Wu, W. C.; Ho, J. D.; Ho, C. L.; Chen, T. L.; Chen, S. N.

In: Chang Gung Medical Journal, Vol. 23, No. 12, 2000, p. 768-775.

Research output: Contribution to journalArticle

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AU - Ho, J. D.

AU - Ho, C. L.

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AU - Chen, S. N.

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N2 - Background. High-density vitreous substitutes, including perfluorodecalin, are widely used in current vitreoretinal surgery. We report 4 cases of perfluorodecalin condensation on the posterior capsule of the lens or corneal endothelium during vitrectomy. To the best of our knowledge, no such phenomenon has ever been reported. Methods. This study consisted of 4 patients with retinal detachment and large retinal tears. All patients were men. All of the patients underwent pars plana vitrectomy, perfluorodecalin injection, endolaser retinopexy and air-fluid exchange. Two patients received additional surgery for scleral buckling. Results. Perfluorodecalin condensation was observed on the posterior surface of the lens capsule in one phakic patient and on the endothelium in three aphakic patients during vitrectomy. The condensation obscured the image of the fundus and made air-fluid exchange difficult. The condensation could be dissipated by first removing the perfluorodecalin as completely as possible, and then by lowering the intraocular pressure below the vapor pressure of perfluorodecalin. Conclusions. Perfluorodecalin condensation may occur when perfluorodecalin is not properly used. To avoid forming condensation, high-density vitreous substitutes should never be injected into eyes that are completely air-filled, prolonged air-fluid exchanges should be avoided, and the intraocular pressure should always be kept at a higher level during air-fluid exchange.

AB - Background. High-density vitreous substitutes, including perfluorodecalin, are widely used in current vitreoretinal surgery. We report 4 cases of perfluorodecalin condensation on the posterior capsule of the lens or corneal endothelium during vitrectomy. To the best of our knowledge, no such phenomenon has ever been reported. Methods. This study consisted of 4 patients with retinal detachment and large retinal tears. All patients were men. All of the patients underwent pars plana vitrectomy, perfluorodecalin injection, endolaser retinopexy and air-fluid exchange. Two patients received additional surgery for scleral buckling. Results. Perfluorodecalin condensation was observed on the posterior surface of the lens capsule in one phakic patient and on the endothelium in three aphakic patients during vitrectomy. The condensation obscured the image of the fundus and made air-fluid exchange difficult. The condensation could be dissipated by first removing the perfluorodecalin as completely as possible, and then by lowering the intraocular pressure below the vapor pressure of perfluorodecalin. Conclusions. Perfluorodecalin condensation may occur when perfluorodecalin is not properly used. To avoid forming condensation, high-density vitreous substitutes should never be injected into eyes that are completely air-filled, prolonged air-fluid exchanges should be avoided, and the intraocular pressure should always be kept at a higher level during air-fluid exchange.

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KW - Condensation

KW - Perfluorodecalin

KW - Vitrectomy

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