F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR

Purpose. To evaluate the effectiveness and safety of perfluorohexyloctane (F6H8) for intraoperative flattening of the retina and of F6H8/silicone oil (SO) 1000 cSt as a postoperative tamponade for inferior retinal detachment with inferior proliferative vitreoretinopathy. Methods. This is a retrospec...

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Main Authors: Gian Marco Tosi, Davide Marigliani, Tommaso Bacci, Napoleone Romeo, Angelo Balestrazzi, Gianluca Martone, Tomaso Caporossi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/956831
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author Gian Marco Tosi
Davide Marigliani
Tommaso Bacci
Napoleone Romeo
Angelo Balestrazzi
Gianluca Martone
Tomaso Caporossi
author_facet Gian Marco Tosi
Davide Marigliani
Tommaso Bacci
Napoleone Romeo
Angelo Balestrazzi
Gianluca Martone
Tomaso Caporossi
author_sort Gian Marco Tosi
collection DOAJ
description Purpose. To evaluate the effectiveness and safety of perfluorohexyloctane (F6H8) for intraoperative flattening of the retina and of F6H8/silicone oil (SO) 1000 cSt as a postoperative tamponade for inferior retinal detachment with inferior proliferative vitreoretinopathy. Methods. This is a retrospective review of 22 patients who underwent pars plana vitrectomy using F6H8 as an intraoperative tool to flatten the retina. At the end of the surgery a direct partial exchange between F6H8 and SO 1000 cSt was performed, tamponing the eye with different ratios of F6H8/SO (70/30, 60/40, 50/50, 40/30, and 30/70). Anatomical and functional results and complications were evaluated over the follow-up period (mean 22.63 months). Results. F6H8 was efficacious for intraoperative flattening of the retina. Twenty-one of the 22 patients achieved a complete retinal reattachment. Postoperative visual acuity (VA) ranged from light perception to 20/70, with 72% of patients obtaining VA better than 20/400. No emulsification/inflammation was observed whatever the ratio of F6H8/SO used. With higher ratios of F6H8/SO (70/30 and 60/40) cloudiness of the tamponade was observed. A transparent mixture was present with all the other ratios. Conclusions. The surgical technique adopted is very simple and safe. The optimal F6H8/SO ratio seems to be between 50/50 and 30/70.
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spelling doaj-art-0cf95653e04946c4b8c4a1dd0b6ffc882025-02-03T06:01:54ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/956831956831F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVRGian Marco Tosi0Davide Marigliani1Tommaso Bacci2Napoleone Romeo3Angelo Balestrazzi4Gianluca Martone5Tomaso Caporossi6Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, ItalyDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, ItalyDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, ItalyDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, ItalyDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, ItalyDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, ItalyDepartment of Ophthalmology, Catholic University Sacro Cuore-Policlinico A. Gemelli, Rome, ItalyPurpose. To evaluate the effectiveness and safety of perfluorohexyloctane (F6H8) for intraoperative flattening of the retina and of F6H8/silicone oil (SO) 1000 cSt as a postoperative tamponade for inferior retinal detachment with inferior proliferative vitreoretinopathy. Methods. This is a retrospective review of 22 patients who underwent pars plana vitrectomy using F6H8 as an intraoperative tool to flatten the retina. At the end of the surgery a direct partial exchange between F6H8 and SO 1000 cSt was performed, tamponing the eye with different ratios of F6H8/SO (70/30, 60/40, 50/50, 40/30, and 30/70). Anatomical and functional results and complications were evaluated over the follow-up period (mean 22.63 months). Results. F6H8 was efficacious for intraoperative flattening of the retina. Twenty-one of the 22 patients achieved a complete retinal reattachment. Postoperative visual acuity (VA) ranged from light perception to 20/70, with 72% of patients obtaining VA better than 20/400. No emulsification/inflammation was observed whatever the ratio of F6H8/SO used. With higher ratios of F6H8/SO (70/30 and 60/40) cloudiness of the tamponade was observed. A transparent mixture was present with all the other ratios. Conclusions. The surgical technique adopted is very simple and safe. The optimal F6H8/SO ratio seems to be between 50/50 and 30/70.http://dx.doi.org/10.1155/2014/956831
spellingShingle Gian Marco Tosi
Davide Marigliani
Tommaso Bacci
Napoleone Romeo
Angelo Balestrazzi
Gianluca Martone
Tomaso Caporossi
F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR
Journal of Ophthalmology
title F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR
title_full F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR
title_fullStr F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR
title_full_unstemmed F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR
title_short F6H8 as an Intraoperative Tool and F6H8/Silicone Oil as a Postoperative Tamponade in Inferior Retinal Detachment with Inferior PVR
title_sort f6h8 as an intraoperative tool and f6h8 silicone oil as a postoperative tamponade in inferior retinal detachment with inferior pvr
url http://dx.doi.org/10.1155/2014/956831
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