Continuous perfluorocarbon liquid infusion in giant retinal tear retinal detachment repair.

PURPOSE: The objective of this article is to delineate a novel surgical technique designed to maintain the globe in a well-stabilized state within a homogenous medium, irrespective of pressure variations during retinal detachment procedures.

METHODS

Six patients suffering from rhegmatogenous retinal detachment were enrolled in our study. A novel technique was employed to stabilize the globe's tonus, and media management was conducted through continuous injection of perfluorodecalin via an infusion port.

RESULTS

The mean age of patients was 63.16 ∓  ± 6.52 years. The average intraocular pressure on the first postoperative day and at the one-month follow-up were 14.33 ∓  ± 3.54 mmHg and 12.83 ∓  ± 3.89 mmHg, respectively. At the conclusion of the one-month follow-up period, none of the patients exhibited any signs of redetachment, epiretinal membrane (ERM), proliferative vitreoretinopathy, or silicone oil-related complications.

DISCUSSION: Maintaining the globe in a well-stabilized position within a homogeneous medium, despite pressure fluctuations during retinal detachment surgery, is of utmost significance. Our technique presents a straightforward and efficacious solution to this challenge, particularly in cases involving giant retinal tears that may pose additional difficulties during retinal detachment repair.