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Epiretinal membrane development after submacular perfluorocarbon liquid removal.
Parijat Chandra1, Vinod Kumar1, Brijesh Takkar1
1Dr. R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Oman Journal of Ophthalmology
|November 10, 2017
Summary
Optical coherence tomography (OCT) successfully visualized submacular perfluorocarbon liquid. Safe removal using a small gauge cannula preserved visual acuity despite an epiretinal membrane complication.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Surgical Techniques
Background:
- Submacular surgery often involves the use of perfluorocarbon liquids (PFCLs) to flatten the retina.
- Complete removal of PFCLs is crucial to prevent complications.
- Small gauge cannulas offer a minimally invasive approach for intraocular procedures.
Observation:
- Optical coherence tomography (OCT) was utilized to visualize the interface between the retina and submacular perfluorocarbon liquid.
- A case involving the removal of submacular PFCL using a small gauge cannula is presented.
- The surgical procedure was complicated by the development of an epiretinal membrane post-operatively.
Findings:
- OCT provided detailed imaging of the submacular space, confirming the presence and location of the PFCL.
- The small gauge cannula facilitated safe and effective removal of the submacular PFCL.
- Despite the development of an epiretinal membrane, the patient's visual acuity was preserved.
Implications:
- This case highlights the utility of OCT in guiding and assessing submacular PFCL removal.
- Small gauge cannulas represent a viable and safe tool for PFCL extraction in complex retinal cases.
- Preservation of visual acuity in the presence of an epiretinal membrane suggests the robustness of the surgical technique and management.
