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3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon
Lina Guan1,2,3, Jiayu Chen1,2,3, Yu Tang1,2,3
1The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, China.
Ophthalmology and Therapy
|March 4, 2023
Summary
Using a 3D visualization system for pars plana vitrectomy (PPV) allows for the successful treatment of rhegmatogenous retinal detachment (RRD) without perfluorocarbon liquid (PFCL). This approach simplifies surgery, reduces operation time, and avoids PFCL-related complications.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Retinal Surgery
Background:
- Pars plana vitrectomy (PPV) is a standard surgical approach for rhegmatogenous retinal detachment (RRD).
- Perfluorocarbon liquid (PFCL) is often used during PPV but can lead to intraocular complications.
- Exploring alternatives to PFCL is crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate the feasibility and efficacy of performing PPV for RRD without using PFCL.
- To assess the role of the NGENUITY 3D Visualization System in facilitating PFCL-free PPV.
- To compare surgical outcomes between PFCL-assisted and PFCL-excluded PPV procedures.
Main Methods:
- A comparative study involving 60 patients with RRD undergoing 23-gauge PPV with a 3D visualization system.
- Thirty patients received PPV with PFCL assistance for subretinal fluid (SRF) drainage.
- Thirty patients underwent PPV without PFCL, with outcomes compared based on retinal reattachment rate (RRR), visual acuity, operation time, and SRF residual.
Main Results:
- All 60 patients achieved 100% RRR and significant improvement in best-corrected visual acuity (BCVA).
- The PFCL-excluded group demonstrated superior BCVA improvement (logMAR 0.479) compared to the PFCL-included group (logMAR 0.650).
- Excluding PFCL reduced operation time by 20% and mitigated risks associated with PFCL and prolonged surgery.
Conclusions:
- The 3D visualization system enables successful PPV for RRD without PFCL.
- This PFCL-free approach simplifies procedures, shortens surgery duration, and reduces costs.
- The 3D visualization system is highly recommended for achieving comparable surgical outcomes while enhancing safety and efficiency.
