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SPONTANEOUS RESOLUTION OF SUBFOVEAL PERFLUOROCARBON: CASE REPORT AND REVIEW OF THE LITERATURE
Anna Hermosa-Masdeu1, José Ignacio Vela1,2,3,4, Irene Loscos-Giménez1
1Department of Ophthalmology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Purpose:
To report a case of spontaneous resolution of subfoveal perfluorocarbon liquid (sPFCL).
Methods:
A 72-year-old man presented with poor vision in the OS for two months. Ophthalmic examination revealed a visual acuity of counting fingers at 40 cm, pseudophakia, and rhegmatogenous retinal detachment in the OS. The patient underwent 23 G pars plana vitrectomy associated with a scleral buckle and silicone oil. Postoperatively, a retained sPFCL bubble was observed on OCT image.
Results:
Postoperatively, the sPFCL bubble disappeared spontaneously, followed by the observation of a full-thickness macular hole. Four weeks after surgery, the macular hole was closed, and visual acuity improved with preservation of foveal depression.
Conclusion:
Because spontaneous resolution rarely occurs, retinal surgeons prefer early evacuation of sPFCL. Herein, we report a new case of spontaneously resolved sPFCL and discuss the mechanisms for its resolution reported in the literature.
