Continuous perfluorocarbon liquid infusion in giant retinal tear retinal detachment repair

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.

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.

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.

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.