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Our Experience with Perfluorohexyloctane (F 6 H 8 ) as a Temporary Endotamponade in Vitreoretinal Surgery

2002; SAGE Publishing; Volume: 12; Issue: 6 Linguagem: Inglês

10.1177/112067210201200612

1724-6016

Maria Stefaniotou, M. Aspiotis, Georgios Kitsos, CHR.D. Kalogeropoulos, Ioannis Asproudis, Konstantinos G. Psilas,

Intracranial Aneurysms: Treatment and Complications

Purpose To evaluate the use of F 6 H 8 as a temporary endotamponade for complicated and special cases of retinal detachment instead of silicone oil. Methods We have used F 6 H 8 with 14 patients since February 1999. Eight suffered from rhegmatogenous retinal detachment (RRD) with multiple tears located inferiorly. Three presented inferior traction retinal detachment (TRD) under silicone oil, two suffered from ocular trauma with inferior TRD, and one had idiopathic macular hole. The substance was introduced into the eye after pars plana vitrectomy and membrane peeling if needed, and we tried to introduce as much as possible. Results With F 6 H 8 the retina was easily reattached in all cases, like with perfluorocarbon liquids. The postoperative view was very good. F 6 H 8 was removed in all cases after 3–8 weeks. Anatomical success was achieved in 12 out of 14 eyes. Two eyes presented severe PVR. F 6 H 8 entered the anterior chamber in 4 cases, but no corneal complications occurred. In one case there was a marked IOP rise due to an anterior block, treated with superior iridotomy. In two cases retinal detachment (RD) occurred in the upper part and was treated with additional surgery, F 6 H 8 removal and silicone oil injection. Conclusions F 6 H 8 seems to be a promising tamponade agent for special cases of RD.