THE COMPLICATIONS OF PERFLUOROPROPANE GAS USE IN COMPLEX RETINAL DETACHMENTS

Citation
Nr. Sabates et al., THE COMPLICATIONS OF PERFLUOROPROPANE GAS USE IN COMPLEX RETINAL DETACHMENTS, Retina, 16(1), 1996, pp. 7-12
Citations number
29
Categorie Soggetti
Ophthalmology
Journal title
RetinaACNP
ISSN journal
0275004X
Volume
16
Issue
1
Year of publication
1996
Pages
7 - 12
Database
ISI
SICI code
0275-004X(1996)16:1<7:TCOPGU>2.0.ZU;2-K
Abstract
Background: Perfluoropropane (C3F8) is a valuable adjunct in the manag ement of complex rhegmatogenous retinal detachments, and it has become the most commonly used perfluorocarbon gas. However, there have been few large reports about its complications. This retrospective study wa s undertaken to evaluate the complications of the use of perfluoroprop ane gas. Methods: Perfluoropropane gas was used in the repair of a com plex retinal detachment in 157 consecutive eyes. Only eyes that had a follow-up of 6 months or greater were included. Any eyes that had unde rgone previous vitrectomy and vitreous substitution with gas or silico ne oil were excluded. Results: Gas-induced lens opacities developed in 26 (67%) phakic eyes; transient increased intraocular pressure develo ped postoperatively in 50 (32%) eyes; a transient fibrinous, pupillary membrane developed in 20 (13%) eyes; and a flat anterior chamber deve loped in 10 (6%) eyes. Conclusions: Scleral buckle placement and incre ased gas concentration were found to be risk factors for the developme nt of increased intraocular pressure. Proliferative diabetic retinopat hy was associated with a higher development of lens opacities and pupi llary membranes. No major complications were associated with the use o f C3F8.