Purpose: To determine the intraocular tolerance of perfluorooctylbromi
de (perflubron) in vitrectomized rabbit and pig eyes and evaluated its
use as a vitreous substitute in vitreoretinal surgery. Methods: Pars
plana vitrectomy was performed on 33 Dutch pigmented rabbits and 11 mi
cro mini pigs. After vitrectomy the eyes were filled with perflubron f
or 2 hours, 1 week, 2 weeks, 1 month, and up to 6 months. Results: No
clinical, electroretinographic, or light and electron microscopic evid
ence of adverse effects on the retina and lens were observed. Perflubr
on emulsified and dispersed into small bubbles after 2-3 weeks. The le
ns showed mild posterior subcapsular cataracts in pig eyes after long-
term retention of perflubron. Conclusion: These findings indicate that
perflubron is safe for intraoperative and for longterm use intravitre
ally. However, emulsification and the breakdown into small bubbles lim
its the view of the retina when perflubron is used as a long-term tamp
onade.