Iatrogenic macular hole during liquid perfluorocarbon injection in retinal detachment surgery.

Abstract

To describe a macular hole development during intravitreal injection of perfluorocarbon liquid used to repair a regmatogenous retinal detachment. CLINICAL CASE: A 73-year-old man presented with superotemporal regmatogenous retinal detachment. During surgery, along the perflorocarbon liquid injection, a full thickness macular developed and perfluorocarbon was accumulated in subretinal space. Perfluorocarbon liquid was then extracted through the macular hole. Postoperatively, ocular coherence tomography confirmed the existence of a full-thickness macular hole. One month later, this macular hole was successfully treated with the use of an Inverted internal limiting membrane flap. Intravitreous liquid PFC injection is a resource to aid in subretineal fluid exit. A number of complications, both intra and postoperative, have been associated with the use of PFC. This is the first reported case of a complete macular hole secondary to PFC injection.

• Authors: N Ruiz Del Rio, F Garcí Ibor, D Hernandez Perez, A M Duch Samper
• Journal: Archivos de la Sociedad Espanola de Oftalmologia (Arch Soc Esp Oftalmol (Engl Ed)) Vol. 98 Issue 7 Pg. 413-416 (Jul 2023) ISSN: 2173-5794 [Electronic] Spain
• PMID: 37285961 (Publication Type: Case Reports)
• Copyright: Copyright © 2023 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

Chemical References

• Fluorocarbons

Topics

• Male
• Humans
• Aged
• Retinal Detachment (etiology)
• Retinal Perforations (etiology, surgery)
• Fluorocarbons (adverse effects)
• Visual Acuity
• Vitrectomy (adverse effects, methods)
• Intravitreal Injections
• Iatrogenic Disease