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View Full Version : Vitrectomy and Perfluoron for Retinal Detachment with Retinal Tear video



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07-19-2012, 07:49 PM
This eye has a 3 clock hour retinal tear and nasal, relatively small, retinal detachment. Retinal tears that are 3 clock hours or bigger are considered "giant" retinal tears. The techniques to reattach these retinas are slightly different from those used in eyes without giant retinal tears. Perfluoron is used to flatten the retina initially. The Perfluoron is a heavier than water liquid. It rolls the retina back into its natural position and smooths out the area with the giant tear. Since this was a relatively small and very anterior (front of the eye) giant tear, I used air and gas to flatten the retina at the end of the surgery. In cases of larger giant retinal tears or more posterior giant retinal tears, silicone oil is often more appropriate.

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