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Journal of Ophthalmology
Volume 2017 (2017), Article ID 6232151, 5 pages
https://doi.org/10.1155/2017/6232151
Clinical Study

Intraoperative Macula Protection by Perfluorocarbon Liquid for the Metallic Intraocular Foreign Body Removal during 23-Gauge Vitrectomy

1Department of General Ophthalmology, Medical University of Lublin, Ulica Chmielna 1, 20-079 Lublin, Poland
2Department of Didactics and Medical Simulation, Human Anatomy Chair, Medical University of Lublin, Ulica Jaczewskiego 4, 20-090 Lublin, Poland
3Institute of Ophthalmology, University of Modena and Reggio Emilia, Modena, Italy
4Department of Ophthalmology, University Eye Hospital, Rostock, Germany

Correspondence should be addressed to Tomasz Choragiewicz; lp.pw@rohckemot

Received 9 September 2016; Revised 24 February 2017; Accepted 12 March 2017; Published 2 May 2017

Academic Editor: Ciro Costagliola

Copyright © 2017 Robert Rejdak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To evaluate visual and safety outcomes of 23-gauge (G) pars plana vitrectomy (PPV) with application of perfluorocarbon liquid (PFCL) for intraoperative protection of the macula during intraocular foreign body (IOFB) removal. Methods. Retrospective study of 42 patients who underwent 23 G PPV for IOFB removal from posterior segment with intraoperative PFCL application for the macula shielding. Collected data included corrected distance visual acuity (CDVA), size of IOFB, and complication rate. The mean follow-up period was 12 months. Results. The mean preoperative CDVA was 0.54 logMAR (SD 0.46), and the final mean CDVA was 0.68 logMAR (SD 0.66). All IOFBs were metallic with mean dimensions of 4.6 mm × 2.1 mm. Twenty-two IOFBs were removed through the corneal tunnel and 20 IOFBs through the sclerotomy. No intraoperative iatrogenic lesion of the macula was observed. As a tamponade, silicon oil was applied in 31 eyes, SF6 gas in 5 eyes, air in 4 eyes, and 2 eyes required no tamponade. Secondary retinal detachment was observed in 17% of cases, but at the end of the follow-up, all the retinas were attached. Conclusion. PFCL application during PPV is a safe method of protecting the macula from unexpected falling of the metallic IOFB during its removal.