ABSTRACT
Reportar la formación de agujero macular durante la inyección intravítrea de perfluorocarbono líquido en la cirugía programada de desprendimiento de retina. Caso clínico Varón de 73 años con desprendimiento de retina regmatógeno superotemporal. Durante la inyección de perfluorocarbono líquido se produce un agujero macular de espesor completo con acumulación del perfluorocarbono en el espacio subretiniano. El líquido se extrajo a través del agujero macular. La tomografía de coherencia óptica confirmó un agujero macular de espesor total en el examen postoperatorio. Un mes después se repara con técnica de colgajo invertido de membrana limitante interna con resultado funcional satisfactorio. La inyección de perflurocarbono líquido intravítreo es electiva, facilita el drenaje del fluido subretiniano en los desprendimientos de retina. Algunas complicaciones han sido asociadas a su empleo, intraoperatorias y postoperatorias. Hasta el momento no ha sido reportado ningún caso de agujero macular completo producido durante la inyección intravítrea de perfluorocarbono (AU)
To describe a macular hole development during intravitreal injection of perfluorocarbon liquid used to repair a rhegmatogenous retinal detachment. Clinical case A 73-year-old man presented with superotemporal rhegmatogenous 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 subretinal 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 (AU)
Subject(s)
Humans , Male , Aged , Retinal Perforations/chemically induced , Fluorocarbons/administration & dosage , Fluorocarbons/adverse effects , Retinal Detachment/surgery , Intravitreal Injections/adverse effectsABSTRACT
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.
