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The combined use of perfluorohexyloctane (F6H8) and silicone oil as an intraocular tamponade in the treatment of severe retinal detachment

Graefe's Archive for Clinical and Experimental Ophthalmology volume 244, Article number: 709 (2006) Cite this article

Abstract

Background

The purpose of this study was to investigate the combined use of perfluorohexyloctane (F6H8) and 1,000-centistoke silicone oil as a long-term intraocular tamponade in the treatment of complicated retinal detachment.

Methods

Sixty consecutive eyes affected by complicated retinal detachment with (1) retinal breaks of the lower two quadrants and severe proliferative vitreoretinopathy, (2) inferior giant retinal tear, (3) penetrating trauma or (4) choroidal detachment underwent pars plana vitrectomy using a combined internal tamponade of F6H8 and silicone oil. The double filling (DF) was removed after 40–50 days. The anatomical outcome and the complications due to the DF are reported.

Results

Retinal reattachment was achieved in all but one patient. Thirty-eight (63%) eyes needed further surgery with silicone oil tamponade. Silicone oil was successfully removed in 22 eyes. Sixteen (27%) eyes had retained silicone oil at the last follow-up examination. One eye showed persistent retinal detachment despite further surgery. Main complications of the DF were recurrent retinal detachment of the upper retina in six (10%) eyes and membrane formation in 25 (42%) eyes.

Conclusions

A combined internal tamponade of F6H8 and silicone oil may be a useful tool in the treatment of complicated retinal detachment involving the lower quadrants of the retina.

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Acknowledgement

We thank Dott. Luciano Lepori, Dr. of physical chemistry, CNR (National Council of Research), Pisa, Italy, for his collaboration regarding the in vitro study.

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Affiliations

  1. Santa Chiara Hospital, Eye Surgery Clinic, Via Roma 67, 56100, Pisa, Italy

    Stanislao Rizzo, Federica Genovesi-Ebert & Claudia Belting

  2. Via Diaz 86, 55100, Lucca, Italy

    Stanislao Rizzo

Authors
  1. Stanislao Rizzo
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  2. Federica Genovesi-Ebert
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  3. Claudia Belting
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Correspondence to Stanislao Rizzo.

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Rizzo, S., Genovesi-Ebert, F. & Belting, C. The combined use of perfluorohexyloctane (F6H8) and silicone oil as an intraocular tamponade in the treatment of severe retinal detachment. Graefe's Arch Clin Exp Ophthalmo 244, 709 (2006). https://doi.org/10.1007/s00417-006-0317-3

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  • DOI: https://doi.org/10.1007/s00417-006-0317-3

Keywords

  • Complicated retinal detachment
  • Double filling
  • Perfluorohexyloctane (FGH8)
  • Silicone oil