Avoiding retinal slippage during macular translocation surgery with 360 retinotomy

Graefes Arch Clin Exp Ophthalmol. 2008 May;246(5):649-51. doi: 10.1007/s00417-007-0677-3. Epub 2007 Nov 15.

Abstract

Purpose: To describe a surgical technique to avoid retinal slippage.

Method: An audit was carried out on a consecutive series of 75 consecutive cases of macular translocation for age-related macular degeneration (MT360). We encountered two cases of slippage, which led to a change in technique.

Result: No further cases of slippage were encountered. We were able to perform an exchange of perfluorocarbon liquid with air or directly with silicone oil.

Discussion: Retinal slippage is caused by the presence of aqueous in the infusion tubing. Meticulous removal of all aqueous from the infusion system and vitreous cavity can eliminate this complication.

MeSH terms

  • Catheterization
  • Fluorocarbons / administration & dosage*
  • Humans
  • Intraoperative Complications / prevention & control*
  • Macula Lutea / transplantation*
  • Phacoemulsification
  • Retinal Diseases / surgery*
  • Silicone Oils / administration & dosage*
  • Vitrectomy

Substances

  • Fluorocarbons
  • Silicone Oils
  • perfluorodecalin