May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Vitrectomy Using Continuous Infusion of Oxygenated Perfluorocarbons (ViCIOP) in Patients with Severe Proliferative Diabetic Retinopathy and Tractional Retinal Detachment. Anatomic and Visual Results
Author Affiliations & Notes
  • L.M. Suarez-Tata
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • H. Quiroz-Mercado
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • J. Guerrero-Naranjo
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • S. Murillo-Lopez
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • G. Reategui-Escalante
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • C. Leizaola-Fernandez
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • G. Garcia
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • L. Morfin
    Retina, Asociacion para Evitar la Cegue, Mexico City, Mexico
  • S. Charles
    Ophthalmology Department, University of Tennessee, Memphis, TN, United States
  • Footnotes
    Commercial Relationships  L.M. Suarez-Tata, None; H. Quiroz-Mercado, None; J. Guerrero-Naranjo, None; S. Murillo-Lopez, None; G. Reategui-Escalante, None; C. Leizaola-Fernandez, None; G. Garcia, None; L. Morfin, None; S. Charles, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 3998. doi:
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      L.M. Suarez-Tata, H. Quiroz-Mercado, J. Guerrero-Naranjo, S. Murillo-Lopez, G. Reategui-Escalante, C. Leizaola-Fernandez, G. Garcia, L. Morfin, S. Charles; Vitrectomy Using Continuous Infusion of Oxygenated Perfluorocarbons (ViCIOP) in Patients with Severe Proliferative Diabetic Retinopathy and Tractional Retinal Detachment. Anatomic and Visual Results . Invest. Ophthalmol. Vis. Sci. 2003;44(13):3998.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To describe and analyze anatomic and visual results obtained in patients that underwent vitrectomy using continuous infusion of oxygenated perfluorocarbons (ViCIOP) for tractional retinal detachment secondary to severe proliferative diabetic retinopathy. Methods: A prospective, non-comparative, longitudinal, and experimental study was conducted. Thirty eyes of 30 patients showing tractional retinal detachment involving the macula secondary to severe proliferative diabetic retinopathy were enrolled. All patients signed an informed consent approved by IRB and were operated using ViCIOP technique, in which balance saline solution was replaced by perfluorocarbon liquids (PFCLs) since the beginning of the procedure. Complete ophthalmologic examination, visual acuity measurement using the ETDRS, fundus photographs and corneal endothelial cell count were obtained and registered on baseline and at 1, 7, 15, 30, 60 and 90 days after surgical intervention. Intraocular tamponade was with silicone oil in all cases Results: Anatomical success was obtained in 100% cases, with complete reattachment of the retina and macular area with a minimum follow-up of 3 months. Initial visual acuity was 20/200 in 6 patients (20%) hand motion in 15 cases (50%) and light perception in 9 cases (30%). Final visual acuity at three month follow-up was 20/80 in 9 cases (30%), 20/100 in 3 (10 %), 20/200 in 6 ( 20%) 20/400 in 4 (13.33 %) 20/600 in 4 (13.33%), light perception in 3 (10%) and no light perception was the final result en 1 (3.33%) Visual acuity improved in twenty eyes, didn't change in six eyes and worsened in four eyes. No significant changes in endothelial cell count were observed Conclusions: Succesful anatomic and visual results suggest that using ViCIOP to treat tractional retinal detachment secondary to severe proliferative diabetic retinopathy is a useful technique for select patients since it allows maneuvers such as peeling, delamination, or segmentation and complete posterior hyaloid removal as well as effective endodiathermy and endophotocoagulation under exceptionally good viewing conditions due to physycal and chemical properties of PFCLs therefore increasing the effectiveness of the procedure. Further studies and longer follow up is needed to confirm this trends.

Keywords: vitreoretinal surgery • clinical (human) or epidemiologic studies: out • diabetic retinopathy 
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