This 57YO male presented with 20/400 vision from a macula-off retinal detachment. The causative giant retinal tear extended from 9 to 12 o’clock.
He underwent successful pars plana vitrectomy surgery using intraoperative perfluorooctane (PFO) liquid to flatten the retina, followed by gas exchange with long-acting C3F8 (perfluoropropane) gas tamponade.
Learning Points:
By definition, giant retinal tears extend at least 3 clock hours. Surgical repair can be greatly facilitated by using Perfluoron (PFO), a heavier-than-water liquid that helps unroll the giant tear and prevents posterior retinal slippage.
