DR. NISHAT BANSAL

Abstract

A 68-YEAR-OLD MALE WITH INFERIOR RETINAL DETACHMENT (RD) WAS TAKEN UP FOR 25 G PARS PLANA VITRECTOMY, LIMITED QUANTITY OF PERFLURO CARBON LIQUID (PFCL) WAS INJECTED TO FLATEN THE POSTERIOR POLE. AS THE INFUSION CANULLA WAS REMOVED TO ENLARGE TO 23 G FOR DIRECT SILICON OIL (SO)-PFCL EXCHANGE, DESPITE SEVERAL ATTEMPTS IT BECAME IMPOSSIBLE TO INSERT THE CANNULA BACK IN HYPOTONOUS EYE. THE CASE WAS CLOSED WITH TOP-UP OF SO AS THE VIEW DID NOT PERMIT FOR PFCL REMOVAL DUE TO INTRA-OPERATIVE HEMORRHAGE. PATIENT WAS LEFT WITH SO-PFCL AS TAMPONADE ACCIDENTLY. PATIENT WAS GIVEN SUPINE AND UPRIGHT POSITION INTERMITTENTALY. AFTER 3 WEEKS PATIENT WAS TAKEN UP FOR PFCL- SO REMOVAL. DURING RECOVERY, PATIENT HAD GOOD RESTORATION OF VISION WITH ATTACHED RETINA. THIS ACCIDENTAL SO-PFCL TAMPONADE WORKED AS A BOON, AS PATIENT DID NOT REQUIRE PRONE POSITIONING AND HAD EARLY RESTORATION OF VISION. THIS PROCEDURE CAN BE CONSIDERED IN SELECTIVE CASES WHERE PRONE POSITIONING IF DIFFICULT OR IN CASES OF RRD.