case_images: PMC6446436_01
case_images: Two of the subfoveal PFCL bubbles were detected and confirmed by SD-OCT after pars plana vitrectomy and silicone oil removal at second month visit.. PFCL, perfluorocarbon liquid; SD-OCT, spectral domain optical coherence tomography.
case_images: 10.1177_2515841419840244-fig1.jpg
case_images: PMC6446436_01_10.1177_2515841419840244-fig1.jpg
case_images: fig1-2515841419840244
case_images: This finding was confirmed using optical coherence tomography (OCT) (Figure 1).
case_images: ILM was dyed with brilliant blue and peeled via an ILM forceps, allowing more internal flexibility for transretinal aspiration of PFCL bubbles.. ILM, internal limiting membrane; PFCL, perfluorocarbon liquid.
case_images: 10.1177_2515841419840244-fig2.jpg
case_images: PMC6446436_01_10.1177_2515841419840244-fig2.jpg
case_images: fig2-2515841419840244
case_images: During the third surgical session, after staining the ILM with brilliant blue, ILM peeling was performed in maculorhexis fashion (Figure 2).
case_images: All PFCL bubbles were aspirated through the silicone tip of the 23 G Flute cannula in a 'light touch' maneuver at the same locus, transretinally.. PFCL, perfluorocarbon liquid.
case_images: 10.1177_2515841419840244-fig3.jpg
case_images: PMC6446436_01_10.1177_2515841419840244-fig3.jpg
case_images: fig3-2515841419840244
case_images: The subfoveal PFCL bubbles were passively aspirated using a 23 G silicone-tip Flute cannula directed toward the largest subretinal bubble in a light-touch maneuver (Figure 3).
case_images: (a) At the postoperative second-week visit of PFCL removal, some degree of IS/OS disruption secondary to possible PFCL toxicity was detected. (b) This IS/OS defect remained almost stabile at the end of 1-year follow-up. Some degree of epiretinal gliosis can be seen outside the ILM-peeling area.. ILM, internal limiting membrane; IS/OS, inner segment/outer segment; PFCL, perfluorocarbon liquid.
case_images: 10.1177_2515841419840244-fig4.jpg
case_images: PMC6446436_01_10.1177_2515841419840244-fig4.jpg
case_images: fig4-2515841419840244
case_images: The OCT exam revealed inner segment/outer segment disruption at the 2-week follow-up (Figure 4(a)) and in the later follow-ups (Figure 4(b)), which led to a limited BCVA of 20/100 at the 1-year postoperative follow-up.