LOW VISCOSITY LIQUID FLUOROCHEMICALS IN VITREOUS SURGERY

LOW VISCOSITY LIQUID FLUOROCHEMICALS IN VITREOUS SURGERY
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DOI:
10.1016/s0002-9394(14)74166-2
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发表时间:
1987-01-01
影响因子:
4.2
通讯作者:
CHANG, S
CHANG, S
中科院分区:
医学1区
文献类型:
--
作者:
CHANG, S

文献摘要

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低粘度液体氟碳化合物具有潜在的物理性质,可用作复杂视网膜脱离玻璃体手术期间的术中填充剂。这些物质是光学透明的,比重大于水,界面张力特性与硅油相似。在4例复杂性视网膜脱离的患者中,我在玻璃体手术中使用了全氟三丁胺和全氟萘烷。两个巨大的视网膜裂孔在术中被压平,患者未转为俯卧位。在两名严重增生性玻璃体视网膜病变患者中,全氟三丁胺允许充分的视网膜填塞,避免了视网膜下液内引流的后视网膜切开术。应用了内光凝。
Low viscosity liquid fluorocarbons have physical properties potentially useful as intraoperative adjuncts during vitreous surgery for complicated retinal detachments. These substances are optically clear, have specific gravity greater than that of water, and interfacial tension properties similar to those of silicone oil. In four patients who had complicated retinal detachments I used perfluorotributylamine and perfluorodecalin during vitreous surgery. Two giant retinal tears were flattened intraoperatively without turning the patient into the prone position. In two patients with severe proliferative vitreoretinopathy, perfluorotributylamine allowed adequate retinal tamponade and avoided a posterior retinotomy for internal drainage of subretinal fluid. Endophotocoagulation was applied.