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Fluid-Gas Exchange After Vitrectomy Using Long-Acting Gases in an Outpatient Setting

Fluid-Gas Exchange After Vitrectomy Using Long-Acting Gases in an Outpatient Setting Abstract To the Editor. —Postvitrectomy fluid-air exchange is a useful procedure for the treatment of recurrent vitreous hemorrhage and persistent or recurrent retinal detachment. Recently, several reports have described techniques of outpatient fluid-air exchange.1-3 Landers and associates1 described a single syringe and needle "push-pull" technique in which the syringe is filled with air or an air-gas mixture. A similar technique was recently described by Kleiner2 in which two syringes could be attached to a single needle via a special connector. In this way, a long-acting gas such as sulfur hexafluoride or perfluoropropane can be injected. Long-acting gas tamponade is often required in the treatment of proliferative vitreoretinopathy. Furthermore, using slightly expansile concentrations facilitates a more complete gas fill. Unfortunately, these techniques can cause rapid changes in intraocular pressure or, more commonly, the introduction of small bubbles known as "fish eggs." The bubbles often preclude further postoperative laser therapy. References 1. Landers MB III, Robinson D, Olsen KR, et al: Slit-lamp fluid-gas exchange and other office procedures following vitreoretinal surgery . Arch Ophthalmol 1985;103:967-972.Crossref 2. Kleiner RC: A new device for performing fluid-gas exchanges . Arch Ophthalmol 1988;106:421-422.Crossref 3. Miller JA, Chandra SR, Stevens TS: A modified technique for performing outpatient fluid-air exchange following vitrectomy surgery . Am J Ophthalmol 1986;101:116-117. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Fluid-Gas Exchange After Vitrectomy Using Long-Acting Gases in an Outpatient Setting

Fluid-Gas Exchange After Vitrectomy Using Long-Acting Gases in an Outpatient Setting

Abstract

Abstract To the Editor. —Postvitrectomy fluid-air exchange is a useful procedure for the treatment of recurrent vitreous hemorrhage and persistent or recurrent retinal detachment. Recently, several reports have described techniques of outpatient fluid-air exchange.1-3 Landers and associates1 described a single syringe and needle "push-pull" technique in which the syringe is filled with air or an air-gas mixture. A similar technique was recently described by Kleiner2 in which...
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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140508003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Postvitrectomy fluid-air exchange is a useful procedure for the treatment of recurrent vitreous hemorrhage and persistent or recurrent retinal detachment. Recently, several reports have described techniques of outpatient fluid-air exchange.1-3 Landers and associates1 described a single syringe and needle "push-pull" technique in which the syringe is filled with air or an air-gas mixture. A similar technique was recently described by Kleiner2 in which two syringes could be attached to a single needle via a special connector. In this way, a long-acting gas such as sulfur hexafluoride or perfluoropropane can be injected. Long-acting gas tamponade is often required in the treatment of proliferative vitreoretinopathy. Furthermore, using slightly expansile concentrations facilitates a more complete gas fill. Unfortunately, these techniques can cause rapid changes in intraocular pressure or, more commonly, the introduction of small bubbles known as "fish eggs." The bubbles often preclude further postoperative laser therapy. References 1. Landers MB III, Robinson D, Olsen KR, et al: Slit-lamp fluid-gas exchange and other office procedures following vitreoretinal surgery . Arch Ophthalmol 1985;103:967-972.Crossref 2. Kleiner RC: A new device for performing fluid-gas exchanges . Arch Ophthalmol 1988;106:421-422.Crossref 3. Miller JA, Chandra SR, Stevens TS: A modified technique for performing outpatient fluid-air exchange following vitrectomy surgery . Am J Ophthalmol 1986;101:116-117.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1988

References