A Useful Approach to Remove Perfluorocarbon Migrated to Anterior Chamber after Vitreoretinal Surgery.

Introduction/Background: The presence of perfluorocarbon into the anterior chamber can produce endothelial damage and increased intraocular pressure. An unusual approach is presented for removal of the perfluorocarbon migrated to the anterior chamber in an aphakic patient, which remained after the refloat of the complex bag-IOL dislocated in the vitreous chamber. Methods: Case report. Results: A myopic magna patient underwent surgery for dislocation of the complex capsular bag-intraocular lens on the right eye. Pars plana vitrectomy was performed with 23 G and refloating of the complex capsular bag-lens dislocated with perfluorocarbon. A month after the surgery procedure, a level of 1.5 mm of perfluorocarbon was noted in the anterior chamber. To remove it, in the operating room, the patient was positioned semi-sitting, in a 45 degrees angle to the horizontal. The knees were flexed and the feet rested on the ground. The surgeon with the microscope was placed in front of the patient to perform the procedure: a main incision was done at IV and another accessory incision at VIII, viscoelastic was injected into the anterior chamber and the perfluorcarbon was completely removed with manual irrigation-aspiration. Finally, saline solution was used to hydrate the corneal incisions. Conclusions: The semi-sitting position of the patient is a useful way to reach the perfluorocarbon located in the bottom of the anterior chamber, otherwise the supine position cause its displacement to the posterior chamber. Thus, we think it's a good option to manage this vitreorretinal surgery complication allowing the complete perfluorocarbon removal with a simple surgery. Acknowledgements: None. [ABSTRACT FROM AUTHOR]