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Management of Retained Subretinal Perfluorocarbon Liquid

Antonio Acquaviva, MD

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This patient had retained subfoveal droplets after PFCL was used during retinal detachment repair. An ILM peel was performed, followed by a retinotomy adjacent to the inferotemporal vascular arcade using a 41-gauge extendible subretinal injection needle. Through the same retinotomy, the bent 41-gauge needle was advanced into the subretinal space to reach the PFCL bubble. Subsequently, active aspiration of PFCL was performed, followed by short-term postoperative upright head positioning. By the OCT scan, this technique appears to be an effective surgical approach for removing a retained submacular PFCL bubble.

Posted: 4/21/2026

Keywords:

perfluorocarbon

•

PFCL

•

Retinal Detachment

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Management of Retained Subretinal Perfluorocarbon Liquid

Antonio Acquaviva, MD

This patient had retained subfoveal droplets after PFCL was used during retinal detachment repair. An ILM peel was performed, followed by a retinotomy adjacent to the inferotemporal vascular arcade using a 41-gauge extendible subretinal injection needle. Through the same retinotomy, the bent 41-gauge needle was advanced into the subretinal space to reach the PFCL bubble. Subsequently, active aspiration of PFCL was performed, followed by short-term postoperative upright head positioning. By the OCT scan, this technique appears to be an effective surgical approach for removing a retained submacular PFCL bubble.

Posted: 4/21/2026

Keywords:

perfluorocarbon

•

PFCL

•

Retinal Detachment

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