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How do you determine the timing and necessity of surgical removal for retained subretinal perfluorocarbon?

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Mednet Member
Mednet Member
Ophthalmology · University of Colorado Anschutz Medical Campus

Timing: Defer PFO removal until after you are convinced the retina is attached and will likely stay attached (e.g., after gas resolves or, if under oil, later than 8 weeks).

Necessity: Plan for surgical removal if subretinal PFO is foveal or perifoveal. If not, then defer indefinitely unless PFO loc...

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Mednet Member
Mednet Member
Ophthalmology · University Retina

There are a few factors that determine the timing and necessity of subretinal PFO removal:

  • Necessity is based on proximity to the fovea. Parafoveal or subfoveal PFO should be removed promptly (within 2-3 weeks of detection at the latest).
  • If PFO is far away enough from the fovea (>2 disc areas) an...

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