The Management of the Retention of Giant Subfoveal Perfluorocarbon Liquid

The aim of this report is to present the outcome of the surgical removal of a giant subfoveal retained perfluorocarbon liquid (PFCL). The case is a 65 years old man undergone pars plana vitrectomy and silicone oil implantation for macula-off superior retinal detachment about three months ago. He admitted our clinic with a complaint of gradual visual loss in the left eye. His visual acuity in the left eye was at the level of finger counting from one meter. Indirect ophthalmoscopy and optical coherence tomography revealed a giant PFCL bubble located in the fovea. The retained PFCL was removed via therapeutic extrafoveal retinotomy inferotemporal to fovea on PFCL bubble and passive aspiration with a back flush flute cannula during air-fluid exchange following silicon oil removal via 23 gauge pars plana scleroretinotomy. His visual acuity in the left eye improved to 1/10. A retinal atrophy developed at the region of which retinotomy was created. The retained subfoveal PFCL. should be removed surgically.