Influence of Perfluorocarbon Liquid (LIQUID) During Pars Plana Vitrectomy on Retinal Vessel Displacement in Primary Macula-involving Rhegmatogenous Retinal Detachment
NCT07027098 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 292
Last updated 2026-04-14
Summary
Rhegmatogenous retinal detachment (RRD) is an acute, sight threatening condition, with an incidence of approximately 10 per 100,000 people. Surgical interventions for treating RRD include pars plana vitrectomy (PPV), which currently represents the main adopted surgical choice. Main outcomes of successful RRD surgery have mainly been represented by anatomical retinal reattachment and best-corrected visual acuity (BCVA). Despite successful surgery, patients with mac-off RRD often report postoperative visual complaints of distortion such as metamorphopsia and scotomas in their central visual field, with great variability.
Major advances in retinal imaging including wide-field optical coherence tomography (OCT) and fundus autofluorescence (FAF) allowed to investigate morphological changes after RRD surgery. The concept of retinal displacement - where the retina has reattached but the exact location has shifted, as evidenced by retinal vessel printing shown on post operative retinal imaging.
Postoperative retinal displacement has been observed to occur with different frequency in relationship to variables including postoperative tamponade, surgical technique, and intraoperative use of perfluorocarbon liquids (PFCL). The investigators hope to formally study the impact of intraoperative use of PFCL, which is used as an aid during surgery to help flatten and position the retina, on retinal displacement. This will help us better understand the impact of this tool on outcomes both objectively through retinal imaging, and subjectively through visual outcomes including visual acuity and measures of distortion and other visual disturbances.
Conditions
- Retinal Displacement After Retinal Detachment Surgery
Interventions
- PROCEDURE
-
Perflurocarbon liquid
Used to facilitate surgery of retinal detachment to stabilise macular during surgery.
- PROCEDURE
-
Without Perflurocarbon liquid
Standard retinal detachment surgery (vitrectomy) without the use of Perflurocarbon liquid (PFCL).
Sponsors & Collaborators
-
Norfolk and Norwich University Hospitals NHS Foundation Trust
lead OTHER
Principal Investigators
-
Francesco Sabatino · Norwich University Hospitals NHS Foundation Trust,
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-28
- Primary Completion
- 2027-10-01
- Completion
- 2027-10-01
Countries
- United Kingdom
Study Locations
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