Induction of Posterior Vitreous Detachment Using Perfluorooctane Dissection in a Pediatric Patient

Background and Objective: Inducing a posterior vitreous detachment (PVD) may be challenging, especially in pediatric patients with firm vitreo-retinal adherence. This case report will present an alternative method of PVD induction using adjunctive perfluorooctane (PFO). Materials and Methods: An 11-year-old boy underwent scleral buckle placement and 23-gauge pars plana vitrectomy for macula-off retinal detachment. Triamcinolone acetonide was used for vitreous staining. A flexible loop was used to peel the hyaloid membrane from attached retina nasal to the optic nerve. A small hole was created in the posterior hyaloid, and a small PFO bubble was injected under the detached vitreous to further dissect it from the retina and propagate the vitreous detachment anteriorly. The vitrector was used to lift and complete the PVD peripherally. Results: PVD induction was obtained with no iatrogenic retinal breaks or postoperative complications. Conclusion: PVD induction using a stepwise PFO approach is a safe and effective alternative to conventional techniques. [ Ophthalmic Surg Lasers Imaging Retina 2023;54:543–546.]