Tamponade in surgery for retinal detachment associated with proliferative vitreoretinopathy

Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical consequences

“…Silicone oil and C3F8 had similar rates of success regarding anatomical and visual outcomes (Abrams et al, 1997;Schwartz et al, 2014), suggesting that success in the first surgery is more important than the choice of tamponade in most of the cases. Nevertheless, the selection of the tamponade must be individualized for each patient.…”

“…Endotamponade is usually performed with long-acting intraocular gas such as sulfur hexafluoride (SF6) or perfluoropropane (C3F8), or with silicone oil (SiO). Based on findings provided by the Silicone Oil Study, the retinal reattachment rate increased to 70e85% of macular attachments at 36 months, and there were better visual outcomes with SiO or C3F8 compared with SF6 (Abrams et al, 1997;Schwartz et al, 2014). However less than 50% of the eyes with reattached retinas reached visual acuity of 5/200 or better in severe cases of PVR (Abrams et al, 1997).…”

Vision loss under silicone oil tamponade

“…The most common types are gas or air tamponades [1]. In more severe cases like retinal detachment with proliferative vitreoretinopathy [2] or proliferative diabetic retinopathy with complex retinal pathology [3], silicone oil is used. However, some surgeons promote the primary use of silicone oil even in uncomplicated macular hole surgery [4,5].…”

Influence of Intraocular Tamponade on Unintentional Retinal Displacement After Vitrectomy for Rhegmatogenous Retinal Detachment

“…Pars plana vitrectomy with gas or silicone oil tamponade is considered as a valuable primary approach in complicated cases with proliferative vitreoretinopathy, giant tears, bullous RRD, and retinal breaks with marked vitreous traction. [3][4][5] However, recent comparison of the two surgical techniques suggested that vitrectomy might be as effective as scleral buckling, also in the treatment of uncomplicated detachments. 6 Retinal reattachment without reoperations and bestcorrected visual acuity (BCVA) improvement after surgery are considered as the main outcomes in the evaluation of successful vitreoretinal surgery for RRD.…”