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Tamponade in the surgical management of retinal detachment

Authors Vaziri K, Schwartz S, Kishor K, Flynn Jr. H

Received 17 October 2015

Accepted for publication 27 November 2015

Published 16 March 2016 Volume 2016:10 Pages 471—476

DOI https://doi.org/10.2147/OPTH.S98529

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Yang Liu

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Kamyar Vaziri, Stephen G Schwartz, Krishna S Kishor, Harry W Flynn Jr

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA

Abstract: Despite treatment advances, rhegmatogenous retinal detachment (RD) can have poor visual outcomes even with prompt and appropriate therapy. Pars plana vitrectomy is a leading management modality for the treatment of RD. This procedure is generally accompanied by the use of internal tamponade. Various gases and silicone oils may yield beneficial outcomes. Heavy silicone oils have been approved in some European nations but are not available in the USA. Different tamponade agents have unique benefits and risks, and choice of the agent should be individualized according to the characteristics of the patient and RD, as well as perioperative and postoperative factors.

Keywords: tamponade, retinal detachment, silicone oil, gas, air, perfluorocarbon liquids

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