Various Tamponade in Surgery for Retinal Detachment Associated with Proliferative Vitreoretinopathy
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Abstract
Background: To review the literature and report relative efficacy and safety of various tamponade agents used with surgery for rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) regarding functional success rate, anatomical success rate, and adverse effects.
Methods: We searched articles from PubMed and Clinical Key database starting from the year of 1990 to November 2014. Information needed from all articles were extracted into data extraction sheet. We reviewed the efficacy of both tamponade agents regarding the postoperative visual acuity, macular attachment, and adverse effect.
Results: Eight articles were included after fulfilling inclusion and exclusion criteria. Our analysis showed all studies shows an increasing visual acuity and percentage of macular attachment postoperatively of all type tamponade agents. Functional and anatomical success rate of Sulfur hexafluoride gas (SF6) was high in study with PVR stage B or less (94-98%). In patient with complex or recurrent RD associated with PVR, silicone oil had a better functional success (51% vs 32.5%) and better anatomical success (80% vs 60%) than SF6 gas. The anatomical success rate also higher in C3F8 than in SF6 group (73.9% vs 57.5% respectively). Functional and anatomical success rate of HSO as tamponade was high in patients with a severe PVR located mainly in the inferior quadrants (92.3%).
Conclusion: As tamponade agents, C3F8 and silicone oil appear to have more visual and anatomic advantages over SF6 in participants with complex or recurrent RD associated with PVR. Silicone oil was better than C3F8 gas to obtain final visual and anatomic successs in patient with recurrent RD associated with higher grade PVR. Heavy silicone oil would be useful in particular cases complicated by recurrent inferior RD with PVR. Retinal redetachment, glaucoma, cataract, hypotony and keratopathy were reported in both gases and silicone group.
Keywords: Tamponade in retinal detachment surgery, SF6, C3F8, silicon oil, and heavy silicone oil
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References
Thompson JT. The absorption of mixtures of air and perfluoropropane after pars plana vitrectomy. Archives of ophthalmology. 1992;110(11):1594-7.
Kuhn F, Aylward B. Rhegmatogenous retinal detachment: a reappraisal of its pathophysiology and treatment. Ophthalmic research. 2014;51(1):15-31.
Young TA, D’Amico DJ. Controversies in proliferative vitreoretinopathy tamponade and pharmacologic adjuvants. International ophthalmology clinics. 2005;45(4):163-71.
Stern WH, Johnson RN, Irvine AR, Barricks ME, Boyden BS, Hilton GF, et al. Extended retinal tamponade in the treatment of retinal detachment with proliferative vitreoretinopathy. The British journal of ophthalmology. 1986;70(12):911-7.
Angunawela RI, Azarbadegan A, Aylward GW, Eames I. Intraocular fluid dynamics and retinal shear stress after vitrectomy and gas tamponade. Investigative ophthalmology & visual science. 2011;52(10):7046-51.
Heimann H, Bartz-Schmidt KU, Bornfeld N, Weiss C, Hilgers RD, Foerster MH. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology. 2007;114(12):2142-54.
Isran, Mallebi AAV. Vitrektomi dan tamponade silikon pada ablasio retina dengan vitreoretinopati proliferatif. Opthalmologica Indosiana. 2007;34(1):83-90.
Rojas J, Fernandez I, Pastor JC, MacLaren RE, Ramkissoon Y, Harsum S, et al. Predicting proliferative vitreoretinopathy: temporal and external validation of models based on genetic and clinical variables. The British journal of ophthalmology. 2014.
Schwartz SG, Flynn HW, Jr., Lee WH, Wang X. Tamponade in surgery for retinal detachment associated with proliferative vitreoretinopathy. The Cochrane database of systematic reviews. 2014;2:CD006126.
Vitrectomy with silicone oil or sulfur hexafluoride gas in eyes with severe proliferative vitreoretinopathy: results of a randomized clinical trial. Silicone Study Report 1. Archives of ophthalmology. 1992;110(6):770-9.
Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, et al. The Oxford 2011 Levels of Evidence. Oxford2011.
The classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology. 1983;90(2):121-5.
Machemer R, Aaberg TM, Freeman HM, Irvine AR, Lean JS, Michels RM. An updated classification of retinal detachment with proliferative vitreoretinopathy. American journal of ophthalmology. 1991;112(2):159-65.
Joussen AM, Rizzo S, Kirchhof B, Schrage N, Li X, Lente C, et al. Heavy silicone oil versus standard silicone oil in as vitreous tamponade in inferior PVR (HSO Study): interim analysis. Acta ophthalmologica. 2011;89(6):e483-9.
Vitrectomy with silicone oil or perfluoropropane gas in eyes with severe proliferative vitreoretinopathy: results of a randomized clinical trial. Silicone Study Report 2. Archives of ophthalmology. 1992;110(6):780-92.
Brazitikos PD, Androudi S, Christen WG, Stangos NT. Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial. Retina. 2005;25(8):957-64.
Tognetto D, Minutola D, Sanguinetti G, Ravalico G. Anatomical and functional outcomes after heavy silicone oil tamponade in vitreoretinal surgery for complicated retinal detachment: a pilot study. Ophthalmology. 2005;112(9):1574.
Goto T, Nakagomi T, Iijima H. A comparison of the anatomic successes of primary vitrectomy for rhegmatogenous retinal detachment with superior and inferior breaks. Acta ophthalmologica. 2013;91(6):552-6.
Duan A, She H, Qi Y. Complications after heavy silicone oil tamponade in complicated retinal detachment. Retina. 2011;31(3):547-52.
Tan HS, Oberstein SY, Mura M, Bijl HM. Air versus gas tamponade in retinal detachment surgery. The British journal of ophthalmology. 2013;97(1):80-2.
Brinton DA, Wilkinson CP. Pneumatic Retinopexy. In: Richard K. Parrish I, editor. Retinal Detachment: Principles and Practice, Third Edition New York: Oxford University Press; 2009. p. 181-93.
Thompson J. Proliferative vitreoretinopathy. In: Ryan SJ, editor. retina. 4 ed. St louis: Elsevier-Mosby Inc; 2006. p. 2283-310.
Williamson TH. Proliferative Vitreoretinopathy. In: Philipp M, editor. Vitreoretinal Surgery. New York: Springer-Verlag Berlin Heidelberg; 2008. p. 119-25.
Alexander P, Prasad R, Ang A, Poulson AV, Scott JD, Snead MP. Prevention and control of proliferative vitreoretinopathy: primary retinal detachment surgery using silicone oil as a planned two-stage procedure in high-risk cases. Eye (Lond). 2008;22(6):815-8.
Ross WH, Stockl FA. Visual recovery after retinal detachment. Current opinion in ophthalmology. 2000;11(3):191-4.