Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment

Purpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for R...

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Main Authors: Kang Yeun Pak, Seok Jae Lee, Han Jo Kwon, Sung Who Park, Ik Soo Byon, Ji Eun Lee
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/1341948
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author Kang Yeun Pak
Seok Jae Lee
Han Jo Kwon
Sung Who Park
Ik Soo Byon
Ji Eun Lee
author_facet Kang Yeun Pak
Seok Jae Lee
Han Jo Kwon
Sung Who Park
Ik Soo Byon
Ji Eun Lee
author_sort Kang Yeun Pak
collection DOAJ
description Purpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for RRD between January 2013 and December 2015. Patients whose eyes were treated exclusively with air tamponade since July 2014 were assigned to the air group, while those treated with heterogeneous gas agents before June 2014 were assigned to the control group. The primary outcome was the primary reattachment rate. Best-corrected visual acuity (BCVA) and duration to detect redetachments were assigned as the secondary outcomes. Results. The air group and the control group included 71 and 72 eyes, respectively. The primary reattachment rate was 94.4% in the air group and there was no significant difference with 94.4% in the control group (p=0.951). BCVA was significantly better in the air group at 1 month (p=0.021) but not at 3 months postoperatively (p=0.561). Redetachments were recognized earlier in the air group (9.3 ± 0.5 days) compared with those in the control group (21.3 ± 7.4 days) (p=0.041). Conclusions. In cases of simple RRD with sufficient removal of subretinal fluid, air could be considered for use as gas tamponade. This trial is registered with KCT0002358.
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spelling doaj-art-ce4b53a972f64901ba25e23351cb49012025-02-03T01:09:40ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/13419481341948Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal DetachmentKang Yeun Pak0Seok Jae Lee1Han Jo Kwon2Sung Who Park3Ik Soo Byon4Ji Eun Lee5Department of Ophthalmology, Haeundae Paik Hospital, Inje University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaPurpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for RRD between January 2013 and December 2015. Patients whose eyes were treated exclusively with air tamponade since July 2014 were assigned to the air group, while those treated with heterogeneous gas agents before June 2014 were assigned to the control group. The primary outcome was the primary reattachment rate. Best-corrected visual acuity (BCVA) and duration to detect redetachments were assigned as the secondary outcomes. Results. The air group and the control group included 71 and 72 eyes, respectively. The primary reattachment rate was 94.4% in the air group and there was no significant difference with 94.4% in the control group (p=0.951). BCVA was significantly better in the air group at 1 month (p=0.021) but not at 3 months postoperatively (p=0.561). Redetachments were recognized earlier in the air group (9.3 ± 0.5 days) compared with those in the control group (21.3 ± 7.4 days) (p=0.041). Conclusions. In cases of simple RRD with sufficient removal of subretinal fluid, air could be considered for use as gas tamponade. This trial is registered with KCT0002358.http://dx.doi.org/10.1155/2017/1341948
spellingShingle Kang Yeun Pak
Seok Jae Lee
Han Jo Kwon
Sung Who Park
Ik Soo Byon
Ji Eun Lee
Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
Journal of Ophthalmology
title Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
title_full Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
title_fullStr Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
title_full_unstemmed Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
title_short Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
title_sort exclusive use of air as gas tamponade in rhegmatogenous retinal detachment
url http://dx.doi.org/10.1155/2017/1341948
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