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Heavy internal tamponade for cases with complicated retinal detachment.
H Gerding1, M Timmermann, L Hefner
1Department of Retinology, Klinik Pallas, Olten, Switzerland. hgerding@klinik-pallas.ch
Klinische Monatsblatter Fur Augenheilkunde
|April 13, 2011
Summary
Comparing heavier-than-water tamponades for retinal detachment, this review found all provided good short-term anatomical success. However, Densiron 68 may have fewer severe complications than F6 H8 or Oxane HD.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Vitreoretinal Interface
Background:
- Complicated retinal detachments often require internal tamponade agents.
- Heavier-than-water tamponades offer potential advantages in specific surgical scenarios.
- Limited comparative data exists for newer heavy silicone oils.
Purpose of the Study:
- To compare clinical data on the efficacy and complications of heavier-than-water internal tamponades.
- Evaluate F6 H8®, Oxane HD®, and Densiron 68® in eyes with complicated retinal detachments.
Main Methods:
- Systematic review of Medline-cited case series (≥10 eyes).
- Inclusion of four institutional case series.
- Analysis of clinical outcomes and complication profiles.
Main Results:
- All agents achieved high short-term anatomical success rates.
- F6 H8® showed high emulsification and chronic hypotony rates.
- Oxane HD® was associated with significant inflammation and membrane formation.
- Densiron 68® also presented a notable rate of emulsification.
Conclusions:
- Heterogeneity in data prevents definitive comparison of the three agents.
- Densiron 68® may offer an advantage regarding severe complications.
- Conventional silicone oils remain a preferred choice when gravity effect is not needed.
