[Gases in vitreoretinal surgery]

Area of Science:

• Ophthalmology
• Surgical Science

Context:

• Intraocular gases have been utilized in eye surgery for over a century.
• Their application in vitreoretinal surgery is considered indispensable and the "gold standard".

Purpose:

• To evaluate the significance and advantages of employing gases in vitreoretinal surgical procedures.
• To highlight the role of expanding gases like sulfur hexafluoride and perfluorocarbons in modern ophthalmic practice.

Summary:

• Gases are crucial for treating retinal detachment, idiopathic macular holes, and surgical complications.
• Expanding gases, including sulfur hexafluoride and perfluorocarbons, have become routine.
• Despite challenges in fundus examination and treatment application, gases offer optimal intraocular tamponade.

Impact:

• The integration of intraocular gases has markedly enhanced postoperative results for numerous eye conditions.
• Gases significantly improve success rates in retinal detachment repair, complex posterior segment surgeries, trauma cases, and macular surgeries.
• Understanding gas properties benefits both patients and surgeons, optimizing treatment efficacy.