gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Do we require heavy liquids in the vitreoretinal surgery?

Meeting Abstract

Suche in Medline nach

  • corresponding author J. C. Schmidt - Universitäts-Augenklinik Marburg
  • C. H. Meyer - Universitäts-Augenklinik Marburg
  • S. Mennel - Universitäts-Augenklinik Marburg

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.01.04

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog406.shtml

Veröffentlicht: 22. September 2004

© 2004 Schmidt et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Endotamponades in the vitreoretinal surgery play an important role in the treatment of vitreoretinal diseases. In order to flatten the retina intraoperatively we currently use heavy liquid but as an endotamponade inert substances such as silicone oil and gas. However, to treat problems in the inferior retina some authors investigated new heavy liquids as a long-term tamponade.

Methods

In the last two years we operated 6 eyes with PVR redetachment in whom heavy liquids as an endotamponade have been applicated for the treatment of complicated rhegmatogenous retinal detachment. While in four eyes fluoron was applicated, in two eyes heavy siliconoil was the liquid previously used.

Results

In all eyes we found intraoperatively severe anterior proliferation and.signs of a moderate inflammation. In all cases severe emulsification was detected, located in the pre- and sub-retinal space. The removal of heavy silicone oil high suction was necessary close to the posterior pole. To flatten the retina in all eyes circumferential retinectomy plus the use of silicone oil 5000 cs was necessary as an endotamponade for the period of six months.

Conclusions

The currently used endotamponades caused ocular inflammation with emulsification and reformation of PVR. The cause of the subretinal tamponades was severe anterior retinal traction. Further studies must clarify if the weight of the endotamponade is more important than the biocompatibility.