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?

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  • 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

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2004

© 2004 Schmidt et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




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.


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.


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.


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.