gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Comparison of silicone oil and C3F8 tamponade in retinal detachment associated with closed globe injuries managed with pars plana vitrectomy

Meeting Abstract

  • Sundaram Natarajan - Mumbai/India
  • N. Hussain - Mumbai/India
  • A. Sivaraman - Mumbai/India
  • P. Doctor - Mumbai/India
  • M. Uparkar - Mumbai/India
  • A. Datta - Mumbai/India
  • S. Mondel - Mumbai/India

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V075

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

Published: June 18, 2008

© 2008 Natarajan 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.



Background: To evaluate the effect of tamponading agents in long term structural and functional outcome of Retinal detachment (RD) in closed globe injuries.

Methods: A retrospective chart review of closed globe injuries in one year. All cases underwent routine ophthalmic examination. B Scan was done in presence of vitreous hemorrhage or suspision of occult scleral tear. Patients with RD underwent surgery either scleral buckling or vitreous surgery. Type of surgery was dependent on presence of vitreous haemorrhage, extent of the holes, proliferate vitreoretinopathy and duration of retinal detachment. Anatomical success was defined as attachment of the posterior pole for 6 months following surgery. Functional outcome was defined as change in visual acuity.

Results: Out of 17 closed globe injuries, 9 eyes had retinal detachment. Of these, scleral buckling and vitrectomy with C3F8 tamponade was done in 4 cases, scleral buckling with vitrectomy with silicone oil tamponade was done in 1 case,vitrectomy alone with C3F8 tamponade in 2 cases and scleral bucklingin 2 cases.4 of 9 eyes (44.4%) developed redetachment. C3F8 was used as an internal tamponade in these eyes. After second surgery with silicone oil injection, retina was attached till the end of follow up. Hence, Anatomical success was achieved in 5 eyes (55.6%) after primary surgery and 100% after second surgery.

Conclusion: Silicone oil tamponade achieves good long term structural and functional outcome compared to C3F8 for retinaldetachment in closed globe injuries.