Heavy Internal Tamponade for Cases with Complicated Retinal Detachment

Abstract

The heterogeneity of available clinical data does not allow a definitive comparison of the 3 heavier-than-water endotampondes. The data so far available seem to indicate as a trend that Densiron 68 may provide advantages compared to other substances concerning the relative incidence of severe complications. On the background of relatively high rates of heavy silicone complications it seems reasonable to regard conventional "light" silicones as first choice if a silicone endotamponade is desired and no need for a gravity effect of the endotamponade is indicated.

Alt Kadran Dekolmanlarında Pars Plana Vitrektomi ve Ağır Silikon Yağı Tamponadı

“…2,11,13,14 Silikonların in vitro emülsifikasyon özelliklerinin incelendiği bir çalışmada Densiron'un benzer viskoziteye sahip 5000 cSt standart silikonlara göre daha fazla emülsifiye olduğu gösterilmiştir. Bu durum yapısına eklenen F6H8'in karışımı hem daha hidrofilik hale getirmesine hem de daha kolay damlacık oluşumuna yol açmasına bağlanmıştır.…”

Special Adjuncts to Treatment

“…232,252,254,255 Gerding and Kolck reported in their series of 17 patients, where stromal and epithelial edema was seen in 35% of cases following F 6 H 8 use. 232,252,254,255 Gerding and Kolck reported in their series of 17 patients, where stromal and epithelial edema was seen in 35% of cases following F 6 H 8 use.…”

“…232,252 Even with the advent of heavy SOs there is conservatism, as there is genuine skepticism as to whether a heavier-than-water tamponade is really safe or indeed necessary. 232,252 Even with the advent of heavy SOs there is conservatism, as there is genuine skepticism as to whether a heavier-than-water tamponade is really safe or indeed necessary.…”

“…242,252,254,261,262 It was thought that the use of heavy tamponade agents would aggravate PVR by inducing an augmented inflammatory response. High rates of fibrinous reaction and retropupillary membrane formation had led to the cessation of agents such as O62.…”

“…235,237,252,262 Inferior retinal detachment can also occur. 235,237,252,262 Inferior retinal detachment can also occur.…”