Abstract

Study Design : Prospective Comparative study
Purpose : To compare anatomical and visual outcomes after using silicone oil (SO) or C3F8 gas as tamponades after pars plana vitrectomy (PPV) for retinal detachment (RD)
Methods – We included 80 pseudophakic eyes with rhegmatogenous retinal detachment with no PVR changes; 38 eyes had C3F8 gas and 42 eyes had SO as a tamponading agent.
Results – All eyes underwent 23G PPV. Final retinal reattachment was achieved in 86 eyes (97.7%). Two eyes from Gas group and One eye from SO group had recurrent RD. Postoperative vision was significantly better in the gas group (p = 0.008). Prolonged increase of IOP developed in 6 eyes in the SO group and 4 eyes in the gas group. We found no significant difference between both groups regarding postoperative glaucoma or ERM formation.
Conclusion – Both agents achieved similar favorable anatomical outcomes with better visual outcome and less frequent uveitis associated with the use of gas tamponade.