Abstract:

Aim: Comparison of the results of short-acting and long-acting gases used in primary pars plana vitrectomy surgery (PPV) for rhegmatogenous retinal detachment (RRD). Materials and Methods: The files of patients who underwent PPV for RRD between May 2019-2021 were retrospectively scanned. Patients using SF6 were considered group 1, patients using C3F8 were considered group 2. The two groups were compared in terms of functional and anatomical success, development of perioperative and postoperative complications, and development of recurrent retinal detachment. Results: SF6 was used as tamponade in 14 patients (37.8%), and C3F8 was used in 23 patients (62.2%). There was no difference between the two groups in terms of age, gender, lens status, duration of complaints, preoperative BCVA, IOP, and macular involvement. The third month retinal attachment rate was 92.9% in group 1 and 95.7% in group 2 (p=0.865). The mean BCVA was 0.044±0.070 and 0.004±0.003 (p=0.009) at first week, 0.232±0.138 and 0.111±0.096 (p=0.007) at 1st month, 0.350±0.128 and 0.329±0.214 (p=0.459) at 3rd month (respectively in Group 1 and 2). Conclusion: In RRD patients undergoing PPV, a high rate of success is achieved with the use of both short and long-acting gases as tamponade. The short-acting gases preferred when needed rapid visual rehabilitation.

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