New insight into application and function of air or gas for vitreoretinal surgery_Chinese Journal of Ocular Fundus Diseases

Authors：

 Peng Shaomin ^1,2,3 , Tang Shibo ^1,2,4

1. Aier School of Ophthalmology, Central South University, Changsha 410015, China;
2. Aier Retina Institute, Changsha 410015, China;
3. Harbin Aier Eye Hospital, Harbin 1500004;
4. Guangzhou Aier Eye Hospital, Guangzhou 510000, China;

Corresponding author：

Peng Shaomin, Email: eyepsm@163.com

Keywords：

Air; Noble gases; Vitreoretinal surgery; Surgical procedures, minimally invasive; Editorial

DOI：

10.3760/cma.j.cn511434-20220314-00142

Video：

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At present, tamponade agent which being used in retinal surgery is mainly sterile air, gas and silicone oil. Sterile air is mostly used in the treatment of simple retinal detachment. Gas or silicone oil as tamponade is greatly applied for complicated retinal detachment. In recent years, with the application of micro-invasive vitrectomy under a wide-angle viewing system and perioperative anti-vascular endothelial growth factor drugs, application of intraocular filling materials also has changed. The application of silicone oil is significantly reduced. Percentage rate of gas as tamponade for retinal detachment is reduced. The application of sterile air as tamponade is rising. With selecting indication carefully and picking up the suitable air or gas, doctor will reduce the workload. It will also reduce the social burden and benefit patients.

Citation： Peng Shaomin, Tang Shibo. New insight into application and function of air or gas for vitreoretinal surgery. Chinese Journal of Ocular Fundus Diseases, 2022, 38(4): 257-260. doi: 10.3760/cma.j.cn511434-20220314-00142 Copy

1.	Dervenis N, Dervenis P, Sandinha T, et al. Intraocular tamponade choice with vitrectomy and internal limiting membrane peeling for idiopathic macular hole: a systematic review and meta-analysis[J/OL]. Ophthalmol Retina, 2022, 7: S2468-6530(22)00045-8(2022-03-14)[2022-02-07]. https://pubmed.ncbi.nlm.nih.gov/35144020/. DOI: 10.1016/j.oret.2022.01.023. [published online ahead of print].
2.	Ohm J. Über die behandlung der netzhautablösung durch operative entleerung der subretinalen flüssigkeit und einspritzung von luft in den glaskörper[J]. Albrecht von Graefes Arch Ophthalmol, 1911, 79(4): 42-50. DOI: 10.1007/BF01977971.
3.	Hilton GF, Grizzard WS. Pneumatic retinopexy (a two-step outpatient operation without conjunctival incision)[J]. Ophthalmology, 1986, 93(5): 626-641. DOI: 10.1016/S0161-6420(86)33696-0.
4.	Chan CK, Lin SG, Nuthi AS, et al. Pneumatic retinopexy for the repair of retinal detachments: a comprehensive review (1986-2007)[J]. Surv Ophthalmol, 2008, 53(5): 443-478. DOI: 10.1016/j.survophthal.2008.06.008.
5.	Gorovoy IR, Eller AW, Friberg TR, et al. Characterization of pneumatic retinopexy failures and the pneumatic pump: a new complication of pneumatic retinopexy[J]. Retina, 2014, 34(4): 700-704. DOI: 10.1097/IAE.0000000000000002.
6.	Chronopoulos A, Hattenbach LO, Schutz JS. Pneumatic retinopexy: a critical reappraisal[J]. Surv Ophthalmol, 2021, 66(4): 585-593. DOI: 10.1016/j.survophthal.2020.12.007.
7.	朱磊, 李琳, 田晓燕, 等. 巩膜扣带术后影响视网膜复位和视力恢复的相关因素分析[J]. 眼科新进展, 2017, 37(2): 167-171. DOI: 10.13389/j.cnki.rao.2017.0044.Zhu L, Li L, Tian XY, et al. Correlative factors analysis of affecting anatomical reattachment and vision restoration after scleral buckling surgery[J]. Rec Adv Ophthalmol, 2017, 37(2): 167-171. DOI: 10.13389/j.cnki.rao.2017.0044.
8.	Liao L, Zhu XH. Advances in the treatment of rhegmatogenous retinal detachment[J]. Int J Ophthalmol, 2019, 12(4): 660-667. DOI: 10.18240/ijo.2019.04.22.
9.	Znaor L, Medic A, Binder S, et al. Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments[J/OL]. Cochrane Database Syst Rev, 2019, 3(3): CD009562[2019-03-08]. https://pubmed.ncbi.nlm.nih.gov/30848830/. DOI: 10.1002/14651858.CD009562.pub2.
10.	Kunikata H, Abe T, Nakazawa T. Historical, current and future approaches to surgery for rhegmatogenous retinal detachment[J]. Tohoku J Exp Med, 2019, 248(3): 159-168. DOI: 10.1620/tjem.248.159.
11.	Amara A, Bernabei F, Chawki MB, et al. Comparison between air and gas as tamponade in 25-gauge pars plana vitrectomy for primary superior rhegmatogenous retinal detachment[J/OL]. Eye (Lond), 2021, 2021(2022-03-14)[2021-08-19]. https://pubmed.ncbi.nlm.nih.gov/34413491/. DOI: 10.1038/s41433-021-01739-z. [published online ahead of print].
12.	黄红波, 韩光杰. 25G 和27G 玻璃体切除术联合空气填充治疗RRD 的疗效比较[J]. 国际眼科杂志, 2019, 19(9): 1602-1604. DOI: 10.3980/j.issn.1672-5123.2019.9.37.Huang HB, Han GJ. Comparative study of the clinical efficacy of 25G versus 27G vitrectomy for rhegmatogenous retinal detachment with air tamponade[J]. Int Eye Sci, 2019, 19(9): 1602-1604. DOI: 10.3980/j.issn.1672-5123.2019.9.37.
13.	Chen QY, Tang YX, He YQ, et al. Air tamponade in retinal detachment surgery followed by ultra-widefield fundus imaging system[J]. Int J Ophthalmol, 2018, 11(7): 1198-1203. DOI: 10.18240/ijo.2018.07.20.
14.	Zhang Y, Li X, Pan G, et al. Efficacy of PPV combined with air tamponade for treatment of inferior retinal breaks[J/OL]. J Ophthalmol, 2021, 2021: 9597584[2022-07-21]. https://pubmed.ncbi.nlm.nih.gov/34336261/. DOI: 10.1155/2021/9597584.
15.	Zhou C, Qiu Q, Zheng Z. Air versus gas tamponade in rhegmatogenous retinal detachment with inferior breaks after 23-gauge pars plana vitrectomy: a prospective, randomized comparative interventional study[J]. Retina, 2015, 35(5): 886-891. DOI: 10.1097/IAE.0000000000000416.
16.	Tetsumoto A, Imai H, Hayashida M, et al. The comparison of the surgical outcome of 27-gauge pars plana vitrectomy for primary rhegmatogenous retinal detachment between air and SF6 gas tamponade[J]. Eye (Lond), 2020, 34(2): 299-306. DOI: 10.1038/s41433-019-0726-2.
17.	Moussa G, Mathews N, Makhzoum O, et al. Retinal detachment repair with vitrectomy: air tamponade integration to a vitreoretinal service. Comparison with gas tamponade and literature review[J]. Ophthalmic Surg Lasers Imaging Retina, 2022, 53(2): 87-95. DOI: 10.3928/23258160-20220121-02.

1. Dervenis N, Dervenis P, Sandinha T, et al. Intraocular tamponade choice with vitrectomy and internal limiting membrane peeling for idiopathic macular hole: a systematic review and meta-analysis[J/OL]. Ophthalmol Retina, 2022, 7: S2468-6530(22)00045-8(2022-03-14)[2022-02-07]. https://pubmed.ncbi.nlm.nih.gov/35144020/. DOI: 10.1016/j.oret.2022.01.023. [published online ahead of print].
2. Ohm J. Über die behandlung der netzhautablösung durch operative entleerung der subretinalen flüssigkeit und einspritzung von luft in den glaskörper[J]. Albrecht von Graefes Arch Ophthalmol, 1911, 79(4): 42-50. DOI: 10.1007/BF01977971.
3. Hilton GF, Grizzard WS. Pneumatic retinopexy (a two-step outpatient operation without conjunctival incision)[J]. Ophthalmology, 1986, 93(5): 626-641. DOI: 10.1016/S0161-6420(86)33696-0.
4. Chan CK, Lin SG, Nuthi AS, et al. Pneumatic retinopexy for the repair of retinal detachments: a comprehensive review (1986-2007)[J]. Surv Ophthalmol, 2008, 53(5): 443-478. DOI: 10.1016/j.survophthal.2008.06.008.
5. Gorovoy IR, Eller AW, Friberg TR, et al. Characterization of pneumatic retinopexy failures and the pneumatic pump: a new complication of pneumatic retinopexy[J]. Retina, 2014, 34(4): 700-704. DOI: 10.1097/IAE.0000000000000002.
6. Chronopoulos A, Hattenbach LO, Schutz JS. Pneumatic retinopexy: a critical reappraisal[J]. Surv Ophthalmol, 2021, 66(4): 585-593. DOI: 10.1016/j.survophthal.2020.12.007.
7. 朱磊, 李琳, 田晓燕, 等. 巩膜扣带术后影响视网膜复位和视力恢复的相关因素分析[J]. 眼科新进展, 2017, 37(2): 167-171. DOI: 10.13389/j.cnki.rao.2017.0044.Zhu L, Li L, Tian XY, et al. Correlative factors analysis of affecting anatomical reattachment and vision restoration after scleral buckling surgery[J]. Rec Adv Ophthalmol, 2017, 37(2): 167-171. DOI: 10.13389/j.cnki.rao.2017.0044.
8. Liao L, Zhu XH. Advances in the treatment of rhegmatogenous retinal detachment[J]. Int J Ophthalmol, 2019, 12(4): 660-667. DOI: 10.18240/ijo.2019.04.22.
9. Znaor L, Medic A, Binder S, et al. Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments[J/OL]. Cochrane Database Syst Rev, 2019, 3(3): CD009562[2019-03-08]. https://pubmed.ncbi.nlm.nih.gov/30848830/. DOI: 10.1002/14651858.CD009562.pub2.
10. Kunikata H, Abe T, Nakazawa T. Historical, current and future approaches to surgery for rhegmatogenous retinal detachment[J]. Tohoku J Exp Med, 2019, 248(3): 159-168. DOI: 10.1620/tjem.248.159.
11. Amara A, Bernabei F, Chawki MB, et al. Comparison between air and gas as tamponade in 25-gauge pars plana vitrectomy for primary superior rhegmatogenous retinal detachment[J/OL]. Eye (Lond), 2021, 2021(2022-03-14)[2021-08-19]. https://pubmed.ncbi.nlm.nih.gov/34413491/. DOI: 10.1038/s41433-021-01739-z. [published online ahead of print].
12. 黄红波, 韩光杰. 25G 和27G 玻璃体切除术联合空气填充治疗RRD 的疗效比较[J]. 国际眼科杂志, 2019, 19(9): 1602-1604. DOI: 10.3980/j.issn.1672-5123.2019.9.37.Huang HB, Han GJ. Comparative study of the clinical efficacy of 25G versus 27G vitrectomy for rhegmatogenous retinal detachment with air tamponade[J]. Int Eye Sci, 2019, 19(9): 1602-1604. DOI: 10.3980/j.issn.1672-5123.2019.9.37.
13. Chen QY, Tang YX, He YQ, et al. Air tamponade in retinal detachment surgery followed by ultra-widefield fundus imaging system[J]. Int J Ophthalmol, 2018, 11(7): 1198-1203. DOI: 10.18240/ijo.2018.07.20.
14. Zhang Y, Li X, Pan G, et al. Efficacy of PPV combined with air tamponade for treatment of inferior retinal breaks[J/OL]. J Ophthalmol, 2021, 2021: 9597584[2022-07-21]. https://pubmed.ncbi.nlm.nih.gov/34336261/. DOI: 10.1155/2021/9597584.
15. Zhou C, Qiu Q, Zheng Z. Air versus gas tamponade in rhegmatogenous retinal detachment with inferior breaks after 23-gauge pars plana vitrectomy: a prospective, randomized comparative interventional study[J]. Retina, 2015, 35(5): 886-891. DOI: 10.1097/IAE.0000000000000416.
16. Tetsumoto A, Imai H, Hayashida M, et al. The comparison of the surgical outcome of 27-gauge pars plana vitrectomy for primary rhegmatogenous retinal detachment between air and SF6 gas tamponade[J]. Eye (Lond), 2020, 34(2): 299-306. DOI: 10.1038/s41433-019-0726-2.
17. Moussa G, Mathews N, Makhzoum O, et al. Retinal detachment repair with vitrectomy: air tamponade integration to a vitreoretinal service. Comparison with gas tamponade and literature review[J]. Ophthalmic Surg Lasers Imaging Retina, 2022, 53(2): 87-95. DOI: 10.3928/23258160-20220121-02.

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