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Journal of Ophthalmology
Volume 2017, Article ID 1341948, 5 pages
https://doi.org/10.1155/2017/1341948
Clinical Study

Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment

1Department of Ophthalmology, Haeundae Paik Hospital, Inje University, Busan, Republic of Korea
2Department of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of Korea
3Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
4Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea

Correspondence should be addressed to Sung Who Park; moc.revan@79hpo

Received 1 February 2017; Accepted 3 May 2017; Published 13 July 2017

Academic Editor: Elad Moisseiev

Copyright © 2017 Kang Yeun Pak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for RRD between January 2013 and December 2015. Patients whose eyes were treated exclusively with air tamponade since July 2014 were assigned to the air group, while those treated with heterogeneous gas agents before June 2014 were assigned to the control group. The primary outcome was the primary reattachment rate. Best-corrected visual acuity (BCVA) and duration to detect redetachments were assigned as the secondary outcomes. Results. The air group and the control group included 71 and 72 eyes, respectively. The primary reattachment rate was 94.4% in the air group and there was no significant difference with 94.4% in the control group (). BCVA was significantly better in the air group at 1 month () but not at 3 months postoperatively (). Redetachments were recognized earlier in the air group (9.3 ± 0.5 days) compared with those in the control group (21.3 ± 7.4 days) (). Conclusions. In cases of simple RRD with sufficient removal of subretinal fluid, air could be considered for use as gas tamponade. This trial is registered with KCT0002358.