Skip to main content

Advertisement

SpringerLink
Log in

Duration of room air tamponade after vitrectomy

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the duration of room air tamponade and its associated factors.

Study design

Retrospective cohort study

Methods

The present study reviewed the medical records of patients who received room air tamponade after vitrectomy between Jun 2015 and Dec 2016. The room air duration was assessed by patient interviews 2 weeks after surgery. Relationships between the variables and tamponade duration were determined using logistic regression analysis. The remaining air level was determined from medical records.

Results

The room air tamponade had dissipated by 11.1 ± 1.3 days after surgery. The duration was 11.2 ± 1.3 days for eyes with a spared posterior capsule, longer than the duration in other eyes (10.1 ± 0.9 days). Increased axial length was correlated with increased duration. Axial length and a spared posterior capsule were significantly correlated with tamponade duration. Its half-life was presumed about 3.3 days. The room air seems to be absorbed at a constant rate.

Conclusion

The data suggest that room air tamponade remains in the vitreous cavity for an average of 11.1 days. Axial length and posterior capsule status were associated with duration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Schaal KB, Bartz-Schmidt KU, Dithmar S. Current strategies for macular hole surgery in Germany, Austria and Switzerland. Ophthalmologe. 2006;103:922–6 (in German).

    Article  CAS  Google Scholar 

  2. Tan HS, Oberstein SY, Mura M, Bijl HM. Air versus gas tamponade in retinal detachment surgery. Br J Ophthalmol. 2013;97:80–2.

    Article  Google Scholar 

  3. Lee SJ, Kwon HJ, Park KY, Park SW, Byon IS, Lee JE. Prognostic factors of anatomical success in microincisional vitrectomy for rhegmatogenous retinal detachment. J Korean Ophthalmol Soc. 2016;57:1613–8.

    Article  Google Scholar 

  4. Pak KY, Lee SJ, Kwon HJ, Park SW, Byon IS, Lee JE. exclusive use of air as gas tamponade in rhegmatogenous retinal detachment. J Ophthalmol. 2017;2017:1341948.

    PubMed  PubMed Central  Google Scholar 

  5. 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. Retina. 2015;35:886–91.

    Article  Google Scholar 

  6. Martinez-Castillo V, Boixadera A, Verdugo A, Garcia-Arumi J. Pars plana vitrectomy alone for the management of inferior breaks in pseudophakic retinal detachment without facedown position. Ophthalmology. 2005;112:1222–6.

    Article  Google Scholar 

  7. Martinez-Castillo V, Verdugo A, Boixadera A, Garcia-Arumi J, Corcostegui B. Management of inferior breaks in pseudophakic rhegmatogenous retinal detachment with pars plana vitrectomy and air. Arch Ophthalmol. 2005;123:1078–81.

    Article  Google Scholar 

  8. Tripathy K. Re: Martinez-Castillo et al.: Pars plana vitrectomy alone for the management of pseudophakic rhegmatogenous retinal detachment with only inferior breaks (Ophthalmology. 2016;123:1563–1569). Ophthalmology. 2017;124:e52.

  9. Iezzi R, Kapoor KG. No face-down positioning and broad internal limiting membrane peeling in the surgical repair of idiopathic macular holes. Ophthalmology. 2013;120:1998–2003.

    Article  Google Scholar 

  10. Eckardt C, Eckert T, Eckardt U, Porkert U, Gesser C. Macular hole surgery with air tamponade and optical coherence tomography-based duration of face-down positioning. Retina. 2008;28:1087–96.

    Article  Google Scholar 

  11. Tsai W-T. The decomposition products of sulfur hexafluoride (SF 6): reviews of environmental and health risk analysis. J Fluor Chem. 2007;128:1345–52.

    Article  CAS  Google Scholar 

  12. Thompson JT. Kinetics of intraocular gases. Disappearance of air, sulfur hexafluoride, and perfluoropropane after pars plana vitrectomy. Arch Ophthalmol. 1989;107:687–91.

    Article  CAS  Google Scholar 

  13. Wong RF, Thompson JT. Prediction of the kinetics of disappearance of sulfur hexafluoride and perfluoropropane intraocular gas bubbles. Ophthalmology. 1988;95:609–13.

    Article  CAS  Google Scholar 

  14. Parver LM, Lincoff H. Geometry of intraocular gas used in retinal surgery. Mod Probl Ophthalmol. 1977;18:338–43.

    CAS  PubMed  Google Scholar 

  15. Parver LM, Lincoff H. Mechanics of intraocular gas. Invest Ophthalmol Vis Sci. 1978;17:77–9.

    CAS  PubMed  Google Scholar 

  16. Mohamed S, Lai TY. Intraocular gas in vitreoretinal surgery. Hong Kong J Ophthalmol. 2010;14:8–13.

    Google Scholar 

  17. Oj K, Tg L, Sj N. Primary 23 gauge transconjunctival sutureless vitrectomy with air tamponade for simple rhegmatogenous retinal detachment. J Korean Ophthalmol Soc. 2011;52:190–6.

    Article  Google Scholar 

  18. Lincoff H, Maisel JM, Lincoff A. Intravitreal disappearance rates of four perfluorocarbon gases. Arch Ophthalmol. 1984;102:928–9.

    Article  CAS  Google Scholar 

  19. Abrams GW, Edelhauser HF, Aaberg TM, Hamilton LH. Dynamics of intravitreal sulfur hexafluoride gas. Invest Ophthalmol. 1974;13:863–8.

    CAS  PubMed  Google Scholar 

  20. Yoon YH, Marmor MF. Rapid enhancement of retinal adhesion by laser photocoagulation. Ophthalmology. 1988;95:1385–8.

    Article  CAS  Google Scholar 

  21. Folk JC, Sneed SR, Folberg R, Coonan P, Pulido JS. Early retinal adhesion from laser photocoagulation. Ophthalmology. 1989;96:1523–5.

    Article  CAS  Google Scholar 

  22. Masuyama K, Yamakiri K, Arimura N, Sonoda Y, Doi N, Sakamoto T. Posturing time after macular hole surgery modified by optical coherence tomography images: a pilot study. Am J Ophthalmol. 2009;147(481-8):e2.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, South Korea

    Jae Jung Lee, Han Jo Kwon, Seung Min Lee, Ik Soo Byon, Ji Eun Lee & Sung Who Park

  2. Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea

    Jae Jung Lee, Ji Eun Lee & Sung Who Park

  3. Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea

    Han Jo Kwon, Seung Min Lee & Ik Soo Byon

  4. Department of Ophthalmology, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan, 49241, South Korea

    Sung Who Park

Authors
  1. Jae Jung Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Han Jo Kwon
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Seung Min Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ik Soo Byon
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ji Eun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sung Who Park
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sung Who Park.

Ethics declarations

Conflicts of interest

J. J. Lee, None; H. J. Kwon, None; S. M. Lee, None; I. S. Byon, None; J. E. Lee, None; S. W. Park, None.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Corresponding author: Sung Who Park

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, J.J., Kwon, H.J., Lee, S.M. et al. Duration of room air tamponade after vitrectomy. Jpn J Ophthalmol 64, 216–222 (2020). https://doi.org/10.1007/s10384-020-00714-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10384-020-00714-7

Keywords

Search

Navigation