April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Clinical Results of pp-Vitrectomy With Densiron 68® Heavy Internal Tamponade Used for Primary Surgery in Eyes With Complicated Rhegmatogenous Retinal Detachment and Clinically Significant PVR
H. Gerding; V. Loukopoulos; J. Riese; L. Hefner; C. Meier; Z. Liampa; M. Timmermann
Author Affiliations & Notes
  • H. Gerding
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • V. Loukopoulos
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • J. Riese
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • L. Hefner
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • C. Meier
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • Z. Liampa
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • M. Timmermann
    Department of Retinology, Klinik Pallas, Olten, Switzerland
  • Footnotes
    Commercial Relationships  H. Gerding, None; V. Loukopoulos, None; J. Riese, None; L. Hefner, None; C. Meier, None; Z. Liampa, None; M. Timmermann, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 3172. doi:
  • Views
  • Share
  • Tools
    • Alerts
      User Alerts
      You are adding an alert for:
      Clinical Results of pp-Vitrectomy With Densiron 68® Heavy Internal Tamponade Used for Primary Surgery in Eyes With Complicated Rhegmatogenous Retinal Detachment and Clinically Significant PVR
      You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account
      The alert will be sent to:
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation
      Citation

      H. Gerding, V. Loukopoulos, J. Riese, L. Hefner, C. Meier, Z. Liampa, M. Timmermann; Clinical Results of pp-Vitrectomy With Densiron 68® Heavy Internal Tamponade Used for Primary Surgery in Eyes With Complicated Rhegmatogenous Retinal Detachment and Clinically Significant PVR. Invest. Ophthalmol. Vis. Sci. 2009;50(13):3172.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

      ×
    • Get Permissions
  • Supplements
Abstract

Purpose: : To analyze long-term anatomical results, functional outcome and complications in eyes treated with Densiron tamponade during primary surgery.

Methods: : Densiron was applied in 26 eyes (26 patients, 16 male, median age 61.5, range 13-91 years). Eyes were presenting PVR stage A in 2, B in 6, C1-C3 in 17 cases, and stage D1 in 1 case. 22 of 26 eyes presented a macula-off detachment; 6 of these a partial foveal detachment. None of the eyes received additional buckling during primary surgery. Densiron was removed after a median of 62 days (range 17 to 99). 23 of 26 eyes were supplied with a mildly impressing encircling band at the time of Densiron removal. Mean follow-up was 15.1+/-12.1 months (median 11.3, range 3-43).

Results: : Complete primary retinal attachment was achieved in 26/26 eyes. 1 of 26 eyes developed PVR and secondary detachment before removal of Densiron. 3 of 26 eyes developed a redetachment centrally to the encircling band repaired by secondary intervention. At the end of the follow-up all eyes presented with attached retina; in 3 of these a limited retinal detachment anterior to cerclage was observed. LogMar visual acuity improved from a preoperative level of 1.2+/-0.96 (median 0.8) to 0.79+/-0.49 (median 0.72) at 3 months, 0.64+/-0.38 (median 0.64) at 6 months and 0.44+/-0.34 (median 0.3) at 12 months. 16 of 17 phakic eyes developed a secondary cataract (15 of 16 posterior subcapsular) during follow-up. Dispersed Densiron occurred in 10 of 26 eyes in the anterior segment, 1 case presented a gross inverse pseudohypopyon. The majority of eyes (19 of 26) needed local antiglaucomatous medication during or after the period of internal tamponde; 6 of these until the end of the follow-up period. Chronic hypotony occurred in none of the eyes.

Conclusions: : Results of this study indicate that Densiron 68® is an effective and safe heavy internal tamponade substance yielding functionally favourable results when applied in primary retinal detachment surgery with inferior retinal defects and PVR.

Keywords: retinal detachment • vitreoretinal surgery • vitreous substitutes 
© 2009, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2025 Association for Research in Vision and Ophthalmology.
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×
This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy.Accept