A member asked:

Why do some vitrectomy procedures use silicone oil and others a gas like c3f8?

7 doctors weighed in across 3 answers

Retinal detachments: Gas is usually injected into the eye after vitrectomy performed for primary retinal detachments . Different gases have different retention times. Silicone oil is usually reserved for recurrent detachments especially when associated with fibrosis causing traction referred to as pvr.

Answered 7/16/2018

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To attach the retina: Silicone oil and fluorocarbon gases are used to tamponade the retina against the choroid and to facilitate reattachmemt.

Answered 12/8/2016

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See below: Gas like c3f8 dissolve away after a few weeks. Silicone oil does not, such that another eye surgery is required to remove the silicone oil. A retina that needs a longer duration of tamponade, such as tractional retinal detachment, may need oil. Vitrectomy for macula hole should only need gas (sf6 gas lasts less long than c3f8).

Answered 4/13/2015

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