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RHEGMATOGENOUS RETINAL DETACHMENT

Originally posted on @retina.rocks 03/25/2020

This patient presented with a total rhegmatogenous retinal detachment in the right eye.

The patient underwent repair with pars plana vitrectomy and SF6 gas. The Optos images show a small residual gas bubble at 1-month post-vitrectomy. Two months post-op, the patient’s vision is 20/200.

Learning Points:
Long-acting intraocular gas is routinely used in vitrectomy for rhegmatogenous retinal detachment repairs. C3F8 and sulfur hexafluoride (SF6) are used due to greater longevity compared to air. C3F8 lasts in the vitreous for 2-3 months, and SF6 lasts for several weeks.