Air Versus Gas Tamponade in Primary Retinal Detachment

Benha University

Status: Enrolling

Conditions: Proliferative Vitreoretinopathy; Retinal Detachment

Treatments: Procedure: Pars plana vitrectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05561569

Rc.11-2022

Details and patient eligibility

About

Management of primary retinal detachment due to upper retinal break is one of controversial situation that may face ophthalmologists in vitreoretinal subspecialty.

Full description

There is no single surgical plan for management of primary retinal detachment due to upper retinal break, some surgeons prefer scleral buckling over vitrectomy in cases with no traction over the retinal break, others prefer to perform primary pars-plana vitrectomy with either air or gas tamponade.

In this study we aim to compare the results of air and non-expansile gas tamponade in cases with upper retinal detachment with grade a or b proliferative vitreoretinopathy.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• primary rhegmatogenous retinal detachment with upper break with proliferative vitreoretinopathy from grade a to b.

Exclusion criteria

• cases with combined tractional retinal detachment.
• cases with recurrent retinal detachment.
• cases that are eligible for scleral buckling that have no traction on retinal break.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Air tamponade group

Active Comparator group

Description:

Cases with primary upper retinal detachment that will be treated with air tamponade.

Treatment:

Procedure: Pars plana vitrectomy

Non expansile gas tamponade group

Active Comparator group

Description:

Cases with primary upper retinal detachment that will be treated with sulfur-hexafluoride 6 (SF-6) gas tamponade.

Treatment:

Procedure: Pars plana vitrectomy