material is inserted into the globe to apply retinal tampinade.
- scleral buckle and cryotherapy
- gas – pneumatic retinopexy
- silicone oil
pneumatic or silicon oil retinopexy is often used in conjunction with vitrectomy.
silicone oil is heavier and provides better pressure than the gas but has more associated complications including cataract, glaucoma and corneal opacification. (ref http://www.ncbi.nlm.nih.gov/pubmed/1762369 ).
maintaining appropriate post operative head position is vital to the success of either treatment. the oil or gel must remain against the detachment.