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Purpose:

To determine if either silicone oil or perfluoropropane (C 3 F 8) gas is superior to the other in the treatment of giant retinal tears complicated by proliferative vitreoretinopathy.

Methods:

Forty-seven eyes with giant retinal tears were treated in a prospective randomized fashion. Twenty-two eyes were randomized to C 3 F 8 gas and 25 eyes were randomized to silicone oil. Follow-up of 60 months is reported. Of the silicone oil-treated eyes, 9 had oil retained in the eye; oil was removed from the remaining 16 eyes. Successful anatomic attachment of the retina, final visual acuity, and surgical complications were the main outcome measures.

Results:

There were no differences between the groups in any of the main outcome measures.

Conclusions:

This study showed that silicone oil and C 3 F 8 gas are equal in most respects for the management of giant retinal tears with proliferative vitreoretinopathy.