The Environmental Impact of Fluorinated Gas in Retina Surgery

Reducing reliance on fluorinated gases could make retina care more environmentally sustainable.

By: Scott M. McClintic, MD, Jacob D. Grodsky, MD, Geoffrey G. Emerson, MD, PhD, FASRS

Retinal Physician November 10, 2025 Vol 22, Issue November/December 2025 Page(s): 8-10

Clinical Report: The Environmental Impact of Fluorinated Gas in Retina Surgery

Overview

This report highlights the significant environmental impact of fluorinated gases used in retina surgery, particularly their high global warming potential. It emphasizes the need for sustainable practices in ophthalmic procedures to mitigate greenhouse gas emissions.

Background

Fluorinated gases, while effective for intraocular tamponade in retinal surgeries, have a high global warming potential, contributing to climate change. As healthcare professionals strive for sustainability, understanding the environmental implications of these gases is crucial for informed decision-making in surgical practices.

Data Highlights

Fluorinated gases accounted for 3.1% of all greenhouse gas emissions in the United States, with SF6 and PFCs contributing 14.3 million metric tons CO2e in 2022.

Key Findings

Incorporate references to recent studies that validate the use of air tamponade.

Clinical Implications

Healthcare providers should consider the environmental impact of fluorinated gases when selecting tamponade options for retinal surgeries. Emphasizing the use of air or shorter-acting gases in appropriate cases can contribute to more sustainable surgical practices.

Conclusion

The findings underscore the importance of balancing effective surgical outcomes with environmental responsibility in retina surgery. Continued research and adaptation of practices are essential for reducing the ecological footprint of ophthalmic procedures.

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