RT Journal Article T1 Current Situation and Challenges in Vitreous Substitutes A1 Mondelo García, Cristina A1 Bandín Vilar, Enrique A1 García Quintanilla, Laura A1 Castro Balado, Ana A1 Amo, Eva María del A1 Gil Martínez, María A1 Blanco Teijeiro, María José A1 González Barcia, Luis A1 Zarra Ferro, Irene A1 Fernández Ferreiro, Anxo A1 Otero Espinar, Francisco Javier K1 Biomaterials K1 Hydrogels K1 Perfluorocarbon liquids K1 Silicone oils K1 Vitreous substitution AB Vitreo-retinal disorders constitute a significant portion of treatable ocular diseases. These pathologies often require vitreo-retinal surgery and, as a consequence, the use of vitreous substitutes. Nowadays, the vitreous substitutes that are used in clinical practice are mainly divided into gases (air, SF6, C2F6, C3F8) and liquids (perfluorocarbon liquids, silicone oils, and heavy silicone oils). There are specific advantages and drawbacks to each of these, which determine their clinical indications. However, developing the ideal biomaterial for vitreous substitution continues to be one of the most important challenges in ophthalmology, and a multidisciplinary approach is required. In this sense, recent research has focused on the development of biocompatible, biodegradable, and injectable hydrogels (natural, synthetic, and smart), which also act as medium and long-term internal tamponade agents. This comprehensive review aims to cover the main characteristics and indications for use of the extensive range of vitreous substitutes that are currently used in clinical practice, before going on to describe the hydrogels that have been developed recently and which have emerged as promising biomaterials for vitreous substitution PB Wiley YR 2021 FD 2021 LK http://hdl.handle.net/10347/26224 UL http://hdl.handle.net/10347/26224 LA eng NO Mondelo-García, C., Bandín-Vilar, E., García-Quintanilla, L., Castro-Balado, A., del Amo, E.M., Gil-Martínez, M., Blanco-Teijeiro, M.J., González-Barcia, M., Zarra-Ferro, I., Fernández-Ferreiro, A. and Otero-Espinar, F.J. (2021), Current Situation and Challenges in Vitreous Substitutes. Macromol. Biosci. 2100066. https://doi.org/10.1002/mabi.202100066 NO C.M.-G., E.B.-V., L.G.-Q., and A.F.-F. are grateful to the Carlos III Health Institute for financing the CM18/00090, CM20/00135, CM20/00024, and JR18/00014 personnel contracts. This work was partially supported by the following projects of Carlos III Health Institute (PI17/00940 and PI20/00719) DS Minerva RD 28 abr 2026