A logical approach to the treatment of massive periretinal proliferation.
Based on the improved understanding of massive periretinal proliferation (MPP) as a proliferative membrane-forming disease, a new therapeutic approach is presented with the technique of pars plana vitreous surgery. Not only vitreous membranes but also preretinal membranes are removed. Forty-seven consecutive patients who suffered from severe massive periretinal proliferation were operated on with this technique and followed for six months or more. Seventeen patients (36%) had an attached retina. Twelve patients had a major visual improvement. The major postoperative complication was phthisis bulbi, found in ten eyes (21%).
D000368:Aged; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008566:Membranes / Q000601:surgery; D008722:Methods; D011183:Postoperative Complications; D012160:Retina / Q000293:injuries / Q000601:surgery*; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery; D012164:Retinal Diseases / Q000601:surgery*; D012591:Scleral Buckling; D013514:Surgical Procedures, Operative / Q000009:adverse effects; D014792:Visual Acuity; D014822:Vitreous Body / Q000601:surgery*