title: Closed vitreous surgery: XV. Fibrovascular ingrowth from the pars plana sclerotomy.
abstract: Ten eyes developed fibrovascular ingrowth from the sclerotomy following closed vitreous surgery. The complication was detected by examining all patients postoperatively by indirect ophthalmoscopy and biomicroscopy with a three-mirror lens. The average follow-up was 13.2 months. Nine patients had proliferative retinal disease prior to surgery and related systemic disease. In six eyes, useful vision was lost due to the ingrowth. In three eyes, a stabilization occurred. In one eye, that of a 12-year-old girl with an undefined syndrome of cochlear and retinal neovascularization, the ingrowth involuted. Rubeosis iridis was observed in 6 eyes that developed vascular ingrowth as opposed to 11 eyes in a control group of 78 eyes. Eyes with rubeosis iridis should not have vitreous surgery, and careful dissection of the Tenon capsule should be done over the sclerotomy.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003930:Diabetic Retinopathy / Q000601:surgery; D005123:Eye / Q000098:blood supply; D005260:Female; D006801:Humans; D007498:Iris; D008297:Male; D008875:Middle Aged; D009902:Optic Neuritis / Q000601:surgery; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery; D012166:Retinal Hemorrhage / Q000601:surgery; D012590:Sclera / Q000601:surgery*; D014603:Uveal Diseases / Q000209:etiology; D014605:Uveitis / Q000601:surgery; D014792:Visual Acuity; D014822:Vitreous Body / Q000601:surgery*