Retinal detachment with proliferative vitreoretinopathy: surgical results with scleral buckling, closed vitrectomy, and intravitreous air injection.
Seventy-five cases of total retinal detachment complicated by the more advanced grades (grades C and D) of proliferative vitreoretinopathy were treated with scleral buckling, vitrectomy, and air-fluid exchange. The overall reattachment rate was 56%, ranging from 100% in grade C-1 to 26% in grade D-3. The postoperative visual acuity was 6/120 or better in 48% of the 42 eyes in which the retina was reattached. The major causes of surgical failure were redetachment from persistent vitreoretinal traction (32%) and intraoperative complications (12%).
D000293:Adolescent; D000328:Adult; D000368:Aged; D000388:Air; D005128:Eye Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D012164:Retinal Diseases / Q000150:complications / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery; D012591:Scleral Buckling; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology*