Is surgery for proliferative vitreoretinopathy justifiable?

Eye (Lond). 1994:8 ( Pt 1):75-6. doi: 10.1038/eye.1994.14.

Abstract

Surgery for proliferative vitreoretinopathy (PVR) may require prolonged procedures often with limited improvement in visual function. Forty-seven consecutive patients who had PVR surgery in one eye had a case note review to assess anatomical re-attachment rate and improvement in visual acuity. All patients had at least 3 clock-hours of grade C PVR membrane. Surgery comprised vitrectomy and membrane peel in all cases. There was a mean follow-up period of 9 months (range 3-23 months). Thirty-two eyes (68%) had an attached retina with the mean visual acuity being 0.089 (where 6/60 = 0.10). A mean of 2.15 PVR operations were performed per eye. Seventeen patients chosen at random were contacted by telephone and standardised questions were asked regarding their surgery. Eleven (65%) patients stated that, with the benefit of hindsight, they would still have had surgery and 8 (47%) patients stated that the peripheral vision gained was of benefit.

MeSH terms

  • Eye Diseases / surgery
  • Humans
  • Patient Satisfaction
  • Prognosis
  • Retinal Detachment / surgery
  • Retinal Diseases / surgery*
  • Time Factors
  • Treatment Outcome
  • Visual Acuity
  • Vitrectomy
  • Vitreous Body* / surgery