PVR surgery is especially challenging for a host of reasons, including the reduced countertraction for membrane removal against detached retina, the risk for creating additional retinal holes, hemorrhage, or inflammation that can generate new PVR, and the high likelihood of requiring prone positioning postoperatively to keep the retina attached. PVR may appear as prominent, white, fibrotic tissue with infolding of adjacent retina creating a classic “star fold” appearance. It may also manifest as thin sheets without obvious distortion. Incomplete removal of PVR may prevent retinal attachment or lead to recurrent RD after silicone oil tamponade is removed. Therefore, PVR should be removed as completely as possible to maximize the chances for permanent retinal attachment.
Read more about surgical management of PVR and see video of how Dr. Sisk treated a traumatic retinal detachment utilizing intraoperative OCT on the Proveo 8 surgical microscope.
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