Managing PVR in the Era of Small Gauge Surgery
Proliferative vitreoretinopathy (PVR) is the leading cause of failed rhegmatogenous retinal detachment (RRD) surgery. Based upon the presence of clinical features and due to associated underlying risk factors, it is classified into various grades based upon its severity and extent of involvement. De...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/8959153 |
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| author | Manish Nagpal Rakesh Juneja Sham Talati |
| author_facet | Manish Nagpal Rakesh Juneja Sham Talati |
| author_sort | Manish Nagpal |
| collection | DOAJ |
| description | Proliferative vitreoretinopathy (PVR) is the leading cause of failed rhegmatogenous retinal detachment (RRD) surgery. Based upon the presence of clinical features and due to associated underlying risk factors, it is classified into various grades based upon its severity and extent of involvement. Despite excellent skills, flawless techniques, and high-end technology applied in the management of RRD, PVR still occurs in 5–10% of cases. Due to the advancements in wide angle viewing systems, advance vitrectomy machines and fluidics, early identification, use of long-term heavy silicon oil tamponades, high-speed cutters, small-gauge vitrectomies, use of perfluorocarbon liquid (PFCL), and small-gauge forceps and scissors, the success rate in the management of PVR has increased leading to improved anatomical outcomes. However, functional outcomes do not correlate well with improved anatomical outcomes. Various complications occur after RRD repair that are responsible for re-retinal detachment and recurrence of PVR. This article highlights causes, risk factors, classification, grading, diagnosis, and approach to management of PVR and post-PVR surgery complications. |
| format | Article |
| id | doaj-art-0133c7fc1af24012a2fcdb635ca8012e |
| institution | OA Journals |
| issn | 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-0133c7fc1af24012a2fcdb635ca8012e2025-08-20T02:01:34ZengWileyJournal of Ophthalmology2090-00582021-01-01202110.1155/2021/8959153Managing PVR in the Era of Small Gauge SurgeryManish Nagpal0Rakesh Juneja1Sham Talati2Department of Retina and VitreousDepartment of Retina and VitreousDepartment of Retina and VitreousProliferative vitreoretinopathy (PVR) is the leading cause of failed rhegmatogenous retinal detachment (RRD) surgery. Based upon the presence of clinical features and due to associated underlying risk factors, it is classified into various grades based upon its severity and extent of involvement. Despite excellent skills, flawless techniques, and high-end technology applied in the management of RRD, PVR still occurs in 5–10% of cases. Due to the advancements in wide angle viewing systems, advance vitrectomy machines and fluidics, early identification, use of long-term heavy silicon oil tamponades, high-speed cutters, small-gauge vitrectomies, use of perfluorocarbon liquid (PFCL), and small-gauge forceps and scissors, the success rate in the management of PVR has increased leading to improved anatomical outcomes. However, functional outcomes do not correlate well with improved anatomical outcomes. Various complications occur after RRD repair that are responsible for re-retinal detachment and recurrence of PVR. This article highlights causes, risk factors, classification, grading, diagnosis, and approach to management of PVR and post-PVR surgery complications.http://dx.doi.org/10.1155/2021/8959153 |
| spellingShingle | Manish Nagpal Rakesh Juneja Sham Talati Managing PVR in the Era of Small Gauge Surgery Journal of Ophthalmology |
| title | Managing PVR in the Era of Small Gauge Surgery |
| title_full | Managing PVR in the Era of Small Gauge Surgery |
| title_fullStr | Managing PVR in the Era of Small Gauge Surgery |
| title_full_unstemmed | Managing PVR in the Era of Small Gauge Surgery |
| title_short | Managing PVR in the Era of Small Gauge Surgery |
| title_sort | managing pvr in the era of small gauge surgery |
| url | http://dx.doi.org/10.1155/2021/8959153 |
| work_keys_str_mv | AT manishnagpal managingpvrintheeraofsmallgaugesurgery AT rakeshjuneja managingpvrintheeraofsmallgaugesurgery AT shamtalati managingpvrintheeraofsmallgaugesurgery |