ABSTRACT Proliferative vitreoretinopathy remains the leading cause of anatomical failure after rhegmatogenous retinal detachment repair, affecting 5 to 12% of primary detachment and up to 75% of redetachments. Although small-gauge vitrectomy, chromovitrectomy, high-definition intraoperative viewing systems and advanced preoperative imaging have revolutionized retinal surgery, the incidence of proliferative vitreoretinopathy has not decreased significantly over the past two decades. It represents a maladaptive wound-healing response in which inflammatory and fibrogenic pathways drive the formation of contractile preretinal, intraretinal, and subretinal membranes. […]

OBJETIVE: To describe the reattachment rate and visual acuity results of patients with uncomplicated rhegmatogenous retinal detachment who underwent segmental scleral buckle surgery. METHODS: Prospective case series of 100 patients with visual loss or symptoms (floaters and photopsia) of less than 30 days’ duration scheduled for surgery. No patient had a retinal break greater than 30°, a retinal detachment larger than 2 quadrants or proliferative vitreoretinopathy. RESULTS: The 1-week, 1-month, and 6-month anatomical success rates were 93%, 100%, and 100%, […]