Proliferative vitreoretinopathy shows predilection for the inferior fundus

Graefes Arch Clin Exp Ophthalmol. 1990;228(4):335-7. doi: 10.1007/BF00920058.

Abstract

We reviewed 112 consecutive cases of retinal detachment associated with grade C-1 proliferative vitreoretinopathy (PVR) to assess the initial location of the full-thickness retinal folds. A total of 47 eyes had PVR preoperatively, and 65 eyes demonstrated PVR postoperatively. Of the eyes affected preoperatively, 29 (56%) developed PVR in the inferior retina, as did 58 (74%) of the eyes affected postoperatively for a total of 87 eyes (67%). Eyes treated with cryoretinopexy had a higher incidence of PVR in the inferior retina (87.5%) than did those undergoing diathermy (57.6%) or photocoagulation (80%). Our findings suggested that the location of PVR may be influenced clinically by gravity. This tendency was more apparent after surgery, especially after cryoretinopexy, than preoperatively.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cryosurgery
  • Fundus Oculi*
  • Gravitation
  • Humans
  • Postoperative Complications / pathology
  • Retinal Detachment / complications
  • Retinal Detachment / surgery
  • Retinal Diseases / complications
  • Retinal Diseases / etiology
  • Retinal Diseases / pathology*
  • Retrospective Studies