My Approach to PVR Detachment: An American Perspective
When a new retinal detachment (RD) presents itself, I prefer to take the patient to the operating room in a timely fashion dependent on macula involvement. If the macula is threatened but still attached (superior bullous RD, temporal RD nearing the macula, etc.), I will attempt to operate within 24 h of the initial exam. If the macula (including the fovea) has been detached, I will operate within several days. If the macula is not threatened (inferior RD), I will operate within several days. In general, the preference is to repair a new RD sooner rather than later.
Combined TRD and RRD Videocourtesy John Kitchens Retina Associates of Kentucky (MOV 381284 kb)
PVR RD (Early) Videocourtesy John Kitchens Retina Associates of Kentucky (MOV 159480 kb)