Our Summary

This research paper discusses a complication that can occur after eye surgery called proliferative vitreoretinopathy (PVR). The decision to treat PVR and the surgical treatment itself can be difficult. The paper summarizes the authors’ own data as well as a review of other research.

Pharmacological (drug-based) methods to prevent or treat PVR have been explored, but are still in the early stages of research. These methods involve using substances that reduce inflammation and cell growth. Surgical techniques to treat PVR vary, with the most effective being a procedure called pars plana vitrectomy, where silicone oil is used to hold the retina in place. Other techniques may involve applying a band around the eye or making cuts in the retina to help it reattach.

In conclusion, surgery is currently the best treatment option for PVR. More research is needed to develop effective drug-based prevention and treatment strategies.

FAQs

  1. What is proliferative vitreoretinopathy (PVR)?
  2. What are the surgical techniques used for treating proliferative vitreoretinopathy?
  3. Are there any pharmacological approaches to prevent or treat PVR?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scleral buckle surgery is to follow all post-operative instructions carefully, including using any prescribed eye drops and attending all follow-up appointments. It is important to avoid any strenuous activities or heavy lifting during the recovery period to ensure proper healing of the eye. Additionally, it is important to report any unusual symptoms or changes in vision to the doctor immediately.

Suitable For

Patients who are typically recommended scleral buckle surgery are those with proliferative vitreoretinopathy (PVR), a complication of vitreoretinal surgery. This condition involves the development of abnormal scar tissue on the retina, leading to retinal detachment. Scleral buckle surgery is a common surgical technique used to reattach the retina and repair the detachment. Other surgical techniques, such as pars plana vitrectomy with silicone oil endotamponade, may also be considered for the treatment of PVR. Pharmacological approaches to preventing or treating PVR have not been well-established, so surgery remains the mainstay of treatment for this condition.

Timeline

Before scleral buckle surgery:

  • Patient presents with symptoms of retinal detachment, such as flashes of light, floaters, or a curtain-like shadow in their vision.
  • Patient undergoes a comprehensive eye examination, including imaging tests such as ultrasound or optical coherence tomography, to confirm the diagnosis of retinal detachment.
  • Surgical options, including scleral buckle surgery, are discussed with the patient by their ophthalmologist.
  • Patient may be advised to stop taking certain medications or make lifestyle changes in preparation for surgery.

After scleral buckle surgery:

  • Patient undergoes the surgical procedure, which involves placing a silicone band around the eye to support the detached retina.
  • Patient may experience discomfort, redness, and swelling in the eye following surgery.
  • Patient will need to attend follow-up appointments with their ophthalmologist to monitor the healing process and ensure the retina remains attached.
  • Patient may need to wear an eye patch or shield for a period of time after surgery to protect the eye.
  • Patient will be advised on post-operative care, including using eye drops, avoiding strenuous activities, and attending regular check-ups to monitor their vision and eye health.

What to Ask Your Doctor

  1. What is scleral buckle surgery and how does it work to treat PVR?

  2. What are the potential risks and complications of scleral buckle surgery?

  3. How successful is scleral buckle surgery in treating PVR?

  4. What is the recovery process like after scleral buckle surgery?

  5. Are there any alternative treatments to scleral buckle surgery for PVR?

  6. How long will I need to follow up with my doctor after surgery?

  7. Will I need any additional procedures or treatments after scleral buckle surgery for PVR?

  8. Are there any lifestyle changes or precautions I should take after surgery to prevent PVR from recurring?

  9. How experienced are you in performing scleral buckle surgery for PVR?

  10. Can you provide me with any patient testimonials or success stories related to scleral buckle surgery for PVR?

Reference

Authors: Schaub F, Enders P, Fauser S. Journal: Klin Monbl Augenheilkd. 2016 Sep;233(9):1016-23. doi: 10.1055/s-0042-107947. Epub 2016 Aug 1. PMID: 27479579