Subretinal proliferation. What to do?

Purpose. Evaluation of treatment results retinal detachment complicated by subretinal PVR. Materials and methods. We examined 13 patients (13 eyes) with operated retinal detachment (RD), subretinal proliferative vitreoretinopathy (PVR). In the main group (7 eyes) with recurrence of retinal detachment RD was complicated by severe subretinal proliferation. Аll the patients underwent surgical treatment of retinal detachment with removal of the subretinal PVR; in the control group (6 eyes) subretinal proliferation was localized in the zone of the adjacent retina and its removal was not performed. Results. The compared groups did not differ in terms of age and gender, the axis length of the eye. Duration of the RD was more than 3 months. During the observation period of 6 months of patients both groups, in all cases, it was possible to achieve a fit of the retina. Conclusion. 1. Subretinal PVR should be removed when it is localized in the macular area, or when it leads to retinal detachment, preventing it from fitting with standard technical manipulations. 2. Potential of microinvasive vitreoretinal surgery allow to effectively eliminate subretinal PVR, complementing standard manipulations, with a good functional and anatomical result. Keywords: retinal detachment, proliferative vitreoretinopathy, anatomical outcome.