any success or new tratments for pvr after retinal detachment

[jlc1963]

hello, I have had two vitrectomies for retinal detachment and now have silicon oil in my eye. The retina has now began to detach again at the bottom due to PVR. Looking at the information on the computer the prognosis seems poor when PVR develops. Are there any new treatments for PVR available? Also is there a stage after surgery when the scarring stops developing on the retina? My detachments have been at five and six weeks. Thank you for any information

[John C Hagan III, MD, FACS, FAAO]

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[berrywoo]

Currently, there is nothing that can effectively prevent PVR, nor is there much to arrest its growth once begun. There have been some trials in the past but none have yielded successful outcomes. Eventually the proliferation should cease or atleast stablize on its own, however the when and why is really not known. Some doctors may prescribe systemic oral corticosteroids to help combat inflammation and slow down PVR.

Also, unfortunately the visual outcome for many w/PVR is not all that great. If you have another eye be grateful and protect it!!!!! If this is your only eye you just have to hope for the best and be thankful for every sight-filled day, this is what I'm doing.

Best of luck.

[John C Hagan III, MD, FACS, FAAO]

Do read some of the posts from the many articulate people that have posted here about their prolonged and difficult recoveries from vitreo-retinal surgery. If nothing else it will let you know you are not alone. Especially helpful are the postings of Berrywoo

JCH MD

[jlc1963]

Thank you for your reply

[John C Hagan III, MD, FACS, FAAO]

I am not a retina surgeon and can not tell you about new treatments for proliferative vitreo-retinopathy.  Your surgeon would be the best source of information and/or you can get a second opinion from another retina Eye MD ophthalmologist.

JCH MD