Proliferative Vitreoretinopathy and Surgical Approach

  • M. Gonvers
Conference paper
Part of the FIDIA Research Series book series (FIDIA, volume 2)


In 1979 a new technique for the treatment of detachment with advanced proliferative vitreoretinopathy (PVR) was developed (1). An extensive preretinal peeling, a six weeks tamponade with silicone oil and a panphotocoagulation were the three major characteristics of the original technique which was used from 1979 to mid-1983. The surgical procedure was done in four steps:
  1. 1.

    During a first operation a pars plana vitrectomy was performed, completed by preretinal peeling. A high encircling buckle was placed around the eye and the operation ended with a partial gas-fluid exchange. The patient was then positioned on his face for one night.

  2. 2.

    The day following, when the retina was totally reattached, the vitreous cavity was totally filled with silicone oil, the patient being placed on his right or left side with the help of a rotating operating table. The operation was completed by heavy xenon coagulations placed on the buckle.

  3. 3.

    Panretinal laser photocoagulation was done a few days later.

  4. 4.

    Six weeks later silicone oil was removed.



Subretinal Fluid Vitreous Cavity Internal Drainage Original Technique Proliferative Vitreoretinopathy 
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  1. 1.
    Gonvers M (1982): Temporary use of intraocular silicone oil in the treatment of detachment with massive periretinal proliferation. Preliminary report. Ophthalmologica (Basel) 184:210–218.CrossRefGoogle Scholar
  2. 2.
    Gonvers M (1984): Retinal perforator for internal drainage. Amer J Ophth 97:786–797.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • M. Gonvers
    • 1
  1. 1.Hôpital OphtalmologiqueLausanneSwitzerland

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