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Updated: Apr 24, 2026
Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery
Published on: April 14, 2026
Surgical and visual outcome for recurrent retinal detachment surgery
Constantin Pournaras1, Chrysanthi Tsika2, Catherine Brozou3
1University Eye Clinic of Geneva, 1211 Geneva, Switzerland ; Department of Ophthalmology, University of Geneva, 1211 Geneva, Switzerland ; Memorial Rothschild Eye Research Unit, La Colline Ophthalmology Center, rue De La Roseraie 75A, 1205 Geneva, Switzerland.
Repeated surgeries for recurrent retinal detachment can achieve good anatomical success rates. While visual outcomes vary, proliferative vitreoretinopathy (PVR) significantly impacts both anatomical and functional results.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Recurrent retinal detachment presents a significant challenge in ophthalmic surgery.
- Multiple surgical interventions are often required for refractory cases.
Purpose of the Study:
- To assess the anatomical and functional outcomes of repeat surgeries for recurrent retinal detachment.
- To identify factors influencing success in complex retinal detachment cases.
Main Methods:
- Retrospective review of 70 patients with refractory retinal detachment undergoing multiple operations.
- Assessment of anatomical success (retinal attachment) and best-corrected visual acuity (BCVA).
- Analysis of pre-, intra-, and postoperative factors affecting outcomes.
Main Results:
- Anatomical success rate was 80% after a mean of 4 surgeries (range: 2-10).
- 29% of successfully attached retinas achieved BCVA better than 20/40.
- Proliferative vitreoretinopathy (PVR) significantly worsened both anatomical and functional outcomes (P=0.014 and P=0.002).
Conclusions:
- Multiple surgical procedures for refractory retinal detachment can lead to successful anatomical reattachment.
- Functional outcomes are variable, with PVR being a critical negative prognostic factor.
- Surgical intervention for recurrent retinal detachment offers a viable option, but PVR necessitates careful management.
