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February 1977

Closed Vitreous Surgery: XV. Fibrovascular Ingrowth From the Pars Plana Sclerotomy

Author Affiliations

From the Department of Retina Research of the Eye Research Institute of Retina Foundation and the Retina Service of the Massachusetts Eye and Ear Infirmary, Boston. Dr Tardif is now with Le Centre Hospitalier de l'Université Laval, Quebec.

Arch Ophthalmol. 1977;95(2):235-239. doi:10.1001/archopht.1977.04450020036006

• Ten eyes developed fibrovascular ingrowth from the sclerotomy following closed vitreous surgery. The complication was detected by examining all patients postoperatively by indirect ophthalmoscopy and biomicroscopy with a three-mirror lens. The average follow-up was 13.2 months. Nine patients had proliferative retinal disease prior to surgery and related systemic disease. In six eyes, useful vision was lost due to the ingrowth. In three eyes, a stabilization occurred. In one eye, that of a 12-year-old girl with an undefined syndrome of cochlear and retinal neovascularization, the ingrowth involuted. Rubeosis iridis was observed in 6 eyes that developed vascular ingrowth as opposed to 11 eyes in a control group of 78 eyes. Eyes with rubeosis iridis should not have vitreous surgery, and careful dissection of the Tenon capsule should be done over the sclerotomy.

(Arch Ophthalmol 95:235-239, 1977)

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