Proliferative vitreoretinopathy: an update on the current and emerging treatment options

Graefes Arch Clin Exp Ophthalmol. 2024 Mar;262(3):679-687. doi: 10.1007/s00417-023-06264-1. Epub 2023 Oct 16.

Abstract

Proliferative vitreoretinopathy (PVR) remains the main cause of failure in retinal detachment (RD) surgery and a demanding challenge for vitreoretinal surgeons. Despite the large improvements in surgical techniques and a better understanding of PVR pathogenesis in the last years, satisfactory anatomical and visual outcomes have not been provided yet. For this reason, several different adjunctive pharmacological agents have been investigated in combination with surgery. In this review, we analyze the current and emerging adjunctive treatment options for the management of PVR and we discuss their possible clinical application and beneficial role in this subgroup of patients.

Keywords: Methotrexate; PVR; Proliferative vitreoretinopathy; Steroids; Vitrectomy.

Publication types

  • Review

MeSH terms

  • Humans
  • Ophthalmologists*
  • Retinal Detachment* / surgery
  • Surgeons*
  • Vitreoretinopathy, Proliferative* / diagnosis
  • Vitreoretinopathy, Proliferative* / surgery