A Denoyer*, ML Le Lez, L Sellami, PJ Pisella, S Arsene Department of ophthalmology, CHU Tours, France

Purpose:

To evaluate incidence and influence of proliferative vitreoretinopathy(PVR) associated with retinal detachment(RD) in the elderly, and other prognostic factors.

Patients and method :

Follow-up from January 1998 to December 2002 of 52 caucasian patients aged of 80 years or more (mean age of 87 range 80 to 94 years) undergoing surgical procedures (37 with scleral buckle and 15 with pars plana vitrectomy) for retinal detachment. Characteristics of RD, PVR, anterior ocular pathology(pseudophakia, trauma, myopia) and clinical results are analysed.

Results :

Mean follow-up was 2.7 years (range 6 months to 5 years) : retina was detached in 3, 18, 15 and 6 cases respectively in 1, 2, 3 and 4 quadrants, macula detached in 38 cases. There was preoperative PVR in 29 cases(56%) : 7 stade A, 18 stade B and 4 stade 4. 3 eyes presented postoperative PVR and second surgical procedure was necessary in 5 cases.. Time of ocular findings before surgery, status of macula and importance of PVR appeared statisticaly as the main prognostic factors for success of surgery and clinical results.

Conclusion :

In our series, there is a high incidence of PVR associated with retinal detachment in the elderly. The level of PVR influences the kind of surgical procedure and the final clinical results.