This patient presented with light perception vision following a 1-year-old total retinal detachment with proliferative vitreoretinopathy. At vitrectomy, all membranes were peeled, and the anterior loop traction was relieved (or so we thought). The retina was mobile and completely flattened with fluid-air exchange. 1000 centistoke silicone oil was infused.
At the one-day and one-week postoperative visits, vision remained light perception. The retina was completely attached except for the nasal periphery, which was locally detached with subretinal silicone oil.
Since the surgical goal was to prevent total blindness and possible phthisis, we have decided to observe for now as long as the residual detachment remains localized.
What would your management be at this point?
