Program list

SYMPOSIUM: FUNDAMENTALS
Moderators: Khaled El-Rakhawy, Cesare Forlini
Sunday, September 14th, 2003 ; 8:15 - 12:35

CLASSIFICATIONS ON PVR
Jean-François Le Rouic
Nantes, France

Introduction: To describe the evolution of the classifications proposed for PVR and to analyse their possible insufficiencies.
Methods: Litterature review and personnal reflexions
Results: Different clinical classifications for PVR have been proposed from 1983 to 1991. They progressively took into account the different prognostic factors encountered in eyes with RD complicated by PVR development. The 1991 updated classification allows a comprehensive and fully detailed description of the fundus of eyes with PVR. However, this classification is rarely used in daily practice and in the litterature because of its complexity. This classification makes also no case of the the evolution of the PVR process, and the maturation of the membranes which are probably of great prognostic value.
Conclusion: The 1991 updated classification for PVR provides a comprehensive description of fundus patterns. It is however rarely used probably due to its complexity and does not consider the maturity of the PVR membranes which is a major prognostic factor.