Monitoring
Ensure regular follow-up exams if no abnormalities are found (i.e., every 1-2 weeks initially).[17] Observation alone may suffice for patients with asymptomatic, small, and nonprogressive degeneration (e.g., lattice).[17] Consider prophylactic therapy in all other cases.
After surgery, follow up patients with regular retinal exams, visual field assessments, and intraocular pressure measurements.
If the intraocular pressure remains normal several days after gas implantation, it typically does not require further monitoring. The use of silicone oil during vitrectomy requires intraocular pressure monitoring until its removal.
Monitor the condition of the retina for up to 4 months while PVR remains a viable threat. If vitreous hemorrhage occurs in the operated or high-risk fellow eye, it is reasonable to assume retinal break as the causative factor and to monitor closely with ultrasonography or to perform surgery early.[42] This is a poor prognostic factor.[75]
Depending on the etiology of a nonrhegmatogenous RD, monitor the underlying disease or condition to reduce the risk of recurrence.
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