PROPHYLACTIC TREATMENT OF RETINAL-DETACHM ENT IN WAGNER-STICKLER-DISEASE - A COMPARISON OF THE DIFFERENT METHODS BASED ON 22 CASES

Prophylactic treatment in patients presenting Wagner-Stickler disease has not been yet weir defined. We retrospectively studied twenty-two p atients who had a retinal detachment on the first eye. Among the ten p atients treated by peripheral confluent laser photocoagulation, five h ad a retinal detachment after a mean follow-up of fifteen months; with a 42 % rate of spontaneous retinal detachment bilateralization, we ca n conclude that laser therapy has not been efficient. Four patients tr eated by focal or circular laser photocoagulation, cryotherapy or vitr ectomy developed retinal detachment. Eight eves treated by a preventiv e encircling scleral buckle did not develop retinal detachment, with a mean follow-up of twenty-one months. This follow-up is still too shor t, but greater than the mean bilateralization delay. Per and postopera tive complications had no consequences.