Abstract

ALTHOUGH retinal detachment is a well-known phase of the cicatricial stage of retrolental fibroplasia, there have been no reports in the literature mentioning tears associated with these detachments. The majority of observers have believed that retinal separation in this disease results from tension or traction on the retina by organizing and contracting angioblastic tissue in the vitreous and by vitreous bands.<sup>1</sup>The purpose of this paper is to describe two cases of retrolental fibroplasia in which retinal detachments associated with definite retinal tears occurred. Opinion is divided as to when reversibility in the disease is still possible, but most authors feel that spontaneous regression after the appearance of extensive retinal detachments is unlikely.<sup>2</sup>Furthermore, "no effective prophylaxis or therapy for retrolental fibroplasia" has yet been developed,<sup>3</sup>and there are no reports in the literature describing successful surgical management of retinal detachments in cases of retrolental fibroplasia. In

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