How do you decide timing of repair of a chronic macula threatening tractional retinal detachment?

There are many factors that are important in managing a chronic macula-threatening tractional retinal detachment.

The general health of the patient affects surgical risk and candidacy, as well as the presence of other ophthalmic conditions like neovascular glaucoma and the status of the other eye.

For the retinal detachment specifically, the most important factor is the risk of progression. For a patient where the macula is involved but the fovea is attached and has remained attached for years, ...