How do you incorporate intravitreal methotrexate injections into the management of traumatic retinal detachment repairs?

I do not use intravitreal methotrexate after ocular trauma. I assume the question is directed at the prevention and/or treatment of PVR. Multiple studies have shown this medication is not effective in the treatment or prevention of PVR.

Recently, I've started using intravitreal MTX in cases where I believe the potential for PVR is high, such as in traumatic RD. I also use it in cases of recurrent PVR. I use Chris Reimann's protocol of post-op MTX at weeks 1, 3, 6, and 10. You can also add MTX to the infusion bottle so patients have...