[The central vitreo-retinal fibroplastic (edematous-fibroplastic) syndrome (author's transl)].

This term comprises a series of symptoms with a common pathogenesis. The disease begins with disseminated foci of paravascular fibroplasia which are ophthalmoscopically visible as "stationary reflexes" (Vodovozev 1963). These foci result in the formation of vitreo-retinal adhesions. A posterior vitreous detachment effects then traction on the retina with subsequent retinal hypoxia, destruction and edema. This edema if often cystoid, macular holes may originate also. Some patients develop degeneration of connective tissue in the central part of the retina, which may proceed intra- or epiretinally. The syndrome complicates cases of uveitis, senile changes of the fundus, diabetic and hypertonic retinopathies and tapetoretinal degenerations as the postoperative course after extraction of cataract or coagulation of retinal detachment. A classification of the different forms of this syndrome is proposed, its clinical picture and its evolution are described. Possibilities of treatment and experiences gained in it are shown.