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4%) eyes. The retention rate decreased from 94.7% at 1 year to 53.5% at 5 years. The most frequent complications were retroprosthetic membrane (47.6%) and corneal melt (23.8%). Modified PPV techniques resulted in relatively good mid-term anatomic, functional, and retention rate outcomes, given the severity of RD at presentation, and the numerous preoperative comorbidities of KPro eyes. Modified PPV techniques resulted in relatively good mid-term anatomic, functional, and retention rate outcomes, given the severity of RD at