Tractional Retinal Detachment Clinical Presentation

Updated: Mar 11, 2016
  • Author: Lihteh Wu, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Presentation

History

Vitreoretinal traction develops insidiously in most cases.

The visual field defect progresses slowly and may become stationary for months or years.

If the macula becomes involved, the patient will experience a drop in vision.

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Physical

The detachment has a concave configuration.

The subretinal fluid is shallower than in RRD and often does not extend to the ora serrata.

The highest elevation of the retina occurs in sites of vitreoretinal traction.

Retinal mobility is severely reduced, and shifting fluid is absent.

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Causes

See the list below:

  • PDR
  • ROP
  • Penetrating trauma
  • Proliferative sickle retinopathy
  • PVR
  • Retinal venous occlusions
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