Proliferative Retinal Detachment Workup

Updated: Sep 26, 2017
  • Author: Steve Charles, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Workup

Imaging Studies

Diagnostic ultrasonography is only necessary if opacities of the cornea, the anterior chamber, or the lens; pupillary membranes; retro–intraocular lens (IOL) membranes; or vitreous opacities prevent optical visualization of the retina.

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Procedures

Binocular indirect ophthalmoscopy is performed for diagnostic purposes. Contact lens examination can be used with slit lamp biomicroscopy for higher magnification and better resolution.

B-scan diagnostic ultrasonography is performed if the retina cannot be seen because of corneal disease, cataract, posterior capsular opacification, vitreitis, or vitreous hemorrhage.

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Histologic Findings

Biopsy is never indicated, and histologic samples should not be obtained during surgery. Minimal mitotic activity with significant interaction between retinal pigment epithelium (RPE) and glial cells and extracellular matrix has been reported in pathologic specimens. [13, 17, 18]

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