Tractional retinal detachment (TRD) is the second most common type of retinal detachment after rhegmatogenous retinal detachment. TRD may occur in proliferative diabetic retinopathy, sickling hemoglobinopathies, vein occlusions if neovascularization develops, retinopathy of prematurity and other conditions with extensive ischemia and retinal neovascularization.
Figure 1: Tractional retinal detachment secondary to proliferative diabetic retinopathy. The retinal detachment is threatening fixation. The BCVA was 20/30. The patient had already previously received scatter pan-retinal photocoagulation (PRP) as seen on the photograph.
Figure 2: Tractional retinal detachment secondary to proliferative diabetic retinopathy. The retinal detachment is macula-on and detached superior to the macula. The tractional fibrovascular bands can be seen on the retinal photograph bridging the superior and inferior arcades with attachment to the optic nerve.
Figure 3: Tractional retinal detachment secondary to proliferative diabetic retinopathy.
Comments