Tractional Retinal Detachment.

-Tractional RD occurs when the neurosensory retina is pulled away from the RPE by contracting vitreoretinal membranes in the absence of a retinal break.

Conditions causing Tractional RD:

•Diabetes

•Trauma

•Vascular occlusions

•Cataract extraction with vitreous incarceration

•Perforating or penetrating injury to the globe

•Sickle cell hemoglobinopathies

•Retrolental fibroplasia

•Persistent hyperplastic primary vitreous (PHPV)

•Pars planitis

•Eales disease

Clinical features:

•No primary break. May develop secondary break.

•Extent of detachment does not extend to ora.

•Retina is taut and elevated to level of traction.

•Clear SRF. No shifting fluid.

Treatment:

•Macula involving: Vitrectomy.

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