Tractional Detachment

Tractional retinal detachment caused by proliferative vitreoretinopathy (PVR) demonstrating a single starfold associated with diffuse retinal contraction. 

  • Usually caused by mechanical contraction of proliferative membranes that elevate the retina.

Commonly associated with:

Signs:

  • Proliferative fibrous membrane
  • Smooth, concave detachment toward the anterior segment
  • Vitreoretinal traction
  • Normal intraocular pressure

Management:

  • Release of vitreoretinal traction by vitrectomy and membrane dissection.