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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:



•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.


•Macula involving: Vitrectomy.⁣

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