Retinal Traction Detachment
- PMID: 32644378
- Bookshelf ID: NBK558952
Retinal Traction Detachment
Excerpt
Retinal traction detachment (RTD) or tractional retinal detachment (TRD) is defined as the separation of the neurosensory retina from the retinal pigment epithelium (RPE) due to the traction caused by proliferative membranes present over the retinal surface or vitreous. The proliferative membranes can result from different etiologies of proliferative retinopathies, the most common being proliferative diabetic retinopathy (PDR), which is a complication of prolonged and uncontrolled diabetes mellitus.
The detached retina takes a concave shape in contrast to the convex shape of rhegmatogenous retinal detachment (RRD). In contrast to RRD, which is caused by one or more retinal breaks, RTDs are caused by tractional forces, and there is no retinal break in the area of RTD.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Treatment Planning
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Consultations
- Deterrence and Patient Education
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Poulsen CD, Peto T, Grauslund J, Green A. Epidemiologic characteristics of retinal detachment surgery at a specialized unit in Denmark. Acta Ophthalmol. 2016 Sep;94(6):548-55. - PubMed
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- Aaberg TM, Abrams GW. Changing indications and techniques for vitrectomy in management of complications of diabetic retinopathy. Ophthalmology. 1987 Jul;94(7):775-9. - PubMed
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- Choovuthayakorn J, Khunsongkiet P, Patikulsila D, Watanachai N, Kunavisarut P, Chaikitmongkol V, Ittipunkul N. Characteristics and Outcomes of Pars Plana Vitrectomy for Proliferative Diabetic Retinopathy Patients in a Limited Resource Tertiary Center over an Eight-Year Period. J Ophthalmol. 2019;2019:9481902. - PMC - PubMed
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