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:
    • Proliferative diabetic retinopathy
    • Proliferative sickle-cell retinopathy
    • Retinopathy of prematurity
    • Proliferative vitreoretinopahy (PVR)


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


  • Release of vitreoretinal traction by vitrectomy and membrane dissection.