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Tractional Detachment
- 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)
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.
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