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Ophthalmology and Visual Sciences

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Rhegmatogenous retinal detachment

A rhegmatogenous retinal detachment results when liquified vitreous passes through a retinal break into the potential subretinal space.

Figure 1.

Category:

  • Retina/Vitreous

Contributors: Zachary Q. Mortensen, MD; Razek G. Coussa; MDCM; James C. Folk, MD; H. Culver Boldt, MD

Photographer: Jody M. Troyer, CRA

Posted February 25, 2021

71-year-old man presented with 2 weeks of blurred vision and curtain-like vision loss obscuring the inferior portion of his left visual field. Visual acuity was 20/50+2. Fundoscopy (see image) demonstrated a large horseshoe break at 12:30 at the equator, with a slightly rolled edge and a bridging vessel. There was subretinal fluid from 10:00 clockwise to 3:00, extending posteriorly to just involve the center of the fovea. This macula-involving rhegmatogenous retinal detachment was repaired surgically. Three months later, his vision improved to 20/20.

Fundoscopy demonstrates a large horseshoe break at 12:30 at the equator, with a slightly rolled edge and a bridging vessel. There was subretinal fluid from 10:00 clockwise to 3:00, extending posteriorly to just involve the center of the fovea

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Figure 2.

Contributor: Jesse Vislisel, MD

Photographer: Cindy Montague, CRA

Posted January 24, 2016

rhegmatogenous retinal detachment

This photograph shows a superior rhegmatogenous retinal detachment that is not yet involving the macula.

rhegmatogenous retinal detachment

The second photograph shows a closer view of the primary horseshoe tear with two smaller retinal tears nearby. Lattice degeneration and intraretinal hemorrhages can be seen adjacent to the tears.


Figure 3.

Contributors: Lucas T. Lenci MD, Elaine Binkley MD, Jessica Watson MD, Culver Boldt MD

Photographer: Brice Critser, CRA

This is a patient who presented with an inferior visual field defect and multiple flashes and floaters.  These images demonstrate an excellent example of a large, superior horseshoe tear with a bullous retinal detachment.

an excellent example of a large, superior horseshoe tear with a bullous retinal detachment.

an excellent example of a large, superior horseshoe tear with a bullous retinal detachment.


Figure 4.

Contributor: Tressa Larson, OD FAAO

Photographer: Andrea Starkweather

These OCT images show an inferior, macula-off, chronic rhegmatogenous retinal detachment.

These OCT images show an inferior, macula-off, chronic rhegmatogenous retinal detachment.

These OCT images show an inferior, macula-off, chronic rhegmatogenous retinal detachment.

see more detailed information and additional photos of Macula-off Rhegmatogenous Retinal Deatchment


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last updated: 02/26/2021
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