The mechanism involves proliferative membranes on the surface of the retina or vitreous. These membranes can pull on the neurosensory retina causing a physical separation between the neurosensory retina and retinal pigment epithelium. This is called a tractional retinal detachment. Tractional retinal detachments can be seen in proliferative retinopathy due to diabetic disease, sickle cell and other disease processes leading to neovascularization of the retina.
This patient has uncontrolled Diabetes and Advanced Diabetic Eye disease. There is TRD in one eye and the other eye has already underwent ParsPlana Vitrectomy for Vitreous Hemorrhage and is siliconized .
#diabetes #retinal #retina #oftalmologia #medical #eye #ophthalmologist
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