Abstract

Secondary Rhegmatogenous retinal detachments may present as a sequelae in patients with proliferative retinopathy. Common causes of proliferative retinopathy include diabetic retinopathy, vasculitis sequelae and vascular occlusion sequelae. Accurate diagnosis is paramount as surgical intervention in these cases is complex. In our video, we present distinct scenarios which highlight the clues to the diagnosis of secondary Rhegmatogenous RD such as fibrovascular membranes, slit-like break along the base and breaks posterior to equator. Other clues to diagnosis include presence of sclerosed vessels, subretinal bleed and inability to find a break that corresponds to the configuration of RD. Management in these cases involves pre-operative anti-VEGF injection, relief of all traction overlying the breaks and need of laser photocoagulation in areas of sclerosed vessels. Prognosis of these cases depends on the duration of macular detachment and status of perfusion of macula.