Retinal Tear in Aphakic Fellow Eye


File number: 2028


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    posterior vitreous detachment, tractional retinal tear, bridge of tissue between tears, asymptomatic
    This 59-year-old man presented with sudden symptoms of retinal detachment in his opposite aphakic eye secondary to a tiny retinal tear about 1/8th disc diameter in size. During the examination, the fellow eye shown here was found to have this much larger tractional tear approximately 2 disc diameters in total length. If you look carefully, you will see that this is really a series of three separate tears with a common flap. The tears are separated by tiny bridges of remaining tissue which cause the edges of the apparent large tear to be serrated. This was also an aphakic eye with a posterior vitreous detachment but the lesion had produced no symptoms.

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