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Peripheral tractional retinal detachment

MedGen UID:
870380
Concept ID:
C4024825
Finding
Synonyms: Peripheral traction retinal detachment; Tractional retinal detachment at the periphery of the retina
 
HPO: HP:0007643

Definition

Tractional retinal detachment at the periphery of the retina. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPeripheral tractional retinal detachment

Conditions with this feature

Wagner syndrome
MedGen UID:
326741
Concept ID:
C1840452
Disease or Syndrome
Wagner vitreoretinopathy (WGVRP) is a rare vitreoretinal degeneration inherited as an autosomal dominant trait, first described in a large Swiss pedigree (Wagner, 1938) and subsequently identified in other families. Penetrance in Wagner syndrome is complete, and the disease manifests in childhood or adolescence with a progressive course. Affected individuals usually present with an 'empty' vitreous cavity with fibrillary condensation or avascular strands and veils. Additional features, which are variable and age-dependent, include chorioretinal atrophy with loss of the retinal pigment epithelium (RPE), lattice degeneration of the retina, complicated cataracts, mild myopia, and peripheral traction retinal detachment. Rod and cone electroretinography shows reduced b-wave amplitude and correlates with severe chorioretinal pathology. It is believed that liquefaction of vitreous initiates a degenerative cascade that results in the complex eye phenotype of Wagner syndrome (summary by Kloeckener-Gruissem et al., 2006). Patients with additional ocular features such as progressive nyctalopia (night blindness), visual field constriction, and chorioretinal atrophy, with loss of RPE and choriocapillaries on fluorescein angiography and rod-cone abnormalities on electroretinography, were initially believed to have a distinct clinical entity, which was designated 'erosive vitreoretinopathy' (ERVR). Extraocular abnormalities are not present in patients diagnosed with Wagner or erosive vitreoretinopathy (summary by Mukhopadhyay et al., 2006).

Professional guidelines

PubMed

Russell JF
Ophthalmol Retina 2022 Jun;6(6):469-477. Epub 2022 Feb 1 doi: 10.1016/j.oret.2022.01.017. PMID: 35114413
Lin YC, Chang WH, Yang CM
J Formos Med Assoc 2009 Apr;108(4):333-6. doi: 10.1016/S0929-6646(09)60074-7. PMID: 19369181
Ando F
Jpn J Ophthalmol 1987;31(1):138-46. PMID: 3626173

Recent clinical studies

Etiology

Dajani O, Wong A, Coleman A, Shepherd EA, Wind KP, MacCumber MW
Retin Cases Brief Rep 2023 Nov 1;17(6):699-701. doi: 10.1097/ICB.0000000000001291. PMID: 35972828
Foster RE, Rubsamen PE, Joondeph BC, Flynn HW Jr, Smiddy WS
Ophthalmology 1994 Mar;101(3):490-8. doi: 10.1016/s0161-6420(94)31308-x. PMID: 8127569

Diagnosis

Chen Q, Gu J, Jiang R, Zhou M, Chang Q
Br J Ophthalmol 2018 May;102(5):642-646. Epub 2017 Sep 19 doi: 10.1136/bjophthalmol-2017-310583. PMID: 28928264
Foster RE, Rubsamen PE, Joondeph BC, Flynn HW Jr, Smiddy WS
Ophthalmology 1994 Mar;101(3):490-8. doi: 10.1016/s0161-6420(94)31308-x. PMID: 8127569

Therapy

Dajani O, Wong A, Coleman A, Shepherd EA, Wind KP, MacCumber MW
Retin Cases Brief Rep 2023 Nov 1;17(6):699-701. doi: 10.1097/ICB.0000000000001291. PMID: 35972828

Prognosis

Foster RE, Rubsamen PE, Joondeph BC, Flynn HW Jr, Smiddy WS
Ophthalmology 1994 Mar;101(3):490-8. doi: 10.1016/s0161-6420(94)31308-x. PMID: 8127569

Clinical prediction guides

Chen Q, Gu J, Jiang R, Zhou M, Chang Q
Br J Ophthalmol 2018 May;102(5):642-646. Epub 2017 Sep 19 doi: 10.1136/bjophthalmol-2017-310583. PMID: 28928264

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