Delhi Journal of Ophthalmology

Spontaneously Reattached Retinal Detachment (SRRD)

Priya Rasipuram Chandrasekaran  
Department of Medical Retina, Uvea and Neuro-Ophthalmology Lotus Eye Hospital Salem, Tamil Nadu, India

Corresponding Author:

Priya Rasipuram Chandrasekaran 
(MBBS, DO, DNB, FRCS)
Consultant Ophthalmologist
Department of Medical Retina, Uvea and Neuro-ophthalmology
Lotus Eye Hospital Salem Tamil Nadu, India
Email: priya_rc@rediffmail.com

Received: 08-APR-2021

Accepted: 08-MAY-2021

Published Online: 05-OCT-2021

DOI:http://dx.doi.org/10.7869/djo.705

Abstract
This is the fundus photo and red free montage of a 27 year old male showing pigmentary changes and atrophic changes in the inferior retina involving the fovea. This has a convex border with sharply demarcated margins and subretinal bands suggestive of spontaneously reattached retinal detachment.

Keywords :Spontaneously Reattached Retinal Detachment, Fundus photo

This is the fundus photo and red free montage of a 27 year old male showing pigmentary changes and atrophic changes in the inferior retina involving the macula.  This has sharply demarcated margins and a convex border with subretinal bands suggestive of SRRD as described by Cantrill.1 The possible mechanisms could be the formation of a small retinal break that led to the detachment initially, which got sealed by the vitreous gel or the break resolved spontaneously after getting relieved of vitreous traction by the overlying vitreous gel. Complete PVD may have favoured complete reattachment through the above suspected mechanisms.2,3,4 The differential diagnosis include (Figure 1).1,4,5

a. Pigmentary retinal lesions like retinitis pigmentosa which are usually bilateral and with waxy disc pallor and arteriolar attenuation unless it is a unilateral case of retinitis pigmentosa. ERG confirms the diagnosis.
b. Resolved chronic exudative retinal detachment secondary to chronic central serous serous retinopathy, optic disc pits, colobomas or posterior uveitis. Signs of anterior segment inflammation along with vascular sheathing should not be overlooked in cases of posterior uveitis.
c. Resolution of retinal detachment in cases of non-caucasean patients with infero-temporal dialysis with accumulation of pigments and hyperplasia of retinal pigment epithelium
d. Retinitis sclopetaria following high velocity trauma can cause retinal sectoral pigmentation.



References
  1. Cantrill HL. Spontaneous retinal reattachment. Retina 1981; 1:216 –9.
  2. Lorenzo J, Capeans C, Suarez A, et al. Posterior vitreous findings in cases of spontaneous retinal reattachment. Ophthalmology 2002; 109:1251–5.
  3. Hee Yoon Cho, MD, Song Ee Chung, MD, Jong In Kim, MD, Kyu Hyung Park, MD, Sang Kook Kim, MD, Se Woong Kang, MD, Spontaneous Reattachment of Rhegmatogenous Retinal Detachment, Ophthalmology 2007;114:581–586.
  4. Song Ee Chung, Se Woong Kang, Chan-Hui Yi, A Developmental Mechanism of Spontaneous Reattachment in Rhegmatogenous Retinal Detachment, Korean J Ophthalmol 2012;26(2):135-138, http://dx.doi.org/10.3341/kjo.2012.26.2.135.
  5. Jorge Guillermo García-Guzmán, Yasmín Franco-Yáñez, Virgilio Lima-Gómez, Bilateral spontaneously reattached rhegmatogenous retinal detachment. Case report and differential diagnosis with pigmentary retinopathies, Clinical case, Cir Cir, Jan-Feb 2014; 82(1):57-62.

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Chandrasekaran PRSpontaneously Reattached Retinal Detachment (SRRD).DJO 2021;32:99-100

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Chandrasekaran PRSpontaneously Reattached Retinal Detachment (SRRD).DJO [serial online] 2021[cited 2021 Dec 6];32:99-100. Available from: https://www.djo.org.in/articles/32/1/Spontaneously-Reattached-Retinal-Detachment.html