This patient presented with an asymptomatic, superotemporal elevation of the retinal vessel, best seen on 3D OCT and red-free fundus photograph. This patient has done well with observation.
Learning Points:
Originally described by Robertson et al. (Arch Ophthalmology 1971;85:669-672), avulsed retinal vessels result from focal vitreous traction and can cause recurrent vitreous hemorrhage. The traction may or may not be associated with retinal breaks.
The traction can persist, can spontaneously resolve, or may require vitrectomy for recurrent or non-clearing vitreous hemorrhage. Of course, any acutely symptomatic associated retinal breaks should also be surrounded with retinopexy.
