This intraoperative photograph shows a rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) with a star fold superotemporally. A full-thickness macular hole surrounded by its luteal pigment is dragged towards the PVR. The macular hole and detachment were repaired with vitrectomy.
Learning Points:
PVR, which consists of cellular membranes growing on either retinal surface, develops in about 5-10% of retinal detachments. RRD with a concurrent non-causal macular hole is found in about 2% detachments (Iros et al, Retina 2023;43:581-584). Although most eyes achieve anatomic success, final vision is usually poor. In our patient, unfortunately, there is no further clinical information, so it is unclear whether the macular hole caused the detachment or was secondary to traction from the star fold.
