This 50YO male presented for a routine diabetic follow-up. A new asymptomatic peripheral retinal tear causing a rhegmatogenous retinal detachment was noted anterior to full panretinal photocoagulation (PRP) scarring.
We will often demarcate asymptomatic retinal detachments with laser photocoagulation (Vrabec and Baumel, Ophthalmology 2000;107:1063-1067). This patient essentially had laser demarcation before his retinal detachment, but the end result was the same, with his detachment being contained by the laser scarring.
Learning Points:
We opted to treat this eye with vitrectomy, but one could argue that this detachment could also be closely followed since it was contained by the prior laser.
