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Cystic Retinal Tufts and Their Relationship to Retinal Detachment

Cystic Retinal Tufts and Their Relationship to Retinal Detachment Abstract • Cystic retinal tuft, a lesion of the peripheral retina that has been described histologically, is herein described clinically and illustrated by fundus photographs. It is a congenital developmental vitreoretinal abnormality associated with firm vitreoretinal adhesions and can lead to acute tractional retinal tears at the time of an acute posterior vitreous detachment. It has been reported to be present in 5% of autopsy cases. In a consecutive series of 200 retinal detachment cases, 6.5% seemed to be causally related to cystic retinal tufts. The risk of a cystic retinal tuft leading to retinal detachment was computed to be less than 1% (range, 0.18% to 0.28%). Prophylactic treatment of cystic retinal tufts is therefore not advised. References 1. Foos RY: Vitreous base, retinal tufts, and retinal tears: Pathogenic relationships , in Pruett RC, Regan CDJ (eds): Retina Congress . New York, Appleton-Century-Crofts, 1972, pp 259-279. 2. Foos RY, Allen RA: Retinal tears and lesser lesions of the peripheral retina in autopsy eyes . Am J Ophthalmol 1967;64:643-655. 3. Teng CC, Katzin HM: An anatomic study of the peripheral retina: I. Non-pigmented epithelial cell proliferation and hole formation . Am J Ophthalmol 1951;34:1237-1248. 4. Okun E: Gross and microscopic pathology in autopsy eyes: III. Retinal breaks without detachment . Am J Ophthalmol 1961;51:369-391. 5. Daicker B: Anatomie und Pathologie der menschlichen retino-ziliaren Fundusperipherie . New York, S Karger AG, 1972, pp 107-118. 6. Vogt A: Die operative Therapie und die Pathogenese der Netzhautablösung . Stuttgart, West Germany, Ferdinand Enke Verlag, 1936, pp 213-239. 7. Foos RY: Postoral peripheral retinal tears . Ann Ophthalmol 1974;6:679-687. 8. Straatsma BR, Foos RY, Feman SS: Degenerative diseases of the peripheral retina , in Duane TD (ed): Clinical Ophthalmology . Hagerstown, Md, Harper & Row Publishers Inc, 1977, vol 13, chap 26. 9. Rutnin U, Schepens CL: Fundus appearance in normal eyes: II. The standard peripheral fundus and developmental variations . Am J Ophthalmol 1967;64:840-852. 10. Cibis PA: Vitreoretinal Pathology and Surgery in Retinal Detachment . St Louis, CV Mosby Co, 1965, p 80. 11. Davis MD, Segal PP, MacCormick A: The natural course followed by the fellow eye in patients with rhegmatogenous retinal detachment , in Pruett RC, Regan CDJ (eds): Retina Congress . New York, Appleton-Century-Crofts, 1974, pp 650-651. 12. Davis MD: The natural history of retinal breaks without detachment . Trans Am Ophthalmol Soc 1973;71:343-372. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Cystic Retinal Tufts and Their Relationship to Retinal Detachment

Archives of Ophthalmology , Volume 99 (10) – Oct 1, 1981

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1981.03930020662007
Publisher site
See Article on Publisher Site

Abstract

Abstract • Cystic retinal tuft, a lesion of the peripheral retina that has been described histologically, is herein described clinically and illustrated by fundus photographs. It is a congenital developmental vitreoretinal abnormality associated with firm vitreoretinal adhesions and can lead to acute tractional retinal tears at the time of an acute posterior vitreous detachment. It has been reported to be present in 5% of autopsy cases. In a consecutive series of 200 retinal detachment cases, 6.5% seemed to be causally related to cystic retinal tufts. The risk of a cystic retinal tuft leading to retinal detachment was computed to be less than 1% (range, 0.18% to 0.28%). Prophylactic treatment of cystic retinal tufts is therefore not advised. References 1. Foos RY: Vitreous base, retinal tufts, and retinal tears: Pathogenic relationships , in Pruett RC, Regan CDJ (eds): Retina Congress . New York, Appleton-Century-Crofts, 1972, pp 259-279. 2. Foos RY, Allen RA: Retinal tears and lesser lesions of the peripheral retina in autopsy eyes . Am J Ophthalmol 1967;64:643-655. 3. Teng CC, Katzin HM: An anatomic study of the peripheral retina: I. Non-pigmented epithelial cell proliferation and hole formation . Am J Ophthalmol 1951;34:1237-1248. 4. Okun E: Gross and microscopic pathology in autopsy eyes: III. Retinal breaks without detachment . Am J Ophthalmol 1961;51:369-391. 5. Daicker B: Anatomie und Pathologie der menschlichen retino-ziliaren Fundusperipherie . New York, S Karger AG, 1972, pp 107-118. 6. Vogt A: Die operative Therapie und die Pathogenese der Netzhautablösung . Stuttgart, West Germany, Ferdinand Enke Verlag, 1936, pp 213-239. 7. Foos RY: Postoral peripheral retinal tears . Ann Ophthalmol 1974;6:679-687. 8. Straatsma BR, Foos RY, Feman SS: Degenerative diseases of the peripheral retina , in Duane TD (ed): Clinical Ophthalmology . Hagerstown, Md, Harper & Row Publishers Inc, 1977, vol 13, chap 26. 9. Rutnin U, Schepens CL: Fundus appearance in normal eyes: II. The standard peripheral fundus and developmental variations . Am J Ophthalmol 1967;64:840-852. 10. Cibis PA: Vitreoretinal Pathology and Surgery in Retinal Detachment . St Louis, CV Mosby Co, 1965, p 80. 11. Davis MD, Segal PP, MacCormick A: The natural course followed by the fellow eye in patients with rhegmatogenous retinal detachment , in Pruett RC, Regan CDJ (eds): Retina Congress . New York, Appleton-Century-Crofts, 1974, pp 650-651. 12. Davis MD: The natural history of retinal breaks without detachment . Trans Am Ophthalmol Soc 1973;71:343-372.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1981

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