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Photo Essay
November 2002

Avulsed Retinal Vessel With Operculated Retinal Break

Arch Ophthalmol. 2002;120(11):1594-1595. doi:10.1001/archopht.120.11.1594

THE INCIDENCE of spontaneous vitreous hemorrhage is approximately 7 per 100 000. Dynamic vitreoretinal traction (DVRT) is the leading cause and accounts for more than one third of cases (DRVT with retinal tear—30%; DRVT without retinal tear—8%).1 In this setting, the presence of blood in the vitreous cavity typically results from DRVT on a retinal vessel during vitreous separation. It is believed that the posterior hyaloid is more strongly adherent over the major retinal vessels, and traction with subsequent gel separation may lead to disruption of the vessel wall.

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