{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:23:39Z","timestamp":1777407819099,"version":"3.51.4"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T00:00:00Z","timestamp":1658534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T00:00:00Z","timestamp":1658534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Tractional retinal detachment secondary to retinal vein occlusion is a complex entity that can be extremely difficult to manage due to an intricate association of the retinal tissue with the fibrovascular proliferation, making vitreous dissection an extraordinarily difficult procedure. Minimal surgery without endo-tamponade can reduce recovery time and avoid complications of surgery, which in some cases can lead to blindness and even phthisis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 64-year-old Indian woman presented with progressive worsening of vision (right eye) due to fovea involving tractional retinal detachment secondary to supero-temporal branch retinal vein occlusion. After anterior, core and peripheral vitrectomy, the epicenter of the fibrous bridge causing foveal split was identified and released. The corrected distance visual acuity improved from 6\/60 pre-operatively to 6\/12 post-operatively. At the 5-year follow-up, the patient remains stable both anatomically and visually.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case illustrates how careful identification of the epicenter of traction helps maximize visual gain in patients with minimal risk of iatrogenic retinal tears and eliminates the need for endo-tamponade with either gas or silicone oil.  Minimal surgery for tractional detachment provides excellent visual gains with minimal risks in select cases.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-022-03496-3","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T23:03:38Z","timestamp":1658531018000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Minimal surgery for tractional retinal detachment secondary to branch retinal vein occlusion: a case report"],"prefix":"10.1186","volume":"16","author":[{"given":"Alper","family":"Bilgic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Sudhalkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,7,23]]},"reference":[{"key":"3496_CR1","doi-asserted-by":"crossref","unstructured":"Ikuno Y, Ikeda T, Sato Y, Tano Y. 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Ophthalmology. 1998;105(3):417\u201323.","journal-title":"Ophthalmology"},{"issue":"1","key":"3496_CR4","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/S0002-9394(14)73252-0","volume":"108","author":"S Russell","year":"1989","unstructured":"Russell S, Blodi C, Folk J. Vitrectomy for complicated retinal detachments secondary to branch retinal vein occlusions. Am J Ophthalmol. 1989;108(1):6\u20139.","journal-title":"Am J Ophthalmol"},{"key":"3496_CR5","doi-asserted-by":"publisher","first-page":"1326","DOI":"10.1038\/sj.eye.6702195","volume":"20","author":"M Singh","year":"2006","unstructured":"Singh M, Dhir L, Kon C, Rassam S. Tractional retinal break and rhegmatogenous retinal detachment consequent to branch retinal vein occlusion. Eye. 2006;20:1326\u20137.","journal-title":"Eye"},{"issue":"6","key":"3496_CR6","first-page":"265","volume":"7","author":"R Margolis","year":"2006","unstructured":"Margolis R, Singh RP, Kaiser PK. Branch retinal vein occlusion: clinical findings, natural history, and management. Compr Ophthalmol Update. 2006;7(6):265\u201376.","journal-title":"Compr Ophthalmol Update"},{"key":"3496_CR7","unstructured":"Weng H, Sung S-Y, Wang J-K. Rhegmatogenous or tractional retinal detachment and vitreous hemorrhage associated with branch retinal vein occlusion in a Taiwanese patient. Clin Res Ophthalmol. 2018;1(1):1\u20133."},{"issue":"5","key":"3496_CR8","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1016\/S0008-4182(06)80030-X","volume":"41","author":"TM Johnson","year":"2006","unstructured":"Johnson TM, Vaughn CW, Glaser BM. Branch retinal vein occlusion associated with vitreoretinal traction. Can J Ophthalmol. 2006;41(5):600\u20132.","journal-title":"Can J Ophthalmol"},{"issue":"6","key":"3496_CR9","first-page":"440","volume":"57","author":"CZ Zheng","year":"2021","unstructured":"Zheng CZ, Ren XJ, Ke YF, Wen DJ, Li XR. Minimally invasive vitrectomy for the treatment of severe proliferative diabetic retinopathy. Zhonghua Yan Ke Za Zhi. 2021;57(6):440\u20136.","journal-title":"Zhonghua Yan Ke Za Zhi"},{"issue":"3","key":"3496_CR10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248164","volume":"16","author":"A Sedova","year":"2021","unstructured":"Sedova A, Steiner I, Matzenberger RP,  et al. Comparison of safety and effectiveness between 23-gauge and 25-gauge vitrectomy surgery in common vitreoretinal diseases. PLoS ONE. 2021;16(3): e0248164.","journal-title":"PLoS ONE"},{"issue":"5","key":"3496_CR11","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1097\/IAE.0000000000000459","volume":"35","author":"M Reibaldi","year":"2015","unstructured":"Reibaldi M, Longo A, Avitabile T, et al. Transconjunctival nonvitrectomizing vitreous surgery versus 25-gauge vitrectomy in patients with epiretinal membrane: a Prospective Randomized Study. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"AB and AS have no financial disclosures.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"285"}}