This is an anterior-posterior, slightly nasal view B-Scan ultrasound, demonstrating an unusual persistent vitreopapillary adhesion in a PVR retinal detachment with little movement. Interestingly, the vitreous, while separated in most areas, has a persistent attachment to the area of the retina at the optic nerve head, producing a second v-like appearance within the confines of this retinal detachment. A vast majority of the time, the vitreous detaches completely from the optic nerve during a retinal detachment. As can be seen here, neovascular tissue has grown from the nerve head and is adherent to the formed vitreous face over the nerve head area.

With contributions from Sam Nemiroff, Yale University ('16).

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