Here’s a great teaching photo of an unique rhegmatogenous retinal detachment. ⁠
On first inspection, it looks like a round hole “retinogenic” retinal detachment however there’s clues to show this is not the case. ⁠

1) There’s peripheral cystoid degeneration peripherally⁠
2) There’s a mix of small round holes and larger rolled edge holes⁠
3) The largest hole actually has a superficial/inner retinal vessel running over it!
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This is a retinoschisis retinal detachment (RSRD) with inner and outer leaf retinal breaks leading to a full thickness retinal break and subsequent retinal detachment.

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