Which condition is known to cause strong attachment of the retina leading to tractional retinal detachment?

The presence of diabetes with vitreomacular traction syndrome is recognized for causing strong attachment of the retina, which can lead to tractional retinal detachment. In this condition, the vitreous gel in the eye can pull on the retina as it shifts away from its normal position, resulting in abnormal traction that may cause the retina to detach from the underlying layers.

This condition is characterized by changes in the vitreous and retina due to diabetes, such as the formation of scar tissue. When blood vessels in the retina become damaged, they can lead to the growth of fibrous tissue. This fibrous tissue, when it contracts, can exert traction on the retina, causing it to detach. Therefore, the strong attachment in this context refers to the abnormal adherence between the vitreous and the retina that creates tension, ultimately leading to complications like detachment.

In contrast, age-related macular degeneration typically involves degeneration of the macula and does not usually result in tractional detachment. Chronic glaucoma is more related to optic nerve damage than to the structural attachments involving retinal detachment. Retinal vein occlusion involves blockage of the veins carrying blood away from the retina, leading to other complications, but does not primarily cause tractional retinal detachment as described.