Which of the following is a management step for suspected retinal tear due to PVD?

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In cases of suspected retinal tear due to posterior vitreous detachment (PVD), laser photocoagulation is often the appropriate management step. The rationale behind this approach is that laser photocoagulation creates a thermal effect that induces scarring around the retinal tear. This scarring helps to seal the tear and prevent further fluid from entering the subretinal space, thereby reducing the risk of retinal detachment.

The use of laser treatment is particularly effective because it can be performed on an outpatient basis and is aimed at stabilizing the retinal condition through non-invasive means. Early intervention with laser photocoagulation can be crucial in preserving vision, as any delay might increase the risk of more serious complications, such as a full retinal detachment.

Other management options, such as systemic anticoagulation, immediate surgical intervention, or oral steroids, are generally not indicated for retinal tears related to PVD and could be reserved for different conditions or specific clinical scenarios. Therefore, laser photocoagulation stands out as the most direct and effective method for addressing a suspected retinal tear in this context.

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