Which type of retinal detachment is characterized by strong vitreous traction?

The type of retinal detachment characterized by strong vitreous traction is rhegmatogenous. This form of detachment occurs when there is a tear or break in the retina, allowing fluid from the vitreous cavity to seep underneath the retina, lifting it away from the underlying retinal pigment epithelium. Vitreous traction plays a significant role in this process, as the vitreous gel can exert tension on the retina, particularly during events such as posterior vitreous detachment.

While non-rhegmatogenous retinal detachments are a category that includes types of detachments not caused by a tear, such as exudative detachments resulting from fluid accumulation for reasons like tumors or inflammation, they do not involve the same mechanism related to vitreous traction.

Exudative and passive detachments also do not arise from vitreous traction. Exudative detachments occur due to fluid accumulation beneath the retina without any break or tear, often linked to systemic or localized diseases. On the other hand, passive detachments can be secondary to other processes but are not driven by the mechanical forces exerted by the vitreous gel.

Understanding these distinctions is crucial for diagnosing and managing different types of retinal detachment effectively.