Special Senses System

Eye, Retina - Detachment

Narrative
Comment:
Retinal detachment denotes pathologic expansion of the subretinal space, with partial to complete displacement of the retina from its normal association with the retinal pigment epithelium (RPE). Retinal detachment has many causes, including traumatic retinal tears or holes (rhegmatogenous detachment); traction by abnormal vitreal fibrous membranes; and space-occupying materials in the subretinal space, such as serous or inflammatory exudates, blood, or neoplastic cells. Retinal detachments can also result from any other factor that disrupts the normal intimate association of the RPE and the rod and cone photoreceptor processes, such as acquired or heritable retinal cell or RPE degenerations; metabolic diseases; and/or dysfunction of retinal or choroidal vasculature. Spontaneous detachments of uncertain etiology can also occur sporadically in rats and mice. True detachments must be distinguished from artifactual separation (which is a common postmortem occurrence). Features of true detachments can include fluid, hemorrhage, and/or inflammatory or neoplastic cells in the subretinal space, as well as secondary degeneration of the detached retina (especially the rod and cone photoreceptors) and reactive RPE hypertrophy and/or hyperplasia.

Complete retinal detachment can result in a classic cone or funnel shape that in microscopic cross section has a Y- or V-like configuration (Figure 1 and Figure 2). Large amounts of subretinal fluid may displace the detached and degenerate retina from the posterior fundus. The detached retina may be degenerate, and the RPE may exhibit hypertrophy and hyperplasia (Figure 2).
Recommendations:
Retinal detachment should be diagnosed and assigned a severity grade. Associated lesions, such as hypertrophy and hyperplasia of the RPE, hemorrhage, or subretinal fluid accumulation, should not be diagnosed separately unless warranted by severity, but should be described in the pathology narrative. Associated lesions, such as inflammation, should be diagnosed separately.
References:

Geiss V, Yoshitomi K. 1991. Eyes. In: Pathology of the Mouse: Reference and Atlas (Maronpot RR, Boorman GA, Gaul BW, eds). Cache River Press, Vienna, IL, 471-489.

Abstract: http://www.cacheriverpress.com/books/pathmouse.htm

Greaves P. 2007. Nervous system and special sense organs. In: Histopathology of Preclinical Toxicity Studies: Interpretation and Relevance in Drug Safety Evaluation, 3rd ed. Academic Press, San Diego, CA, 861-933.

Abstract: http://www.sciencedirect.com/science/book/9780444527714

Kakehashi A, Saito Y, Mori K, Sugi N, Ono R, Yamagami H, Shinohara M, Tamemoto H, Ishikawa SE, Kawakami M, Kanazawa Y. 2006. Characteristics of diabetic retinopathy in SDT rats. Diabetes Metab Res Rev 22:455-461.

Full Text: http://onlinelibrary.wiley.com/doi/10.1002/dmrr.638/full

Kuno H, Usui T, Eydelloth RS, Wolf ED. 1991. Spontaneous ophthalmic lesions in young Sprague-Dawley rats. J Vet Med Sci 53:607-614.

Abstract: https://www.ncbi.nlm.nih.gov/pubmed/10845604

National Toxicology Program. 1997. NTP TR-450. Toxicology and Carcinogenesis Studies of Tetrafluoroethylene (CAS No. 116-14-3) in F344 Rats and B6C3F1 Mice (Inhalation Studies). NTP, Research Triangle Park, NC.

Abstract: https://ntp.niehs.nih.gov/go/6044

Ramos M, Reilly CM, Bolon B. 2011. Toxicological pathology of the retina and optic nerve. In: Fundamental Neuropathology for Pathologists and Toxicologists (Bolon B, Butt MT, eds). Wiley, Hoboken, NJ, 385-412.

Abstract: http://onlinelibrary.wiley.com/doi/10.1002/9780470939956.ch24/summary

Smith RS, Hawes NL, Chang B, Nishina PM. 2002. Retina. In: Systematic Evaluation of the Mouse Eye: Anatomy, Pathology, and Biomethods (Smith RS, John SWM, Nishina PM, Sundberg JP, eds). CRC Press, Boca Raton, FL, 195-225.

Takase H, Yu C-R, Ham D-I, Chan C-C, Chen J, Vistica BP, Warousek EF, Durum SK, Egwuagu CE, Gery I. 2006. Inflammatory processes triggered by TCR engagement or by local cytokine expression: Differences in profiles of gene expression and infiltrating cell populations. J Leukocyte Biol 80:538-545.

Abstract: https://www.ncbi.nlm.nih.gov/pubmed/16793919

Taradach C, Greaves P, Rubin LF. 1984. Spontaneous eye lesions in laboratory animals: Incidence in relation to age. Crit Rev Toxicol 12:121-147.

Abstract: https://www.ncbi.nlm.nih.gov/pubmed/6368130
  • Image of retina detachment in the eye from a female F344/N rat in a chronic study

    Eye, Retina - Detachment in a female F344/N rat from a chronic study (higher magnification of Figure 1). There is proteinaceous fluid in the subretinal space (S) with complete disassociation of the retina (arrows) from the posterior fundus.

Enlarge Image