title: [Bilateral spontaneously reattached rhegmatogenous retinal detachment. Case report and differential diagnosis with pigmentary retinopathies].
abstract: BACKGROUND
  A dark pigmentation of the ocular fundus presents in degenerative diseases such as retinitis pigmentosa; this disease must be distinguished from others whose evolution is not progressive, in order to estimate the functional prognosis of the patient.
  
  
  OBJECTIVE
  To analyze the features which distinguish spontaneously reattached retinal detachment from other causes of ocular fundus pigmentation, in order to be able to identify it even in bilateral cases.
  
  
  METHODS
  A case of a female with chronic visual loss is presented, who was referred for evaluation with the diagnosis of a pigmented retinopathy. Clinical exploration discarded causes as retinitis pigmentosa, retinal inflammatory diseases or trauma. Based on the clinical features, on the topography of pigmentation and in the information provided by electroretinography, a bilateral spontaneous reattachment of rhegmatogenous retinal detachment was diagnosed made. Clinical features of this entity are discussed, as well as the diagnostic approach to distinguish it from other pigment retinopathies.
  
  
  CONCLUSIONS
  Clinical features of spontaneously reattached retinal detachment allow the explorer to distinguish it from other causes of bilateral pigmentation, despite presenting bilaterally. Since the prognosis of the attached retina is better than that of a degenerative disease, the correct diagnosis makes rehabilitation easier.
authors.affiliation: Servicio de Oftalmología, Hospital Juárez de México, Mexico DF, Mexico.
authors.forename: Jorge Guillermo
authors.initials: JG
authors.lastname: García-Guzmán
authors.affiliation: Servicio de Oftalmología, Hospital Juárez de México, Mexico DF, Mexico.
authors.forename: Yasmín
authors.initials: Y
authors.lastname: Franco-Yáñez
authors.affiliation: Servicio de Oftalmología, Hospital Juárez de México, Mexico DF, Mexico. vlimag@prodigy.net.mx.
authors.forename: Virgilio
authors.initials: V
authors.lastname: Lima-Gómez
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications; D003937:Diagnosis, Differential; D004596:Electroretinography; D005260:Female; D005654:Fundus Oculi; D005911:Gliosis / Q000150:complications; D006801:Humans; D006973:Hypertension / Q000150:complications; D018918:Phacoemulsification; D012075:Remission, Spontaneous; D012163:Retinal Detachment / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D012167:Retinal Perforations / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D055213:Retinal Pigment Epithelium / Q000473:pathology; D012174:Retinitis Pigmentosa / Q000175:diagnosis
keywords: Pigment retinopathy; desprendimiento de retina; retina; retinal detachment; retinopatía pigmentaria