BACKGROUND: Retinal folds (RF) following retinal detachment (RD) surgery are infrequent complications and their management is controversial. Spontaneous resolution of RF has been reported. METHODS: An observational case report of a surgical complication of RD surgery was done. The progressive migration of a postoperative macular fold away from the center of the fovea was documented by optical coherence tomography (OCT) and retinography. RESULTS: A macular fold was detected following 23G vitrectomy with liquid perfluorocarbon injection, photocoagulation, and SF6 injection to treat a bullous rhegmatogenous retinal detachment. In the following year, visual acuity remained stable at 20/25 while the macular fold migrated 1 mm away from the center of the fovea. CONCLUSIONS: A conservative approach may be appropriate in cases of macular fold following retinal detachment surgery, provided that good visual acuity is present and OCT shows a trend towards migration of the macular fold.
BACKGROUND: Retinal folds (RF) following retinal detachment (RD) surgery are infrequent complications and their management is controversial. Spontaneous resolution of RF has been reported. METHODS: An observational case report of a surgical complication of RD surgery was done. The progressive migration of a postoperative macular fold away from the center of the fovea was documented by optical coherence tomography (OCT) and retinography. RESULTS: A macular fold was detected following 23G vitrectomy with liquid perfluorocarbon injection, photocoagulation, and SF6 injection to treat a bullous rhegmatogenous retinal detachment. In the following year, visual acuity remained stable at 20/25 while the macular fold migrated 1 mm away from the center of the fovea. CONCLUSIONS: A conservative approach may be appropriate in cases of macular fold following retinal detachment surgery, provided that good visual acuity is present and OCT shows a trend towards migration of the macular fold.
Authors: A Hayashi; S Usui; K Kawaguchi; S Fujioka; S Kusaka; T Fujikado; M Ohji; Y Tano Journal: Invest Ophthalmol Vis Sci Date: 2000-12 Impact factor: 4.799