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Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery
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[Macular fold following retinal detachment surgery].
L Trinh1, A Glacet-Bernard, V Colasse-Marthelot
1Clinique Ophtalmologique Universitaire de Créteil, Hôpital Intercommunal et Henri Mondor (Assistance Publique des Hôpitaux de Paris), Université de Paris XII, Créteil, France.
Journal Francais D'Ophtalmologie
|November 23, 2006
Summary
A macular fold can form after vitrectomy for retinal reattachment, likely due to fluid displacement during gas-exchange. This case report details its treatment and suggests preventative measures for retinal detachment surgery.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Retinal folds post-vitrectomy are uncommon complications.
- This report details a case of macular fold formation after retinal reattachment surgery.
Observation:
- A 45-year-old patient developed a fovea-centered retinal fold after vitrectomy, perfluorocarbon injection, and fluid/gas exchange for a macula-on retinal detachment.
- The fold was treated by creating a new posterior pole detachment, repositioning the fold with perfluorocarbon liquid, endolaser, and silicone oil injection.
Findings:
- The macular fold was successfully repositioned superiorly after treatment, flattening the macula.
- Complete fluid/gas exchange during vitrectomy likely caused subretinal fluid displacement, leading to macular detachment and fold formation.
Implications:
- Complete fluid/gas exchange may contribute to macular fold formation in macula-on retinal detachments.
- Avoiding systematic perfluorocarbon use and employing limited gas bubbles with postoperative positioning may prevent this complication.
