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Related Experiment Videos

Retinal folds through the macula.

J C van Meurs1, D Humalda, D A Mertens

  • 1Retina Group, Eye Hospital, Rotterdam, The Netherlands.

Documenta Ophthalmologica. Advances in Ophthalmology
|January 1, 1991
PubMed
Summary
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Retinal folds through the macula occurred in 2.8% of primary retinal detachment repairs. This complication in acute bullous detachments can be minimized by careful air/gas bubble sizing and patient positioning.

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Retinal detachment is a serious condition requiring surgical repair.
  • Complications can arise from surgical techniques, impacting visual outcomes.

Purpose of the Study:

  • To report the incidence of postoperative macular retinal folds after primary retinal detachment repair.
  • To identify factors contributing to this complication and suggest preventive measures.

Main Methods:

  • A retrospective analysis of 137 consecutive conventional primary retinal detachment repairs.
  • Detailed review of cases with postoperative macular retinal folds, noting patient presentation and surgical details.

Main Results:

  • Four cases (2.8%) developed postoperative retinal folds through the macula.

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  • All affected patients had acute, bullous, superior detachments treated with encircling band, subretinal fluid drainage, air/gas injection, cryocoagulation, and radial buckle.
  • Folds were attributed to redundant retina interacting with the air/gas bubble during patient recumbency or positional changes.

    • Conclusions:

    • Macular retinal folds are a potential complication in primary retinal detachment repair, particularly in acute bullous cases.
    • Adjusting air/gas bubble volume and optimizing patient positioning can help mitigate this complication.