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Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery
Published on: April 14, 2026
Sliding macular fold following retinal detachment surgery
Jose M Ruiz-Moreno1, Javier A Montero
1Department of Ophthalmology, Castilla La Mancha University, Albacete, Spain.
Summary
Retinal folds after retinal detachment surgery can resolve spontaneously. A conservative approach may be suitable for macular folds if visual acuity remains good and the fold migrates.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Surgical Complications
Background:
- Retinal folds (RF) are uncommon complications after retinal detachment (RD) surgery.
- Management strategies for RF remain controversial, with some cases showing spontaneous resolution.
Observation:
- A case report details a macular fold developing post-vitrectomy for bullous rhegmatogenous retinal detachment.
- Optical coherence tomography (OCT) and retinography documented the fold's progressive migration away from the fovea.
Findings:
- Despite the macular fold, visual acuity remained stable at 20/25 one year post-surgery.
- The macular fold migrated 1 mm from the foveal center during the follow-up period.
Implications:
- A conservative management approach may be considered for macular folds post-RD surgery.
- Good visual acuity and observed fold migration support a conservative strategy.
