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Postoperative roll cake-like macular fold after retinal detachment surgery
Ryusaburo Mori1, Hiroyuki Nakashizuka2, Yumiko Machida1
1Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
International Ophthalmology
|April 5, 2017
Summary
A severe retinal fold (RF) after retinal detachment (RD) surgery, resembling a roll cake on OCT, was successfully treated. Broad internal limiting membrane (ILM) peeling effectively flattened the severe RF.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Retinal detachment (RD) surgery can lead to complications.
- Severe retinal folds (RFs) are a rare but significant post-operative complication.
Observation:
- A 61-year-old male developed a severe, "roll cake"-like retinal fold (RF) after rhegmatogenous retinal detachment (RD) surgery and gas tamponade.
- Optical coherence tomography (OCT) confirmed the severe RF, which persisted despite prone positioning.
Findings:
- The severe RF resolved following a repeat vitrectomy.
- Surgical intervention included internal limiting membrane (ILM) peeling, creation of a new detachment, perfluorocarbon liquid injection, air-fluid exchange, and silicone oil tamponade.
- This approach effectively flattened the severe RF, as visualized by OCT.
Implications:
- This case represents the most severe RF documented by OCT to date.
- Broad ILM peeling, encompassing the RF, is a crucial technique for managing severe RFs.
- Effective management of severe RFs can improve surgical outcomes after RD repair.