Related Experiment Video
Updated: Aug 8, 2026
11:20
Retinal Pigment Epithelium Transplantation in a Non-human Primate Model for Degenerative Retinal Diseases
Published on: June 14, 2021
Posterior retinal folds following vitreoretinal surgery
W I Larrison1, A R Frederick, T J Peterson
1Connecticut Retina Consultants, New Haven 06519.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|May 1, 1993
Summary
Posterior retinal folds after surgery can cause vision problems. Improving subretinal fluid drainage during retinal reattachment surgery may reduce fold formation and preserve visual acuity.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Posterior retinal folds are a known complication following retinal reattachment surgery.
- These folds can lead to visual disturbances such as metamorphopsia and decreased visual acuity.
Purpose of the Study:
- To investigate the incidence and contributing factors of posterior retinal folds after retinal reattachment surgery.
- To identify surgical techniques that may minimize the risk of fold formation.
Main Methods:
- Retrospective review of 32 patients undergoing retinal reattachment surgery.
- Analysis of surgical techniques including pars plana vitrectomy, fluid-air exchange, and scleral buckle.
- Evaluation of drainage methods for subretinal fluid (internal vs. external).
Main Results:
- Posterior retinal folds were observed in a subset of patients.
- Incomplete subretinal fluid drainage was associated with fold formation.
- Folds involving the macula correlated with metamorphopsia and reduced visual acuity.
Conclusions:
- Inadequate elimination of subretinal fluid can lead to posterior retinal folds.
- Surgical modifications, such as internal drainage via posterior retinotomy and thorough fluid removal, may reduce fold incidence.
- Optimizing fluid drainage is crucial for preventing folds and maintaining visual function post-surgery.
