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Surgical Correction of Retinal Folds Involving the Fovea
- Source :
- Ophthalmic Surgery, Lasers and Imaging Retina. 45:50-53
- Publication Year :
- 2014
- Publisher :
- SLACK, Inc., 2014.
-
Abstract
- BACKGROUND AND OBJECTIVE: Retinal folds are a rare complication after retinal detachment repair. Surgery is required if the fovea is involved. There are few surgical reports in the literature, describing various surgical approaches. PATIENTS AND METHODS: The authors employed a surgical technique to treat retinal folds involving the fovea in a 59-year-old woman. Perimacular subretinal blebs were created with a 41-gauge cannula in conjunction with fluid-air exchange to coalesce the fluid at the macula. Perfluorocarbon liquid was injected to flatten the retina, and subretinal fluid drainage was performed through a peripheral retinotomy. RESULTS: The macula was successfully unfolded during surgery. Visual acuity improved from 20/800 to 20/50. After 3 months, mild changes at the outer nuclear layer were observed on optical coherence tomography, and autofluorescence showed tracks of hypoautofluorescence where the forced infusion of liquid started. CONCLUSION: The authors describe an effective surgical approach for the correction of retinal folds involving the fovea. Prompt treatment as well as gentle surgical manipulation are key points to obtain an improvement in visual acuity. [ Ophthalmic Surg Lasers Imaging Retina . 2014;45:50–53.]
- Subjects :
- Fovea Centralis
medicine.medical_specialty
Visual acuity
genetic structures
medicine.medical_treatment
Visual Acuity
Vitrectomy
Endotamponade
Retinal Diseases
Optical coherence tomography
Ophthalmology
Humans
Medicine
Fluorescein Angiography
Outer nuclear layer
Fluorocarbons
Retina
Laser Coagulation
medicine.diagnostic_test
business.industry
Air
Subretinal Fluid
Middle Aged
Fluorescein angiography
Cannula
eye diseases
Scleral Buckling
medicine.anatomical_structure
Drainage
Female
sense organs
medicine.symptom
business
Laser coagulation
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 23258179 and 23258160
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Ophthalmic Surgery, Lasers and Imaging Retina
- Accession number :
- edsair.doi.dedup.....451afdb0ab48a889f303d366391e4539