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01.02.2018 | Vitreoretinal Disorders and Vitrectomy | Ausgabe 1/2018

Spektrum der Augenheilkunde 1/2018

Retinal folds following retinal detachment surgery: presentation of our own cases and literature review of risk factors, management and visual outcomes

Zeitschrift:
Spektrum der Augenheilkunde > Ausgabe 1/2018
Autoren:
Stefan Mennel, Jörg Schmidt, Dr. Kleanthis Manousaridis

Summary

Background

Formation of retinal folds is a serious and possibly underreported complication of vitrectomy with intraocular gas for retinal detachment. Certain risk factors are associated with this complication.

Materials and methods

Presentation of our own cases with retinal folds after retinal detachment surgery and review of the relevant literature.

Results

Spontaneous resolution of a retinal fold without surgical intervention with excellent visual outcome was observed in a patient operated with vitrectomy and intraocular gas for retinal detachment. In another case surgical intervention with repeat vitrectomy and macular detachment followed by intraocular gas resulted in complete resolution of a retinal fold with excellent visual outcome.

Conclusion

Retinal fold formation after vitrectomy for superior bullous retinal detachments running through the fovea can be managed both conservatively and surgically. Treatment decision is made on an individual basis depending on patient symptoms. Knowledge of the risk factors for fold formation and postoperative posturing after retinal detachment surgery is very important in order to avoid this complication.

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