Surgical management for macular folds after macular epiretinal membrane surgery: a report of two cases
Keywords:
Macula lutea, Retina, Visual acuityAbstract
We report two rare cases of macular fold development after membrane peeling operation for epiretinal membrane. Patient 1 developed both inner and outer retinal folds, and patient 2 developed inner retinal fold; both were partial thickness macular folds. There was no evidence of retinal detachment or any preoperative macular fold. These configurations of retinal folds after macular epiretinal membrane surgery have not been reported before. In patient 1, four retinotomy sites were required to induce a complete macula detachment, as the retina was abnormally adherent than usual. In patient 2, no macular detachment was induced, and no intravitreal tamponade was used. Soft-tip cannula was used to relieve the inner retinal attachments. To the best of our knowledge, this is the first reported case using this method to successfully manage a retinal fold. This technique avoids the potential risks associated with retinotomies, macular re-detachment, and intravitreal tamponade. Both patients achieved resolution of macular folds and improvement in visual acuity.
References
Gupta RR, Iaboni DSM, Seamone ME, Sarraf D. Inner, outer, and full-thickness retinal folds after rhegmatogenous retinal detachment repair: a review. Surv Ophthalmol 2019;64:135-61.
Pavan PR. Retinal fold in macula following intraocular gas. An avoidable complication of retinal detachment surgery. Arch Ophthalmol 1984;102:83-4.
Iafe NA, Law S, Sarraf D, Tsui I. Outer retinal folds following pars plana vitrectomy with membrane peel. Retin Cases Brief Rep 2017;11 Suppl 1:S31-S33.
Gass JDM. Hypotony maculopathy. In: Bellows JG, editor. Contemporary Ophthalmology: Honouring Sir Stewart Duke-Elder. Baltimore: Williams and Wilkins; 1972: 343-66.
Williams BK Jr, Chang JS, Flynn HW Jr. Optical coherence tomography imaging of chorioretinal folds associated with hypotony maculopathy following pars plana vitrectomy. Int Med Case Rep J 2015;8:199-203.
Hayashi A, Usui S, Kawaguchi K, et al. Retinal changes after retinal translocation surgery with scleral imbrication in dog eyes. Invest Ophthalmol Vis Sci 2000;41:4288-92.
Ahn SJ, Woo SJ, Ahn J, Park KH. Spontaneous resolution of macular fold following retinal reattachment: morphologic features on SD-OCT. Ophthalmic Surg Lasers Imaging 2011;42:e81-3.
Saatci AO, Barut Selver O, Parlak M. Long-term follow-up of the postoperative macular fold following the vitreoretinal surgery with air tamponade. Case Rep Ophthalmol Med 2013;2013:408351.
Sheng J, Levinson JD, Reilly G, Patronas M, Lai MM. Imaging characteristics and natural history of macular pseudo-folds mimicking full-thickness postoperative macular folds following retinal detachment repair. Ophthalmic Surg Lasers Imaging Retina 2017;48:488-92.
Alhabshan R, Sabbagh O, Patronas M. Resolution of large outer retinal fold following retinal detachment surgery with visual acuity restoration to 20/20: a case report and literature review. J VitreoRetinal Dis 2018;2:305-11.
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