Abstract
Macular retinal folds are a rare yet grave complication of surgical rhegmatogenous retinal detachment repair. Clinical symptoms vary depending on the location and severity of folding. Fold located in the periphery of the ocular fundus can be asymptomatic, but macular retinal folds cause diminished visual acuity and metamorphopsia. Currently, the most effective treatment for retinal folds is repeat surgery. Its serious disadvantage is the risk of complications in the early postoperative period, including hemophthalmia, inflammation, secondary glaucoma, cataracts, RRD recurrence, macular tears, retinal vascular occlusion, etc. The clinical case described below demonstrates the potential of combination laser therapy for the treatment of macular retinal folds based on the use of modern diagnostic and therapeutic methods.
Highlights
Macular retinal folds are a rare yet grave complication of surgical rhegmatogenous retinal detachment (RRD) repair [1]
Retinal fold morphology was elucidated by optical coherence tomography (OCT)
Considering the patient’s complaints, his medical history and the results of the comprehensive ophthalmic examination, the following diagnosis was established: operated RRD in the right eye complicated with macular retinal folding; epiretinal membrane; avitria; artiphakia
Summary
Macular retinal folds are a rare yet grave complication of surgical rhegmatogenous retinal detachment (RRD) repair [1]. The literature on retinal folds associated with RRD surgery is scarce and mostly comprises clinical case reports. Two types of retinal folds were distinguished: partial-thickness (involving the inner or outer retina) and full-thickness folds The latter involve all layers of the retinal neuroepithelium and appear as a convex, deformed retina on OCT images. Considering the high risk of intra- and postoperative complications after repeat vitreoretinal surgery, it is important to develop a non-invasive pathogenetic treatment for retinal folds that would minimize potential damage to the sensory retina. We report the use of combination laser therapy for the macular retinal fold developing in the late postoperative period after surgical RRD repair
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