Abstract
Retinal folds (RF) following retinal detachment (RD) surgery are infrequent complications and their management is controversial. Spontaneous resolution of RF has been reported. An observational case report of a surgical complication of RD surgery was done. The progressive migration of a postoperative macular fold away from the center of the fovea was documented by optical coherence tomography (OCT) and retinography. A macular fold was detected following 23G vitrectomy with liquid perfluorocarbon injection, photocoagulation, and SF6 injection to treat a bullous rhegmatogenous retinal detachment. In the following year, visual acuity remained stable at 20/25 while the macular fold migrated 1mm away from the center of the fovea. A conservative approach may be appropriate in cases of macular fold following retinal detachment surgery, provided that good visual acuity is present and OCT shows a trend towards migration of the macular fold.
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