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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 8  |  Page : 1346

Imaging hydration folds following retinal detachment repair


Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India

Date of Web Publication22-Jul-2019

Correspondence Address:
Dr. Rupak Roy
Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_27_19

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How to cite this article:
Goel S, Rijey A J, Kumar S, Roy R. Imaging hydration folds following retinal detachment repair. Indian J Ophthalmol 2019;67:1346

How to cite this URL:
Goel S, Rijey A J, Kumar S, Roy R. Imaging hydration folds following retinal detachment repair. Indian J Ophthalmol [serial online] 2019 [cited 2019 Oct 20];67:1346. Available from: http://www.ijo.in/text.asp?2019/67/8/1346/263141



A 53-year-old male underwent retinal detachment (RD) repair surgery in left eye. Postoperatively, fundus showed hydration folds [Figure 1]a, which were hypoautofluorescent on blue autofluorescence [Figure 1]b. Spectral domain optical coherence tomography (SD-OCT) demonstrated outer retinal folds as hyperreflective lesions in outer retina [Figure 1]c.
Figure 1: Color fundus photograph (a) of left eye showed hydration folds (blue arrows) and silicon oil reflex (black arrow). Blue autofluorescence (b) showed hypoautofluorescence (arrows) in the corresponding areas of hydration folds. Spectral domain optical coherence tomography (c) demonstrated outer retinal folds as focal hyperreflective lesions in outer retina (arrow). External limiting membrane and ellipsoid zone appear to be involved in the folds extending into outer nuclear layer

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Partial-thickness folds of inner and outer retina or full-thickness folds may occur after RD repair surgery.[1],[2] SD-OCT can be used to differentiate between them.[3] Partial-thickness folds can improve spontaneously with time and have good visual outcome.[4] However, full-thickness folds involving fovea need to be treated surgically.[5]

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Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Dell'Omo R, Mura M, Lesnik Oberstein SY, Bijl HTH. Early simultaneous fundus autofluorescence and optical coherence tomography features after pars plana vitrectomy for primary rhegmatogenous retinal detachment. Retina 2012;32:719-28.  Back to cited text no. 1
    
2.
El-amir AN, Every S, Patel CK. Repair of macular fold following retinal reattachment surgery. Clin Exp Ophthalmol 2007;35:791-2.  Back to cited text no. 2
    
3.
Gupta RR, Iaboni DSM, Seamone ME, Sarraf D. Inner, outer, and full-thickness retinal folds after rhegmatogenous retinal detachment repair: A review. Surv Ophthalmol 2018;64:135-61.  Back to cited text no. 3
    
4.
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.  Back to cited text no. 4
    
5.
Mori R, Nakashizuka H, Machida Y, Shimada H, Yuzawa M. Postoperative roll cake-like macular fold after retinal detachment surgery. Int Ophthalmol 2018;38:767-70.  Back to cited text no. 5
    


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