CC BY 4.0 · Klin Monbl Augenheilkd 2025; 242(04): 448-450
DOI: 10.1055/a-2521-4013
Der interessante Fall

Spontaneous Regression of Postoperative Paracentral Posterior Retinal Folds after Vitrectomy for Rhegmatogenous Pseudophakic Retinal Detachment

Spontane Rückbildung von postoperativen parazentralen hinteren Netzhautfalten nach Vitrektomie bei rhegmatogener pseudophaker Netzhautablösung
1   Department of Ophthalmology, Stadtspital Zürich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
,
Karin Fröse
1   Department of Ophthalmology, Stadtspital Zürich Triemli, Zurich, Switzerland
,
1   Department of Ophthalmology, Stadtspital Zürich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
3   Department of Ophthalmology, Semmelweis University, Budapest, Hungary
,
Matthias Becker
1   Department of Ophthalmology, Stadtspital Zürich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
4   Department of Ophthalmology, University of Heidelberg, Germany
› Institutsangaben

Introduction/Background

Posterior retinal folds represent a rare yet potentially severe complication following retinal detachment surgery. Although these have a considerable impact on visual outcomes, they are still underreported in the literature, with an incidence as low as 2.8% or as single case reports [1]. As the practice of primary vitrectomy for retinal detachment repair continues to gain popularity [2], there is an increasing concern about the incidence of this complication [1]. Retinal folds can result in photoreceptor dysfunction, visual field defects, and metamorphopsia, which have a significant impact on patientsʼ quality of life [3], [4], [5], [6]. This case report presents a unique example of spontaneous regression of a paracentral posterior retinal fold following primary vitrectomy for rhegmatogenous retinal detachment in a pseudophakic eye. This contributes to the limited body of evidence on the natural history and management of this complication.



Publikationsverlauf

Eingereicht: 27. Oktober 2024

Angenommen: 25. Dezember 2024

Artikel online veröffentlicht:
27. Februar 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 
  • References

  • 1 Heimann H, Bopp S. Retinal folds following retinal detachment surgery. Ophthalmologica 2011; 226 (Suppl. 1) S18-S26
  • 2 Warren A, Wang DW, Lim JI. Rhegmatogenous retinal detachment surgery: A review. Clin Experiment Ophthalmol 2023; 51: 271-279
  • 3 Fukuyama H, Yagiri H, Araki T. et al. Quantitative assessment of outer retinal folds on enface optical coherence tomography after vitrectomy for rhegmatogenous retinal detachment. Sci Rep 2019; 9: 2327
  • 4 Lee WW, Bansal A, Sadda SR. et al. Outer Retinal Folds after Pars Plana Vitrectomy vs. Pneumatic Retinopexy for Retinal Detachment Repair: Post hoc analysis from PIVOT. Ophthalmol Retina 2022; 6: 234-242
  • 5 dellʼOmo R, Tan HS, Schlingemann RO. et al. Evolution of outer retinal folds occurring after vitrectomy for retinal detachment repair. Invest Ophthalmol Vis Sci 2012; 53: 7928-7935
  • 6 Saleh M, Gauthier AS, Delbosc B. et al. Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery. Ophthalmologica 2018; 240: 121-128
  • 7 Ruiz-Moreno JM, Montero JA. Sliding macular fold following retinal detachment surgery. Graefes Arch Clin Exp Ophthalmol 2011; 249: 301-303
  • 8 van Meurs JC, Humalda D, Mertens DA. et al. Retinal folds through the macula. Doc Ophthalmol 1991; 78: 335-340
  • 9 Larrison WI, Frederick AR, Peterson TJ. et al. Posterior retinal folds following vitreoretinal surgery. Arch Ophthalmol 1993; 111: 621-625
  • 10 Lewen RM, Lyon CE, Diamond JG. Scleral buckling with intraocular air injection complicated by arcuate retinal folds. Arch Ophthalmol 1987; 105: 1212-1214
  • 11 Pavan PR. Retinal fold in macula following intraocular gas. An avoidable complication of retinal detachment surgery. Arch Ophthalmol 1984; 102: 83-84
  • 12 Sen P, Giridhar S. Commentary: Retinal folds: To operate or not to operate. Indian J Ophthalmol 2020; 68: 1200
  • 13 Gupta RR, Iaboni DSM, Seamone ME. et al. Inner, outer, and full-thickness retinal folds after rhegmatogenous retinal detachment repair: A review. Surv Ophthalmol 2019; 135-161
  • 14 Ahn SJ, Woo SJ, Ahn J. et al. Spontaneous resolution of macular fold following retinal reattachment: morphologic features on SD-OCT. Ophthalmic Surg Lasers Imaging 2011; 42 Online: e81-e83