Abstract: A record of an epidemic of superficial punctate keratitis which appeared in Madras about May, 1928, and continued during the year that followed, embodying observations relating to the clinical appearances, biomicroscopy, epidemiology, aetiology and histopathology, of the disease, based on the investigation of over 900 cases BY
TL;DR: To the authors' knowledge, this is the most severe case of RF to be documented by OCT and illustrates that broad ILM peeling, including the RF, is effective for treating RF.
Abstract: Purpose
To report a case developing a severe retinal fold (RF), resembling a roll cake on optical coherence tomography (OCT), after retinal detachment (RD) surgery.
TL;DR: This outcome suggests the possibility of delayed postoperative success in flattening a retinal fold despite resistance to manipulation and failed attempts during the course of the surgery.
Abstract: PURPOSE We report a case with a dry macular fold after retinal detachment repair using spectral-domain optical coherence tomography images (SD-OCT) to evaluate details of the retinal architecture before and after surgical management. METHODS A 62-year-old man diagnosed with macula-threatening rhegmatogenous retinal detachment underwent primary vitrectomy with an encircling sclera buckle. On post-operative day 5, he was noted to have developed a juxtafoveal retinal fold. SD-OCT was used to image the retinal fold and documented apposition of the retinal layers and discontinuity within the photoreceptor layer in the vicinity of the retinal fold. RESULTS The attempts to detach and unfold the retina appeared minimally successful intraoperatively. However, as the gas bubble decreased, the retinal fold was noted to have resolved. Repeat SD-OCT documented flattening of the retinal fold with a well-preserved photoreceptor layer. CONCLUSION This outcome suggests the possibility of delayed postoperative success in flattening a retinal fold despite resistance to manipulation and failed attempts during the course of the surgery. To our knowledge, this is the first report that demonstrates this finding within the macular architecture after retinal detachment surgery in vivo using spectral-domain optical coherence tomography. These findings may have an important role in management of these cases and may become prognostic indicators based on the alterations in retinal anatomy demonstrated by high-resolution imaging.
TL;DR: In this paper, the central fold of the retina is eliminated after surgical treatment of extensive traumatic retinal detachment, endovitreal retinal puncture is performed around the fold area outside the macula.
Abstract: FIELD: medicine.SUBSTANCE: to eliminate the central fold of the retina after surgical treatment of extensive traumatic retinal detachment, endovitreal retinal puncture is performed around the fold area outside the macula. Balanced saline is injected subrationally until the retina detaches in this zone. PFOC is injected into the vitreous cavity prior to fold expansion, the internal border membrane is removed and PFOC is replaced by the gas-air mixture.EFFECT: possibility of visual functions restoration after traumatic injuries of the retina with formation of the central fold of the retina.5 cl, 1 ex, 2 dwg