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Ophthalmic Images

Imaging hydration folds following retinal detachment repair

Goel, Sugandha; Rijey, A Joash; Kumar, Saurabh; Roy, Rupak

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Indian Journal of Ophthalmology: August 2019 - Volume 67 - Issue 8 - p 1346
doi: 10.4103/ijo.IJO_27_19
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A 53-year-old male underwent retinal detachment (RD) repair surgery in left eye. Postoperatively, fundus showed hydration folds [Fig. 1a], which were hypoautofluorescent on blue autofluorescence [Fig. 1b]. Spectral domain optical coherence tomography (SD-OCT) demonstrated outer retinal folds as hyperreflective lesions in outer retina [Fig. 1c].

Figure 1
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

Partial-thickness folds of inner and outer retina or full-thickness folds may occur after RD repair surgery.[12] 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]

Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.

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
2. El-amir AN, Every S, Patel CK. Repair of macular fold following retinal reattachment surgery Clin Exp Ophthalmol. 2007;35:791–2
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
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
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
© 2019 Indian Journal of Ophthalmology | Published by Wolters Kluwer – Medknow