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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 629 |
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Findings of optical coherence tomography and fundus autofluorescence of macular fold
Kuan-Jen Chen1, Yen-Ting Chen2, Hung-Da Chou1
1 Department of Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan; College of Medicine, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan
2 Department of Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taoyuan, Taiwan
| Date of Web Publication | 28-Apr-2023 |
Correspondence Address:
Kuan-Jen Chen
Department of Ophthalmology, Chang Gung Memorial Hospital, 5 Fuhsing Street, Kwei-Shan, 333, Taoyuan
Taiwan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2089_22
How to cite this article:
Chen KJ, Chen YT, Chou HD. Findings of optical coherence tomography and fundus autofluorescence of macular fold. Indian J Ophthalmol Case Rep 2023;3:629 |
How to cite this URL:
Chen KJ, Chen YT, Chou HD. Findings of optical coherence tomography and fundus autofluorescence of macular fold. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 10];3:629. Available from: https://www.ijoreports.in/text.asp?2023/3/2/629/374931 |
A 51-year-old female had macula-off bullous rhegmatogenous retinal detachment. She underwent vitrectomy with C3F8 tamponade. Two weeks later, examination demonstrated a macular fold [Figure 1]a. Optical coherence tomography (OCT) demonstrated a hairpin-like retinal fold [Figure 1]b.[1],[2] The macular fold resolved with an inferiorly shifted retinal fold after vitrectomy, subretinal balanced salt solution injection, and SF6 tamponade. Fundus autofluorescence imaging showed hyperautofluorescence (arrowheads) over the previous macular fold and hypoautofluorescence (arrows) in the inferiorly shifted retinal fold [Figure 1]c. OCT revealed focal hyperreflective lesions in the outer retina [Figure 1]d. The post-vitrectomy macular folds can be successfully resolved by further vitrectomy.[3],[4] | Figure 1: (a) Fundus photographs showing a macular fold (arrowheads) extending toward the inferotemporal retinal periphery. (b) OCT showing a hairpin-like retinal fold with base-to-base photoreceptor apposition. (c) Fundus autofluorescence imaging showing hyperautofluorescence (arrowheads) over the previous macular fold and hypoautofluorescence (arrows) in the inferiorly shifted retinal fold. (d) OCT showing hyperreflective lesions in the outer retina
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Gupta RR, Iaboni DSM, Seamone ME, Sarraf D. Inner, outer, and full-thickness retinal folds after rhegmatogenous retinal detachment repair: A review. Surv Ophthalmol 2019;64:135-61.  |
| 2. | Dell'Omo R, Stevie Tan H, Schlingemann RO, Bijl HM, Lesnik Oberstein SY, Barca F, et al. Evolution of outer retinal folds occurring after vitrectomy for retinal detachment repair. Invest Ophthalmol Vis Sci 2012;53:7928e35. |
| 3. | Witkin AJ, Hsu J. Surgical repair of macular fold after vitrectomy for bullous rhegmatogenous retinal detachment. Retina 2012;32:1666-9. |
| 4. | Radeck V, Helbig H, Prahs P. Subretinal air injection for treatment of retinal folds after retinal detachment surgery. Ophthalmologe 2022;119:381-7. |
[Figure 1]
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