By Deependra Vikram Singh, MD; Yog Raj Sharma, MD; Raja Rami Reddy, MD, FRCS; Ajay Sharma, MD
    Editors' Choice
    Retina/Vitreous, Vitreoretinal Surgery

    Dr. Deependra Singh and colleagues describe a surgical technique to manage macular fold that developed after retinal reattachment surgery. The 21-year-old patient had lens coloboma and retinal detachment with proliferative retinopathy (PVR). The macular fold was managed after removing silicone oil. A 41-gauge needle was used to induce retinal detachment in the macula area, partially opening the macular fold. Following this, the surgeons created another retinotomy in the inferior retina and manipulated the folded retina inferiorly during fluid air-exchange to unfold macula. They used 20% SF6 gas as tamponade. An alternative approach could have been to create a large inferior retinotomy and macular rotation, but this would have increased the risk of retinal redetachment and required silicone oil tamponade. At the 3-month follow-up, the retina remained attached with resolved macular fold and a BCVA of 5/60.

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