Radeck, Viola and Helbig, Horst and Prahs, Philipp (2022) Subretinal air injection for treatment of retinal folds after retinal detachment surgery. OPHTHALMOLOGE, 119 (4). pp. 381-387. ISSN 0941-293X, 1433-0423
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Background Full-thickness retinal folds are an unpleasant complication after vitrectomy or buckle surgery with gas tamponade for the treatment of retinal detachment. If the retinal folds involve the macula, the visual function of the patients will be severely impaired. This article describes a surgical technique for the management of such full-thickness macular folds. Method Between January 2017 and June 2020 a total of 6 patients were treated with the following technique. A redetachment was induced with balanced salt solution (BSS), followed by a subretinal air injection with filtered air. The retinal fold was mechanically smoothed out with the aid of perfluorocarbon (PFC). A postoperative drainage of air and BSS was not necessary due to spontaneous resorption. Results None of the patients experienced visual loss after redetachment of the retina. The visual acuity improved in 4 of the 6 patients, perception of metamorphopsia improved in 5 out of 6 patients, 2 reported complete disappearance of metamorphopsia and in 1 patient distorted vision was unchanged despite an anatomically smoothed central retina after surgery. Conclusion With careful consideration of the indications, this surgical technique has shown to be a safe and promising therapeutic strategy for the treatment of macular full-thickness retinal folds after retinal detachment surgery.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MACULAR FOLD; REPAIR; Macular fold; Retinal fold; Retinal detachment surgery; Metamorphopsia; Retinal shift |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Aug 2022 13:06 |
| Last Modified: | 09 Aug 2022 13:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46242 |
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