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Treatment of retinal folds using a modified macula relocation technique with perfluoro-hexyloctane tamponade
  1. E N Herbert,
  2. C Groenewald,
  3. D Wong
  1. Royal Liverpool University Hospital, Prescott Street, Liverpool L8 7NP, UK
  1. Correspondence to: Edward N Herbert, Royal Liverpool University Hospital, Prescott Street, Liverpool L8 7NP, UK; enherbert{at}doctors.org.uk

https://doi.org/10.1136/bjo.87.7.921

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    Retinal folds are a relatively uncommon complication of retinal surgery. Macula involvement can produce poor acuity and disturbing metamorphopsia. We report a novel treatment for macula fold using the surgical techniques of foveal translocation and perfluorohexyloctane (F6H8), a new heavier than water agent licensed for long term internal tamponade.1,2

    Case report

    A 51 year old man with Terson’s syndrome was found to have retinal detachment on B-scan ultrasonography. He underwent vitrectomy and lensectomy with C2F6 gas tamponade for a superior, macula off retinal detachment. He was postured face down overnight. A retinal fold crossing the macula was noted on the first postoperative day (Fig 1A). At 3 months the best corrected acuity was 6/24. The patient described the image in the affected eye as being split diagonally, with the two half images separated. He was referred to our unit for further management.

    Figure 1

    Fundus photograph showing macula fold before surgical correction (A), and 7 weeks after correction (B).

    We used a 41 gauge needle to …

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