Treatment of retinal folds using a modified macula relocation technique with perfluoro-hexyloctane tamponade
- Royal Liverpool University Hospital, Prescott Street, Liverpool L8 7NP, UK
- Correspondence to: Edward N Herbert, Royal Liverpool University Hospital, Prescott Street, Liverpool L8 7NP, UK; enherbert{at}doctors.org.uk
- Accepted 4 December 2002
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.
Fundus photograph showing macula fold before surgical correction (A), and 7 weeks after correction (B).
We used a 41 gauge needle to …
