J Korean Ophthalmol Soc > Volume 59(4); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(4):379-383.
DOI: https://doi.org/10.3341/jkos.2018.59.4.379    Published online April 15, 2018.
Two Cases of Outer Retinal Folds Developing after Vitrectomy in Patients Exhibiting Rhegmatogenous Retinal Detachment.
Jung Hoo Lee, Chang Ki Yoon, Hyun Woong Kim
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
2Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. maekbak@hanmail.net
열공망막박리 환자에서 유리체절제술 이후에 발생한 망막주름의 2예
이정후1⋅윤창기1⋅김현웅2
인제대학교 의과대학 부산백병원 안과학교실1, 인제대학교 의과대학 해운대백병원 안과학교실2
Correspondence:  Hyun Woong Kim,
Email: maekbak@hanmail.net
Received: 17 August 2017   • Revised: 26 December 2017   • Accepted: 29 March 2018
Abstract
PURPOSE
We report two cases of retinal folds developing after pars plana vitrectomy in patients exhibiting rhegmatogenous retinal detachment. CASE SUMMARY: (Case 1) A healthy 52-year-old male visited our clinic complaining of blurred vision in his right eye. His visual acuity was 0.8 in that eye. Fundal examinations revealed upper retinal detachment and retinal tears at the 12 and 1 o'clock positions. He underwent pars plana vitrectomy with gas injection, and 1 week later, the retina was reattached. A retinal fold was detected at the 4 o'clock position; the fold extended for two disc diameters from the optic disc to the equator. The fold resolved spontaneously after 3 months. (Case 2) A 59-year-old male visited our clinic complaining of blurred vision in his right eye. His visual acuity was “counting fingers” in that eye. Fundal examination revealed a retinal tear at the 11 o'clock position and upper retinal detachment involving the macula. He underwent pars plana vitrectomy with gas injection. A retinal fold was detected in the temporal region of the disc running from the 7 o'clock position to the equator. Over 11 months of observation without treatment, optical coherence tomography (OCT) revealed that the retinal fold resolved. CONCLUSIONS: We report the first two Korean cases of spontaneous relief of retinal folds developing after vitrectomy, and the OCT patterns of the folds.
Key Words: Optical coherence tomography;Pars plana vitrectomy;Retinal fold


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