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Macular Retinal Fold Repair

  Channels: Retina | Posted 8/8/2018

Larry Puthenparambil, MD, describes a case of a 66-year-old pseudophakic woman with a macula-off bullous superior retinal detachment treated with pars plana vitrectomy (PPV) and insertion of 12% C3F8 internal gas tamponade who noted continued poor vision of counting fingers and a "large line" in the center of her vision on postoperative week 3. Macular detachment was induced using balanced salt solution using a 41-gauge cannula (De Juan/Awh, Synergetics). The retinal fold was then manually separated using a diamond-dusted membrane scraper (DDMS, Synergetics). Perfluorocarbon liquid (Perfluoron, Alcon) was used to flatten and stabilize the posterior retina. Subsequently, a fluid-air exchange was performed, and the subretinal fluid was drained through a peripheral retinotomy.

Air Fluid Exchange • Larry Puthenparambil, MD • macular retinal fold repair • pseudophakic • Retinotomy