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Longitudinal study of macular folds by spectral-domain optical coherence tomography.
Am J Ophthalmol. 2012 Jan; 153(1):88-92.e1.AJ

Abstract

PURPOSE

To understand the natural history of macular folds using serial spectral-domain optical coherence tomography (SD-OCT).

DESIGN

Prospective case series.

METHOD

Serial OCTs were performed using Topcon 3D OCT. The main outcome measures were: patient demographics; preoperative, perioperative, and postoperative details; serial SD-OCTs; and length of follow-up.

RESULTS

Ten patients who underwent standard 3-port pars plana vitrectomy with gas tamponade to repair rhegmatogenous retinal detachment were included in this study. Mean follow-up was 9.9 months (range 5-17 months). Three types of retinal folds were identified: 1) ripple; 2) taco; 3) displacement. Ripple and taco folds were found to resolve spontaneously. Outer retinal hyperreflective lesions resolved first, followed by flattening of the inner retinal layers. Displacement folds also resolved, but left the macula translocated inferiorly, causing binocular diplopia.

CONCLUSION

Ripple and taco folds could be managed conservatively with good outcomes. However, the optimal treatment of displacement folds requires further research.

Authors+Show Affiliations

Vitreoretinal Service, Guy's and St. Thomas' Hospital National Health Service Foundation Trust, Ophthalmology Department, St. Thomas' Hospital, London, United Kingdom. roger.wong@gstt.nhs.uk

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21855051

Citation

Wong, Roger. "Longitudinal Study of Macular Folds By Spectral-domain Optical Coherence Tomography." American Journal of Ophthalmology, vol. 153, no. 1, 2012, pp. 88-92.e1.
Wong R. Longitudinal study of macular folds by spectral-domain optical coherence tomography. Am J Ophthalmol. 2012;153(1):88-92.e1.
Wong, R. (2012). Longitudinal study of macular folds by spectral-domain optical coherence tomography. American Journal of Ophthalmology, 153(1), 88-e1. https://doi.org/10.1016/j.ajo.2011.06.003
Wong R. Longitudinal Study of Macular Folds By Spectral-domain Optical Coherence Tomography. Am J Ophthalmol. 2012;153(1):88-92.e1. PubMed PMID: 21855051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Longitudinal study of macular folds by spectral-domain optical coherence tomography. A1 - Wong,Roger, Y1 - 2011/08/19/ PY - 2011/01/16/received PY - 2011/06/09/revised PY - 2011/06/06/accepted PY - 2011/8/23/entrez PY - 2011/8/23/pubmed PY - 2012/2/2/medline SP - 88 EP - 92.e1 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 153 IS - 1 N2 - PURPOSE: To understand the natural history of macular folds using serial spectral-domain optical coherence tomography (SD-OCT). DESIGN: Prospective case series. METHOD: Serial OCTs were performed using Topcon 3D OCT. The main outcome measures were: patient demographics; preoperative, perioperative, and postoperative details; serial SD-OCTs; and length of follow-up. RESULTS: Ten patients who underwent standard 3-port pars plana vitrectomy with gas tamponade to repair rhegmatogenous retinal detachment were included in this study. Mean follow-up was 9.9 months (range 5-17 months). Three types of retinal folds were identified: 1) ripple; 2) taco; 3) displacement. Ripple and taco folds were found to resolve spontaneously. Outer retinal hyperreflective lesions resolved first, followed by flattening of the inner retinal layers. Displacement folds also resolved, but left the macula translocated inferiorly, causing binocular diplopia. CONCLUSION: Ripple and taco folds could be managed conservatively with good outcomes. However, the optimal treatment of displacement folds requires further research. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/21855051/Longitudinal_study_of_macular_folds_by_spectral_domain_optical_coherence_tomography_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(11)00474-0 DB - PRIME DP - Unbound Medicine ER -