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Surgical management of retinal fold after 23-Gauge pars plana vitrectomy retinopexy

Manejamento cirúrgico de dobra de retina após retinopexia com vitrectomia via pars plana de 23-Gauge

Abstract

The authors report a case of retinal fold after retinal detachment repair performed using 23-gauge pars plana vitrectomy technic (PPV). The fundus photography and optical coherence tomography (OCT) showed a posterior retinal fold with the retina periphery attached. The patient’s best corrected visual acuity (BCVA) was 20/200 with severe metamorphopsia. A 25-gauge PPV, subretinal balanced saline solution (BSS) injection using a 25-39-gauge cannula, and gas-fluid exchange were performed. The patient’s BCVA improved significantly after treatment. The retinal fold observed is not a frequent complication and can be managed with PPV, subretinal BSS injection and fluid-air exchange.

Keywords:
Vitrectomy/methods; Vitreous body/surgery; Vitrectomy/adverse effects; Retinal detachment/surgery; Case reports

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