Mori Ryusaburo, Nakashizuka Hiroyuki, Machida Yumiko, Shimada Hiroyuki, Yuzawa Mitsuko
Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
Int Ophthalmol. 2018 Apr;38(2):767-770. doi: 10.1007/s10792-017-0494-6. Epub 2017 Apr 3.
To report a case developing a severe retinal fold (RF), resembling a roll cake on optical coherence tomography (OCT), after retinal detachment (RD) surgery.
A 61-year-old man underwent vitrectomy for a limited macula-on-superior rhegmatogenous RD and gas tamponade at another hospital. Despite remaining prone for 4 days, RF was noted after gas disappearance and he was referred to us. OCT showed a roll cake-like RF, which resolved after vitrectomy with internal limiting membrane (ILM) peeling, creation of a new detachment, perfluorocarbon liquid injection, air-fluid exchange, silicone oil tamponade and prone positioning.
ILM peeling including the area of the retinal fold, followed by new detachment creation and finally perfluorocarbon liquid injection, effectively flattened the severe RF. To our knowledge, this is the most severe case of RF to be documented by OCT and illustrates that broad ILM peeling, including the RF, is effective for treating RF.
报告1例视网膜脱离（RD）手术后出现严重视网膜褶皱（RF）的病例，该褶皱在光学相干断层扫描（OCT）上类似卷筒蛋糕。
一名61岁男性在另一家医院接受了玻璃体切除术，治疗局限性黄斑上方孔源性视网膜脱离并进行了气体填塞。尽管俯卧4天，但气体消失后仍发现视网膜褶皱，随后他被转诊至我院。OCT显示为卷筒蛋糕样视网膜褶皱，在玻璃体切除联合内界膜（ILM）剥除、制造新的视网膜脱离、注入全氟碳液体、气液交换、硅油填塞及俯卧位后，该褶皱消失。
包括视网膜褶皱区域的ILM剥除，随后制造新的视网膜脱离，最后注入全氟碳液体，可有效平复严重的视网膜褶皱。据我们所知，这是OCT记录的最严重的视网膜褶皱病例，表明广泛的ILM剥除，包括视网膜褶皱区域，对治疗视网膜褶皱有效。
