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Y. Jo, Y. Kim, J. Kim; Macular Folds Treated with Vitrectomy, Subretinal Fluid Injection and Fluid Gas Exchange . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2972.
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Purpose: To report about surgical procedure and clinical results in patients with macular folds, in which vitrectomy was performed with subretinal fluid injection and fluid gas exchange. Methods: In 5 eyes of 5 patients with macular folds, which were flattened by means of intentional retinal detachment with small posterior retinotomies and partial fluid gas exchange. Postoperatively, the patients were instructed to remain supine for 1 day and prone for 1 week. Examination included best corrected visual acuity, amsler grid, fundus photography. Results: The Causes of macular folds were tractional retinal detachment with proliferative diabetic retinopathy(1 eye), proliferative diabetic retinopathy(1 eye), Eales’ disease(2 eyes), giant retinal tear(1 eye). Previously, vitrectomy was performed in 4 eyes. Postoperative follow-up periods were from 10 months to 26 months. Postoperatively, macular folds were flattened in 5 eyes. Metamorphopsia was improved in 5 eyes and visual acuities were increased in 4 eyes. No eyes had a postoperative macular fold during the follow-up period. Conclusions: In patients with macular folds from various causes, this surgical technique is simple and offers potential for improving visual function. Further refinements are needed to make this procedure more beneficial.
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