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KMID : 0360220180590040379
대한안과학회지
2018년 59권 4호 p.379 ~ p.383
열공망막박리 환자에서 유리체절제술 이후에 발생한 망막주름의 2예
Two Cases of Outer Retinal Folds Developing after Vitrectomy in Patients Exhibiting Rhegmatogenous Retinal Detachment
이정후 ( Lee Jung-Hoo ) - 인제대학교 의과대학 부산백병원 안과학교실

윤창기 ( Yoon Chang-Ki ) - 인제대학교 의과대학 부산백병원 안과학교실
김현웅 ( Kim Hyun-Woong ) - 인제대학교 의과대학 해운대백병원 안과학교실
- Abstract -
Purpose: We report two cases of retinal folds developing after pars plana vitrectomy in patients exhibiting rhegmatogenous retinal detachment.

Case summary: (Case 1) A healthy 52-year-old male visited our clinic complaining of blurred vision in his right eye. His visual acuity was 0.8 in that eye. Fundal examinations revealed upper retinal detachment and retinal tears at the 12 and 1 o’clock positions. He underwent pars plana vitrectomy with gas injection, and 1 week later, the retina was reattached. A retinal fold was detected at the 4 o’clock position; the fold extended for two disc diameters from the optic disc to the equator. The fold resolved spontaneously after 3 months. (Case 2) A 59-year-old male visited our clinic complaining of blurred vision in his right eye. His visual acuity was “counting fingers” in that eye. Fundal examination revealed a retinal tear at the 11 o’clock position and upper retinal detachment involving the macula. He underwent pars plana vitrectomy with gas injection. A retinal fold was detected in the temporal region of the disc running from the 7 o’clock position to the equator. Over 11 months of observation without treatment, optical coherence tomography (OCT) revealed that the retinal fold resolved.

Conclusions: We report the first two Korean cases of spontaneous relief of retinal folds developing after vitrectomy, and the OCT patterns of the folds.
- Key Words -

Optical coherence tomography, Pars plana vitrectomy, Retinal fold
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