Abstract
Optical coherence tomography illustrated persistent macular folds of the sensory retina without corresponding choroidal folds or epiretinal membrane, secondary to chronic intraocular hypotony after trabeculectomy despite resolution of hypotony. Removal of the internal limiting membrane at the time of vitrectomy appeared to restore normal retinal contour and improve visual acuity. The authors suggest that internal limiting membrane reorganization was responsible for the macular folds.
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References
Jampel HD, Pasquale LR, Dibernardo C. Hypotony maculopathy following trabeculectomy with mitomycin C. Arch Ophthalmol. 1992;110:1049–1050.
Stamper RL, McMenemy MG, Lieberman MF. Hypotonous maculopathy after trabeculectomy with subconjunctival 5-Fluorouracil. Am J Ophthalmol. 1992;114:544–553.
Volcker HE, Naumann GO. Morphology of uveal and retinal edemas in acute and persisting hypotony. Mod Probl Ophthal. 1979;20:34–41.
Dellaporta A. Fundus changes in postoperative hypotony. Am J Ophthalmol. 1955;40:781–786.
Gass JDM. Chorioretinal folds. Stereoscopic Atlas of Macular Diseases, 4th ed. CV Mosby, St. Louis, 1997:p. 284.
Wilkins JR, Puliafito CA, Hee MR, et al. Characterization of epiretinal membranes using optical coherence tomography. Ophthalmology. 1996;103:2142–2151.
Kusaka S, Hayashi N, Ohnji M, et al. Indocyanine green facilitates removal of epiretinal and internal limiting membranes in myopic eyes with retinal detachment. Am J Ophthalmol. 2001;131:388–390.
Gandorfer A, Messmer EM, Ulbig MW, Kampik A. Indocyanine green selectively stains the internal limiting membrane. Am J Ophthalmol. 2001;131:387–388.
Mester V, Kuhn F. Internal limiting membrane removal in the management of full-thickness macular holes. Am J Ophthalmol. 2000: 129:769–777.
Uemoto R, Yamamoto S, Aoki T, et al. Macular configuration determined by optical coherence tomography after idiopathic macular hole surgery with or without internal limiting membrane peeling. Br J Ophthalmol. 2002;86:1240–1242.
Keithahn MA, Bennet SR, Cameron D, Meiler WF. Retinal folds in Terson syndrome. Ophthalmology. 1993;100:1187–1190.
Namba M, Matsuo T, Shiraga F, Ohsuki H. Retinal cells produce TIMP-1 and TIMP-2 in response to cyclic mechanical stretching. Ophthalmic Res. 2001;33:163–169.
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The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article. The authors also do not discuss the use of off-label products, which include unlabeled, unapproved, or investigative products or devices.
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Comer, G.M., Danis, R.P. Optical coherence tomographic identification of retinal fold resolution in chronic hypotonous maculopathy after internal limiting membrane removal. Ann Ophthalmol 37, 123–126 (2005). https://doi.org/10.1385/AO:37:2:123
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DOI: https://doi.org/10.1385/AO:37:2:123