Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon (Sabadell-Barcelona, Spain)


Macular fold is a very uncommon, but serious pathology. When this complication is repaired a good and comfortable vision is obtained.


A 65-year-old man presented a superior retinal detachment. He underwent surgery with a vitrectomy, perfluorocarbon liquid (PFCL), endophotocoagulation and fluid air exchange. The day after we observed a macular fold that did not disappear and the patient suffered an important metamorphopsia and a great degree of discomfort. In fifteen days we performed a new operation. The surgical technique we employed was vitrectomy, slight retina aspiration with a silicone cannula behind the retinal fold to displace it and at the end a fluid air exchange.

Effectiveness / Safety:

Metamorphopsia disappears, visual acuity is restored (0. 9) and the patient recovers a good degree of comfort.

Take home message:

Macular fold after vitreoretinal detachment surgery can be reoperated with a good result.