%0 Journal Article
%T Surgical Repair of a Persistent Full
%A Douglas S. M. Iaboni
%A Mark E. Seamone
%A R. Rishi Gupta
%J Journal of VitreoRetinal Diseases
%@ 2474-1272
%D 2018
%R 10.1177/2474126418769512
%X To report the successful repair of a persistent full-thickness retinal fold secondary to hypotony from trabeculectomy surgery. Laser suturelysis was performed on a patient to relieve an elevated intraocular pressure posttrabeculectomy surgery. This resulted in chronic hypotony, a full-thickness retinal fold, and a decline in visual acuity to ¡°count fingers.¡± The patient underwent a pars plana vitrectomy with internal limiting membrane peeling, subretinal injection of balanced saline solution, fluid-air exchange, injection of F-Decalin, peripheral retinotomy, endolaser photocoagulation, and vitreous substitution with 15% C3F8 gas. Anatomic improvement was documented via multimodal imaging. Six months postoperatively best-corrected visual acuity (BCVA) returned to 20/30. We describe a surgical approach to full-thickness retinal folds and review the management options previously reported in the setting of hypotony. We provide support for the active management of appositional full-thickness retinal folds involving the fovea and demonstrate that surgical correction can significantly improve BCVA even after 4 months of hypotony
%K retinal fold
%K vitreoretinal surgery
%K hypotony
%K optical coherence tomography
%U https://journals.sagepub.com/doi/full/10.1177/2474126418769512