Chorioretinal folds and a macular hole secondary to craniofacial surgery.
Chorioretinal folds have been reported as a result of many intraocular and extraocular inflammatory processes or tumors. Visual loss is usually secondary to a combination of the underlying process and chorioretinal folds involving the macula. We report a patient who developed decreased vision, metamorphopsia, chorioretinal folds, and a lamellar macular hole secondary to global compression by a bone fragment. The chorioretinal folds regressed and his vision stabilized following surgical decompression. Chorioretinal folds and lamellar macular hold formation are previously unrecognized complications of reconstructive craniofacial surgery.
Hertle
R W
RW
Division of Ophthalmology, Children's Hospital of Philadelphia, PA 19104.
Leahey
A B
AB
Bloom
S
S
Schaffer
D B
DB
Bartlett
S
S
D000328:Adult; D002829:Choroid / Q000473:pathology; D015862:Choroid Diseases / Q000209:etiology* / Q000473:pathology; D005145:Face / Q000002:abnormalities; D005147:Facial Bones / Q000601:surgery*; D005451:Fluorescein Angiography; D006801:Humans; D008266:Macula Lutea / Q000293:injuries* / Q000473:pathology; D008297:Male; D009915:Orbit / Q000473:pathology / Q000601:surgery; D011312:Pressure; D012160:Retina / Q000473:pathology; D012164:Retinal Diseases / Q000209:etiology* / Q000473:pathology; D013518:Surgery, Plastic / Q000009:adverse effects*; D014786:Vision Disorders / Q000209:etiology