Severe folding of the inferior retina after relaxing retinectomy for proliferative vitreoretinopathy.
OBJECTIVE
Proliferative vitreoretinopathy (PVR) is a severe complication of retinal detachment, which can be treated surgically by relaxing retinectomy. In this study, we describe patients with severe inferior retinal folding after this surgical intervention (SIRF).


METHODS
A retrospective review of the electronic patient records of 254 patients who received relaxing retinectomies was performed to identify patients with SIRF.


RESULTS
Five patients (1.97% of those with retinectomy) were identified with SIRF, mean age, 51.4 years; mean follow-up, 36 months. Three patients had rhegmatogenous retinal detachment (RRD) with PVR, one had a dropped nucleus with RRD and PVR and one with giant retinal dialysis from ocular trauma. SIRF was noted from a mean 4.2 months after the retinectomy. All involved the macula and visions were hand movements or perception of light.


CONCLUSIONS
SIRF is an uncommon but devastating complication of relaxing retinectomy with a poor visual outcome. This is the first description of this condition that we are aware of.
Gupta
B
B
Department of Ophthalmology, St Thomas Hospital, London, UK.
Mokete
B
B
Laidlaw
D A H
DA
Williamson
T H
TH
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012160:Retina / Q000601:surgery*; D012164:Retinal Diseases / Q000209:etiology*; D012189:Retrospective Studies; D018630:Vitreoretinopathy, Proliferative / Q000601:surgery*