title: Does unintentional macular translocation after retinal detachment repair influence visual outcome?
abstract: BACKGROUND
  To document the occurrence of postoperative macular translocation after retinal detachment repair and discuss its influence on visual outcome.
  
  
  METHODS
  Retrospective case series in a tertiary care setting.
  
  
  METHODS
  Five eyes of five patients presenting to our clinic with macula-off rhegmatogenous retinal detachment.
  
  
  METHODS
  All patients underwent surgical repair of the retinal detachment, with regular postoperative follow-up, including macular optical coherence tomography and fundus autofluorescence.
  
  
  METHODS
  Visual acuity and subjective visual symptoms in patients with anatomically successful retinal detachment repair, in whom inadvertent macular translocation was noted.
  
  
  RESULTS
  Our series demonstrates the presence of unintentional macular translocation after retinal detachment repair, detected by fundus autofluorescence imaging. In contrast to previous reports, we document inadvertent macular translocation in one patient after scleral buckling surgery. In each case, the retina was fully reattached postoperatively and no other complications were identified. There was variability in the symptoms and objective visual outcomes after surgery.
  
  
  CONCLUSIONS
  Inadvertent macular translocation can occur following repair of macula-off retinal detachment, and may be a significant contributor to poorer visual outcome after retinal detachment, despite objective surgical success.
authors: Sydney Eye Hospital, Macquarie University, Sydney, New South Wales, Australia.
authors: Vivek B
authors: VB
authors: Pandya
authors: I-Van
authors: IV
authors: Ho
authors: Alex P
authors: AP
authors: Hunyor
mesh_terms: D000368:Aged; D058450:Endotamponade; D005451:Fluorescein Angiography; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012160:Retina / Q000503:physiopathology* / Q000637:transplantation; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy; D055815:Young Adult
chemical_list: D005466:Fluorocarbons; C042852:perflutren; D013459:Sulfur Hexafluoride