title: Surgical correction of retinal folds involving the fovea.
abstract: OBJECTIVE
  Retinal folds are a rare complication after retinal detachment repair. Surgery is required if the fovea is involved. There are few surgical reports in the literature, describing various surgical approaches.
  
  
  METHODS
  The authors employed a surgical technique to treat retinal folds involving the fovea in a 59-year-old woman. Perimacular subretinal blebs were created with a 41-gauge cannula in conjunction with fluid-air exchange to coalesce the fluid at the macula. Perfluorocarbon liquid was injected to flatten the retina, and subretinal fluid drainage was performed through a peripheral retinotomy.
  
  
  RESULTS
  The macula was successfully unfolded during surgery. Visual acuity improved from 20/800 to 20/50. After 3 months, mild changes at the outer nuclear layer were observed on optical coherence tomography, and autofluorescence showed tracks of hypoautofluorescence where the forced infusion of liquid started.
  
  
  CONCLUSIONS
  The authors describe an effective surgical approach for the correction of retinal folds involving the fovea. Prompt treatment as well as gentle surgical manipulation are key points to obtain an improvement in visual acuity.
authors.forename: Leandro C
authors.initials: LC
authors.lastname: Zacharias
authors.forename: Priscilla F C
authors.initials: PF
authors.lastname: Nóbrega
authors.forename: Walter Y
authors.initials: WY
authors.lastname: Takahashi
mesh_terms: D000388:Air; D004322:Drainage; D058450:Endotamponade; D005260:Female; D005451:Fluorescein Angiography; D005466:Fluorocarbons / Q000008:administration & dosage; D005584:Fovea Centralis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D017075:Laser Coagulation; D008875:Middle Aged; D012164:Retinal Diseases / Q000175:diagnosis / Q000601:surgery*; D012591:Scleral Buckling; D058471:Subretinal Fluid; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy
chemical_list: D005466:Fluorocarbons; C042852:perflutren