title: Postoperative roll cake-like macular fold after retinal detachment surgery.
abstract: OBJECTIVE
  To report a case developing a severe retinal fold (RF), resembling a roll cake on optical coherence tomography (OCT), after retinal detachment (RD) surgery.
  
  
  METHODS
  A 61-year-old man underwent vitrectomy for a limited macula-on-superior rhegmatogenous RD and gas tamponade at another hospital. Despite remaining prone for 4 days, RF was noted after gas disappearance and he was referred to us. OCT showed a roll cake-like RF, which resolved after vitrectomy with internal limiting membrane (ILM) peeling, creation of a new detachment, perfluorocarbon liquid injection, air-fluid exchange, silicone oil tamponade and prone positioning.
  
  
  CONCLUSIONS
  ILM peeling including the area of the retinal fold, followed by new detachment creation and finally perfluorocarbon liquid injection, effectively flattened the severe RF. To our knowledge, this is the most severe case of RF to be documented by OCT and illustrates that broad ILM peeling, including the RF, is effective for treating RF.
authors.affiliation: Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
authors.forename: Ryusaburo
authors.initials: R
authors.lastname: Mori
authors.affiliation: Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan. nakashizuka.hiroyuki@nihon-u.ac.jp.
authors.forename: Hiroyuki
authors.identifier: http://orcid.org/0000-0001-5801-8893
authors.initials: H
authors.lastname: Nakashizuka
authors.affiliation: Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Machida
authors.affiliation: Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shimada
authors.affiliation: Division of Ophthalmology, Department of Visual Sciences, Nihon University Hospital, Nihon University School of Medicine, 1-6, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Yuzawa
mesh_terms: D058450:Endotamponade / Q000379:methods; D019773:Epiretinal Membrane / Q000601:surgery*; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery*; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*
chemical_list: D005466:Fluorocarbons
keywords: Internal limiting membrane; Optical coherence tomography; Perfluorocarbon liquid; Retinal detachment; Retinal fold