Findings of optical coherence tomography and fundus autofluorescence of macular fold

A 51-year-old female had macula-off bullous rhegmatogenous retinal detachment. She underwent vitrectomy with C3F8 tamponade. Two weeks later, examination demonstrated a macular fold [Fig. 1a]. Optical coherence tomography (OCT) demonstrated a hairpin-like retinal fold [Fig. 1b].[1,2] The macular fold resolved with an inferiorly shifted retinal fold after vitrectomy, subretinal balanced salt solution injection, and SF6 tamponade. Fundus autofluorescence imaging showed hyperautofluorescence (arrowheads) over the previous macular fold and hypoautofluorescence (arrows) in the inferiorly shifted retinal fold [Fig. 1c]. OCT revealed focal hyperreflective lesions in the outer retina [Fig. 1d]. The post-vitrectomy macular folds can be successfully resolved by further vitrectomy.[3,4]Figure 1: (a) Fundus photographs showing a macular fold (arrowheads) extending toward the inferotemporal retinal periphery. (b) OCT showing a hairpin-like retinal fold with base-to-base photoreceptor apposition. (c) Fundus autofluorescence imaging showing hyperautofluorescence (arrowheads) over the previous macular fold and hypoautofluorescence (arrows) in the inferiorly shifted retinal fold. (d) OCT showing hyperreflective lesions in the outer retinaDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.