SD OCT features of dry arcuate longstanding retinal folds

PURPOSE. To report the spectral domain (SD) findings in a retinal fold secondary to vitrectomy surgery. METHODS. A 57-year-old man presented 1 month after vitrectomy surgery with gas injection (C(3)F(8) 6%) in his left eye for treatment of a macula-on retinal detachment and was noted to have a retinal fold in the superior aspect of the macula. Complete ocular examination, fundus photography, fluorescein angiography, autofluorescence, and SD optical coherence tomography (OCT) were performed. RESULTS. Spectral domain OCT revealed a slightly hyperreflective lesion in the outer retina, which occupied a discontinuity in the inner segment-outer segment junction and extended superiorly with apparent indentation of the overlying retinal layers. CONCLUSIONS. This case illustrates how SD OCT may be useful in describing the morphologic substrate of retinal fold after retinal surgery.