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Retinal folds in paediatric age group—proposing a new pathoanatomical classification

Eye volume 38, pages 401–403 (2024)Cite this article

Subjects

The most common causes of retinal folds in children include familial exudative vitreoreinopathy (FEVR) [1], retinopathy of prematurity (ROP) sequelae, persistent foetal vasculature (PFV) [2] and toxocara granuloma [3]. Vitreous in paediatric eyes has a baseline strong adhesion to the retinal surface. In addition, disorders affecting retinal vascular development demonstrate anomalous attachment over a relatively broad retinal area, and progressive contraction of this vitreous causes evolution of retinal folds. The spectrum of influence of these anomalous vitreous adhesions can additionally include obvious evidence of disc and macular drag, to subtle changes like straightening of the vascular arcade or macular ectopia.

We propose a new system of classifying these retinal folds based on their pathoanatomy and discuss its surgical implications:

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Fig. 1: Fundus image and OCT of a 10-year-old boy with FEVR who presented with retinal detachment in the right eye.
Fig. 2: Schematic diagrams depicting proposed types of paediatric retinal folds based on their pathoanatomy.

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The data pertaining to this manuscript are included in the article and any additional data can be made available on request.

References

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Acknowledgements

I wish to acknowledge my mentors Dr. Parag K Shah and Dr. Parveen Sen for helping in the development of the anatomical and surgical concept based on which the abovementioned classification has been designed.

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Authors and Affiliations

  1. Department of Vitreoretina Services, Aravind Eye Hospital, Chennai, India

    Puja Maitra, Aditya Maitray, Mugundan Thulasiraman & Anand Rajendran

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  1. Puja Maitra
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  2. Aditya Maitray
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  3. Mugundan Thulasiraman
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  4. Anand Rajendran
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All the above mentioned authors contributed to the collection of data, analysis and manuscript preparation. The corresponding author confirms sole responsibility for the conception and design, and interpretation of this manuscript.

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Correspondence to Puja Maitra.

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Maitra, P., Maitray, A., Thulasiraman, M. et al. Retinal folds in paediatric age group—proposing a new pathoanatomical classification. Eye 38, 401–403 (2024). https://doi.org/10.1038/s41433-023-02694-7

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  • DOI: https://doi.org/10.1038/s41433-023-02694-7

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