Abstract • Retinal wrinkling of the posterior pole was studied in 40 eyes from 31 patients with diabetic retinopathy. Vitreoretinal traction was thought to produce the wrinkling in 32 of the eyes, in 13 of which macular heterotopia also developed, presumably from the same tractional forces. Epiretinal membrane formation was the apparent causal factor producing retinal wrinkling in six eyes and postphotocoagulation chorioretinal scarring in two eyes, in none of which macular heterotopia developed. Retinal wrinkling alone was associated with only mild or no visual acuity loss. Macular heterotopia was associated with more severe loss of visual acuity and with other visual symptoms. Displacement of retinal vessels was an important clue to the diagnosis of macular heterotopia. References 1. Dobree JH: Evolution of lesions in proliferative diabetic retinopathy , in Goldberg MF, Fine SL (eds): Symposium on the Treatment of Diabetic Retinopathy , publication 1890. Federal Security Agency, Public Health Service, 1968, p 59. 2. Okun E, Johnston GP, Boniuk I: Management of Diabetic Retinopathy . St Louis, The CV Mosby Co Publishers, 1971, pp 18, 92. 3. Roth AM, Foos RY: Surface wrinkling retinopathy in eyes enucleated at autopsy . Trans Am Acad Ophthalmol Otolaryngol 75:1047, 1971. 4. McMeel JW: Photocoagulation approach with various diabetic vitreoretinal problems , in L'Esperance FA (ed): Current Diagnosis and Management of Chorioretinal Diseases . St Louis, The CV Mosby Co Publishers, 1977, pp 269-270. 5. Davis MD, Norton EWD, Myers FL: The Airlie classification of diabetic retinopathy , in Goldberg MF, Fine SL (eds): Symposium on the Treatment of Diabetic Retinopathy , publication 1890. Federal Security Agency, Public Health Service, 1968, pp 7-22. 6. Davis MD: Vitreous contraction in proliferative diabetic retinopathy . Arch Ophthalmol 74:741-751, 1965.Crossref 7. Tolentino F, Lee PF, Schepens CL: Biomicroscopic study of vitreous cavity in diabetic retinopathy . Arch Ophthalmol 75:238-246, 1966.Crossref 8. Jaffe NS: Vitreous traction at the posterior pole of the fundus due to alteration in the vitreous posterior . Trans Am Acad Ophthalmol Otolaryngol 71:642, 1967. 9. Jaffe NS: Macular retinopathy after separation of vitreoretinal adherence . Arch Ophthalmol 78:585-591, 1967.Crossref 10. Wise GN: Clinical features of idiopathic preretinal macular fibrosis . Am J Ophthalmol 79:349, 1975. 11. Foos RY: Surface wrinkling retinopathy , in Freeman HM, Hirose T, Schepens CL (eds): Vitreous Surgery and Advances in Fundus Diagnosis and Treatment . New York, Appleton-Century-Crofts, 1977, pp 23-28. 12. Fankhauser F, Enoch J, Cibis P: Receptor orientation in retinal pathology . Am J Ophthalmol 53:767, 1961.
Archives of Ophthalmology – American Medical Association
Published: Oct 1, 1979