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Case Reports in Ophthalmological Medicine
Volume 2014, Article ID 173853, 3 pages
Case Report

Optical Coherence Tomography of Bilateral Nanophthalmos with Macular Folds and High Hyperopia

Department of Ophthalmology, Maltepe University School of Medicine, Altunizade, Fahrettin Kerim Gokay Sokak No. 48 Selcuklu Konaklari, C-3/6 Uskudar, 34660 Istanbul, Turkey

Received 27 May 2014; Accepted 29 July 2014; Published 12 August 2014

Academic Editor: Alexander A. Bialasiewicz

Copyright © 2014 Firat Helvacioglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Importance. There is a conflict about the content of the macular folds in nanophthalmic eyes in the literature. Our study clearly demonstrated that papillomacular folds seen in nanophthalmos or posterior microphthalmos were only composed of neurosensory retina without involvement of retinal pigment epithelium and choroid. Observations. This is a report of two consecutive nanophthalmic patients with macular folds at Maltepe University School of Medicine, Department of Ophthalmology, from January to June 2012. Anterior segment dimensions were near normal. The axial lengths of the eyes were short with markedly shortened posterior segment. A macular fold extending from the center of the fovea towards the optic nerve head was present in all eyes. Optic coherence tomography clearly demonstrated that folds were only composed of neurosensory retina. Binocular visual acuities and refractive errors of the cases were 0.3, 0.2 and +16.00, +15.75 diopters, respectively. Conclusions and Relevance. Our study proposes a surgical option to treat these folds like serous retinal detachments by showing the true content of the folds, although there is not any surgical operation accepted for this condition yet. Further studies dealing with the surgical interventions of these folds should be performed to support this option.