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Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation.
Eye (Lond). 2006 Nov; 20(11):1284-7.E

Abstract

PURPOSE

Foveal detachment after apparently successful retinal reattachment surgery for macula-on retinal detachments (RDs) has been previously documented. This pilot study aimed to utilize ocular coherence tomography (OCT) imaging to investigate foveal architecture after routine retinal detachment surgery and correlate this to visual acuity.

METHODS

Prospective recruitment of patients attending one unit with macula-on RDs. Patients underwent full clinical examination including OCT preoperatively and RD surgery undertaken by scleral buckling, external drainage and air injection. Postoperatively patients had clinical examinations and OCT at 1 week, 1, 3, 6, and 12 months.

RESULTS

A total of 12 consecutive patients were recruited into the study. All had macula-on RDs and normal OCTs at onset. There were no operative or postoperative complications. Retinal reattachment was achieved in all cases within 24 h postoperatively. At 1 month six of 12 patients (50%) showed foveal detachment on OCT, which was invisible on clinical examination. At 3 months, the foveal detachment persisted in four (33%) of these patients. In these cases the foveal detachment persisted at 6 months follow-up, however, a reduction in subfoveal fluid was noted. All cases had foveal reattachment by 12 months postoperatively. Visual acuity was closely correlated to the presence of foveal attachment.

DISCUSSION

A high proportion of patients with successful retinal reattachment surgery had foveal detachments postoperatively. This phenomenon was associated with reduced visual acuity. The aetiology of this occurrence is unknown and warrants further investigation as there is the potential of a long-term effect on vision.

Authors+Show Affiliations

Eye, Ear, Nose and Throat Centre, Queens Medical Centre, Nottingham, UK. syedgibran@ yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

16200060

Citation

Gibran, S K., et al. "Foveal Detachment After Successful Retinal Reattachment for Macula On Rhegmatogeneous Retinal Detachment: an Ocular Coherence Tomography Evaluation." Eye (London, England), vol. 20, no. 11, 2006, pp. 1284-7.
Gibran SK, Alwitry A, Cleary PE. Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation. Eye (Lond). 2006;20(11):1284-7.
Gibran, S. K., Alwitry, A., & Cleary, P. E. (2006). Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation. Eye (London, England), 20(11), 1284-7.
Gibran SK, Alwitry A, Cleary PE. Foveal Detachment After Successful Retinal Reattachment for Macula On Rhegmatogeneous Retinal Detachment: an Ocular Coherence Tomography Evaluation. Eye (Lond). 2006;20(11):1284-7. PubMed PMID: 16200060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation. AU - Gibran,S K, AU - Alwitry,A, AU - Cleary,P E, Y1 - 2005/09/30/ PY - 2005/10/4/pubmed PY - 2007/1/19/medline PY - 2005/10/4/entrez SP - 1284 EP - 7 JF - Eye (London, England) JO - Eye (Lond) VL - 20 IS - 11 N2 - PURPOSE: Foveal detachment after apparently successful retinal reattachment surgery for macula-on retinal detachments (RDs) has been previously documented. This pilot study aimed to utilize ocular coherence tomography (OCT) imaging to investigate foveal architecture after routine retinal detachment surgery and correlate this to visual acuity. METHODS: Prospective recruitment of patients attending one unit with macula-on RDs. Patients underwent full clinical examination including OCT preoperatively and RD surgery undertaken by scleral buckling, external drainage and air injection. Postoperatively patients had clinical examinations and OCT at 1 week, 1, 3, 6, and 12 months. RESULTS: A total of 12 consecutive patients were recruited into the study. All had macula-on RDs and normal OCTs at onset. There were no operative or postoperative complications. Retinal reattachment was achieved in all cases within 24 h postoperatively. At 1 month six of 12 patients (50%) showed foveal detachment on OCT, which was invisible on clinical examination. At 3 months, the foveal detachment persisted in four (33%) of these patients. In these cases the foveal detachment persisted at 6 months follow-up, however, a reduction in subfoveal fluid was noted. All cases had foveal reattachment by 12 months postoperatively. Visual acuity was closely correlated to the presence of foveal attachment. DISCUSSION: A high proportion of patients with successful retinal reattachment surgery had foveal detachments postoperatively. This phenomenon was associated with reduced visual acuity. The aetiology of this occurrence is unknown and warrants further investigation as there is the potential of a long-term effect on vision. SN - 0950-222X UR - https://www.unboundmedicine.com/medline/citation/16200060/Foveal_detachment_after_successful_retinal_reattachment_for_macula_on_rhegmatogeneous_retinal_detachment:_an_ocular_coherence_tomography_evaluation_ L2 - https://doi.org/10.1038/sj.eye.6702098 DB - PRIME DP - Unbound Medicine ER -