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Retinal function after scleral buckling for recent onset rhegmatogenous retinal detachment: assessment with electroretinography and optical coherence tomography.
Retina. 2007 Jan; 27(1):30-6.R

Abstract

PURPOSE

To investigate central and peripheral retinal function after scleral buckling surgery for recent onset rhegmatogenous retinal detachment (RD).

METHODS

Fifteen phakic patients with rhegmatogenous RD for <1 week underwent scleral buckling surgery. Clinical investigation, optical coherence tomography (OCT), full-field electroretinography (ERG), and multifocal ERG (mfERG) with fundus illumination were performed preoperatively and 6 months postoperatively.

RESULTS

Anatomical success was achieved in 14 patients. mfERG amplitudes were reduced preoperatively in detached retina, with significant improvement at follow-up (P = 0.002). Foveal amplitudes improved significantly (P = 0.027). There was no significant difference in postoperative mfERG amplitudes between areas that had been preoperatively detached or attached (P = 0.739). In the subgroup of eight patients in whom the detachment engaged the fovea preoperatively, rod function improved significantly as assessed with full-field ERG (P = 0.008). In these patients, the extent of detachment ranged between 4 clock hours and 6 clock hours, as compared with 2 clock hours and 5 clock hours in the remaining patients. OCT showed subretinal foveal fluid in four patients at follow-up.

CONCLUSIONS

In recent onset rhegmatogenous RD, total rod and localized central retinal dysfunction in detached retina can improve significantly after reattachment. mfERG and OCT are suitable tools for further studies of functional outcomes in RD.

Authors+Show Affiliations

Department of Ophthalmology, Lund University Hospital, Lund, Sweden. patrik.schatz@telia.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17218912

Citation

Schatz, Patrik, et al. "Retinal Function After Scleral Buckling for Recent Onset Rhegmatogenous Retinal Detachment: Assessment With Electroretinography and Optical Coherence Tomography." Retina (Philadelphia, Pa.), vol. 27, no. 1, 2007, pp. 30-6.
Schatz P, Holm K, Andréasson S. Retinal function after scleral buckling for recent onset rhegmatogenous retinal detachment: assessment with electroretinography and optical coherence tomography. Retina. 2007;27(1):30-6.
Schatz, P., Holm, K., & Andréasson, S. (2007). Retinal function after scleral buckling for recent onset rhegmatogenous retinal detachment: assessment with electroretinography and optical coherence tomography. Retina (Philadelphia, Pa.), 27(1), 30-6.
Schatz P, Holm K, Andréasson S. Retinal Function After Scleral Buckling for Recent Onset Rhegmatogenous Retinal Detachment: Assessment With Electroretinography and Optical Coherence Tomography. Retina. 2007;27(1):30-6. PubMed PMID: 17218912.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retinal function after scleral buckling for recent onset rhegmatogenous retinal detachment: assessment with electroretinography and optical coherence tomography. AU - Schatz,Patrik, AU - Holm,Kristina, AU - Andréasson,Sten, PY - 2007/1/16/pubmed PY - 2007/2/16/medline PY - 2007/1/16/entrez SP - 30 EP - 6 JF - Retina (Philadelphia, Pa.) JO - Retina VL - 27 IS - 1 N2 - PURPOSE: To investigate central and peripheral retinal function after scleral buckling surgery for recent onset rhegmatogenous retinal detachment (RD). METHODS: Fifteen phakic patients with rhegmatogenous RD for <1 week underwent scleral buckling surgery. Clinical investigation, optical coherence tomography (OCT), full-field electroretinography (ERG), and multifocal ERG (mfERG) with fundus illumination were performed preoperatively and 6 months postoperatively. RESULTS: Anatomical success was achieved in 14 patients. mfERG amplitudes were reduced preoperatively in detached retina, with significant improvement at follow-up (P = 0.002). Foveal amplitudes improved significantly (P = 0.027). There was no significant difference in postoperative mfERG amplitudes between areas that had been preoperatively detached or attached (P = 0.739). In the subgroup of eight patients in whom the detachment engaged the fovea preoperatively, rod function improved significantly as assessed with full-field ERG (P = 0.008). In these patients, the extent of detachment ranged between 4 clock hours and 6 clock hours, as compared with 2 clock hours and 5 clock hours in the remaining patients. OCT showed subretinal foveal fluid in four patients at follow-up. CONCLUSIONS: In recent onset rhegmatogenous RD, total rod and localized central retinal dysfunction in detached retina can improve significantly after reattachment. mfERG and OCT are suitable tools for further studies of functional outcomes in RD. SN - 0275-004X UR - https://www.unboundmedicine.com/medline/citation/17218912/Retinal_function_after_scleral_buckling_for_recent_onset_rhegmatogenous_retinal_detachment:_assessment_with_electroretinography_and_optical_coherence_tomography_ L2 - https://doi.org/10.1097/01.iae.0000256659.71864.83 DB - PRIME DP - Unbound Medicine ER -