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Visual recovery after scleral buckling for macula-off retinal detachments: an optical coherence tomography study.
Eur J Ophthalmol. 2007 Sep-Oct; 17(5):790-6.EJ

Abstract

PURPOSE

To assess the postoperative macular reattachment through OCT3 in eyes treated with episcleral surgery due to macula-off rhegmatogenous retinal detachment, as well as to verify if there is a statistically relevant relation between the persistence of a subfoveal detachment and poor postoperative functional recovery.

METHODS

Twelve eyes of 12 patients who underwent episcleral surgery due to macula-off rhegmatogenous retinal detachment were enrolled and examined in a prospective study. Exclusion criteria were the following: traumatic retinal detachments, detachment relapses, macular holes, amblyopia, and grade B proliferative vitreoretinopathy or higher. The time period from the onset of subjective symptoms of retinal detachment to retinal surgery ranged from 3 to 7 days. All patients were evaluated in the preoperative and the postoperative period (after 1, 3, and 6 months) through measurement of visual acuity by ETDRS charts, fundus photographs, and macular tomography with OCT3. The postoperative tomography outcomes and the visual acuity were statistically examined using the Mann-Whitney U-test.

RESULTS

One month after surgery, despite the macular reattachment assessable ophthalmoscopically and through fundus photographs, the OCT examination showed macular subretinal fluid persistence in 66.6% of cases. After 3 and 6 months, the persistence of such foveal detachment was respectively observed in 41.6% and in 33.3% of cases. Moreover, the macular subretinal fluid persistence in the postoperative period showed a statistically significant relation with poor functional recovery.

CONCLUSIONS

Delayed or incomplete visual recovery after episcleral surgery for macula-off retinal detachment may be related to macular subretinal fluid persistence, assessable with tomography and not visible ophthalmoscopically.

Authors+Show Affiliations

Institute of Ophthalmology, Azienda Ospedaliero-Universitaria Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy. cavallini.gianmaria@unimore.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17932857

Citation

Cavallini, G M., et al. "Visual Recovery After Scleral Buckling for Macula-off Retinal Detachments: an Optical Coherence Tomography Study." European Journal of Ophthalmology, vol. 17, no. 5, 2007, pp. 790-6.
Cavallini GM, Masini C, Volante V, et al. Visual recovery after scleral buckling for macula-off retinal detachments: an optical coherence tomography study. Eur J Ophthalmol. 2007;17(5):790-6.
Cavallini, G. M., Masini, C., Volante, V., Pupino, A., Campi, L., & Pelloni, S. (2007). Visual recovery after scleral buckling for macula-off retinal detachments: an optical coherence tomography study. European Journal of Ophthalmology, 17(5), 790-6.
Cavallini GM, et al. Visual Recovery After Scleral Buckling for Macula-off Retinal Detachments: an Optical Coherence Tomography Study. Eur J Ophthalmol. 2007 Sep-Oct;17(5):790-6. PubMed PMID: 17932857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visual recovery after scleral buckling for macula-off retinal detachments: an optical coherence tomography study. AU - Cavallini,G M, AU - Masini,C, AU - Volante,V, AU - Pupino,A, AU - Campi,L, AU - Pelloni,S, PY - 2007/10/13/pubmed PY - 2007/12/14/medline PY - 2007/10/13/entrez SP - 790 EP - 6 JF - European journal of ophthalmology JO - Eur J Ophthalmol VL - 17 IS - 5 N2 - PURPOSE: To assess the postoperative macular reattachment through OCT3 in eyes treated with episcleral surgery due to macula-off rhegmatogenous retinal detachment, as well as to verify if there is a statistically relevant relation between the persistence of a subfoveal detachment and poor postoperative functional recovery. METHODS: Twelve eyes of 12 patients who underwent episcleral surgery due to macula-off rhegmatogenous retinal detachment were enrolled and examined in a prospective study. Exclusion criteria were the following: traumatic retinal detachments, detachment relapses, macular holes, amblyopia, and grade B proliferative vitreoretinopathy or higher. The time period from the onset of subjective symptoms of retinal detachment to retinal surgery ranged from 3 to 7 days. All patients were evaluated in the preoperative and the postoperative period (after 1, 3, and 6 months) through measurement of visual acuity by ETDRS charts, fundus photographs, and macular tomography with OCT3. The postoperative tomography outcomes and the visual acuity were statistically examined using the Mann-Whitney U-test. RESULTS: One month after surgery, despite the macular reattachment assessable ophthalmoscopically and through fundus photographs, the OCT examination showed macular subretinal fluid persistence in 66.6% of cases. After 3 and 6 months, the persistence of such foveal detachment was respectively observed in 41.6% and in 33.3% of cases. Moreover, the macular subretinal fluid persistence in the postoperative period showed a statistically significant relation with poor functional recovery. CONCLUSIONS: Delayed or incomplete visual recovery after episcleral surgery for macula-off retinal detachment may be related to macular subretinal fluid persistence, assessable with tomography and not visible ophthalmoscopically. SN - 1120-6721 UR - https://www.unboundmedicine.com/medline/citation/17932857/Visual_recovery_after_scleral_buckling_for_macula_off_retinal_detachments:_an_optical_coherence_tomography_study_ L2 - http://journals.sagepub.com/doi/full/10.1177/112067210701700517?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -