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Restoration of photoreceptor outer segment after vitrectomy for retinal detachment.
Am J Ophthalmol. 2010 Feb; 149(2):284-90.AJ

Abstract

PURPOSE

To report photoreceptor restoration and visual outcomes after vitrectomy for retinal detachment.

DESIGN

Retrospective, observational case series.

METHODS

We prospectively studied the tomographic features of reattached retinas in 20 eyes with a macula-off rhegmatogenous retinal detachment using spectral-domain optical coherence tomography 1, 3, and 6 months after 3-port vitrectomy with SF(6) gas tamponade. All eyes were examined more than 3 months after surgery.

RESULTS

The optical coherence tomography foveal findings were classified as a disrupted inner segment and outer segment (IS/OS) line, a residual foveal detachment, and a continuous IS/OS line. A disrupted IS/OS line was seen in 11 eyes (55%) at 1 month and in 8 eyes (40%) at 3 months, a foveal detachment was seen in 8 eyes (40%) at 1 month and in 7 eyes (35%) at 3 months, and a continuous IS/OS line was seen in 1 eye (5%) at 1 month and in 5 eyes (25%) at 3 months. In 18 eyes followed up for 6 months, optical coherence tomography showed a disrupted IS/OS line in 3 eyes (17%), a foveal detachment in 6 eyes (33%), and a continuous IS/OS line in 9 eyes (50%). The mean best-corrected visual acuities at 1 and 6 months were 0.26 and 0.16 with a disrupted IS/OS line, 0.60 and 0.95 with a foveal detachment, and 0.8 and 0.95 with a continuous IS/OS line. The mean best-corrected visual acuity was significantly (P < .0001) lower with a disrupted IS/OS line compared with the other formations at 6 months.

CONCLUSIONS

The IS/OS line at the fovea recovered gradually after surgery. The postoperative visual acuity was correlated with a restored IS/OS line.

Authors+Show Affiliations

Department of Ophthalmology, Gunma University School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, Japan. y-simo@pg7.so-net.ne.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19939346

Citation

Shimoda, Yukitoshi, et al. "Restoration of Photoreceptor Outer Segment After Vitrectomy for Retinal Detachment." American Journal of Ophthalmology, vol. 149, no. 2, 2010, pp. 284-90.
Shimoda Y, Sano M, Hashimoto H, et al. Restoration of photoreceptor outer segment after vitrectomy for retinal detachment. Am J Ophthalmol. 2010;149(2):284-90.
Shimoda, Y., Sano, M., Hashimoto, H., Yokota, Y., & Kishi, S. (2010). Restoration of photoreceptor outer segment after vitrectomy for retinal detachment. American Journal of Ophthalmology, 149(2), 284-90. https://doi.org/10.1016/j.ajo.2009.08.025
Shimoda Y, et al. Restoration of Photoreceptor Outer Segment After Vitrectomy for Retinal Detachment. Am J Ophthalmol. 2010;149(2):284-90. PubMed PMID: 19939346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Restoration of photoreceptor outer segment after vitrectomy for retinal detachment. AU - Shimoda,Yukitoshi, AU - Sano,Morihiko, AU - Hashimoto,Hideaki, AU - Yokota,Yukihiro, AU - Kishi,Shoji, Y1 - 2009/11/25/ PY - 2009/05/12/received PY - 2009/08/18/revised PY - 2009/08/19/accepted PY - 2009/11/27/entrez PY - 2009/11/27/pubmed PY - 2010/2/5/medline SP - 284 EP - 90 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 149 IS - 2 N2 - PURPOSE: To report photoreceptor restoration and visual outcomes after vitrectomy for retinal detachment. DESIGN: Retrospective, observational case series. METHODS: We prospectively studied the tomographic features of reattached retinas in 20 eyes with a macula-off rhegmatogenous retinal detachment using spectral-domain optical coherence tomography 1, 3, and 6 months after 3-port vitrectomy with SF(6) gas tamponade. All eyes were examined more than 3 months after surgery. RESULTS: The optical coherence tomography foveal findings were classified as a disrupted inner segment and outer segment (IS/OS) line, a residual foveal detachment, and a continuous IS/OS line. A disrupted IS/OS line was seen in 11 eyes (55%) at 1 month and in 8 eyes (40%) at 3 months, a foveal detachment was seen in 8 eyes (40%) at 1 month and in 7 eyes (35%) at 3 months, and a continuous IS/OS line was seen in 1 eye (5%) at 1 month and in 5 eyes (25%) at 3 months. In 18 eyes followed up for 6 months, optical coherence tomography showed a disrupted IS/OS line in 3 eyes (17%), a foveal detachment in 6 eyes (33%), and a continuous IS/OS line in 9 eyes (50%). The mean best-corrected visual acuities at 1 and 6 months were 0.26 and 0.16 with a disrupted IS/OS line, 0.60 and 0.95 with a foveal detachment, and 0.8 and 0.95 with a continuous IS/OS line. The mean best-corrected visual acuity was significantly (P < .0001) lower with a disrupted IS/OS line compared with the other formations at 6 months. CONCLUSIONS: The IS/OS line at the fovea recovered gradually after surgery. The postoperative visual acuity was correlated with a restored IS/OS line. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/19939346/Restoration_of_photoreceptor_outer_segment_after_vitrectomy_for_retinal_detachment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(09)00624-2 DB - PRIME DP - Unbound Medicine ER -