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Comparison of persistent submacular fluid in vitrectomy and scleral buckle surgery for macula-involving retinal detachment.
Am J Ophthalmol. 2010 Apr; 149(4):623-629.e1.AJ

Abstract

PURPOSE

To compare the frequency of persistent submacular fluid (SMF) and sequential visual outcomes after pars plana vitrectomy (PPV) and scleral buckling (SB) in recent-onset macula-involving rhegmatogenous retinal detachment (RD), and thus to determine the role of persistent SMF on visual outcome with different surgical methods.

DESIGN

Observational case series.

METHODS

Sixty-one patients (61 eyes) who underwent successful PPV (16 patients) or SB (45 patients) underwent thorough ophthalmologic examinations including optical coherence tomography at 1 month after surgery, as well as every 3 months until SMF disappeared. The SB group was divided into 2 groups according to the presence (SB-SMF+) or absence (SB-SMF-) of persistent SMF at 1 month after surgery. Preoperative and postoperative best-corrected visual acuities were compared among the different surgical groups and also were analyzed depending on the RD duration (acute, symptom duration < or = 7 days; subacute, symptom duration > 7 and < or = 30 days).

RESULTS

Persistent SMF at 1 month after surgery was more frequent in the SB group (55.6%) than it was in the PPV group (6.25%; P = .006). The SB-SMF+ group showed worse postoperative best-corrected visual acuity than the PPV or SB-SMF- groups at 6 to 12 months after surgery, whereas there were no significant differences in the final visual acuity among the groups. This difference in visual recovery was not observed in patients with subacute RD.

CONCLUSIONS

The similar visual recovery patterns seen in the PPV and SB-SMF- groups suggest that persistent SMF is a more important prognostic factor than surgical method is in the setting of acute onset and successful RD surgery.

Authors+Show Affiliations

Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

20149338

Citation

Kim, Yong-Kyu, et al. "Comparison of Persistent Submacular Fluid in Vitrectomy and Scleral Buckle Surgery for Macula-involving Retinal Detachment." American Journal of Ophthalmology, vol. 149, no. 4, 2010, pp. 623-629.e1.
Kim YK, Woo SJ, Park KH, et al. Comparison of persistent submacular fluid in vitrectomy and scleral buckle surgery for macula-involving retinal detachment. Am J Ophthalmol. 2010;149(4):623-629.e1.
Kim, Y. K., Woo, S. J., Park, K. H., Yu, Y. S., & Chung, H. (2010). Comparison of persistent submacular fluid in vitrectomy and scleral buckle surgery for macula-involving retinal detachment. American Journal of Ophthalmology, 149(4), 623-e1. https://doi.org/10.1016/j.ajo.2009.11.018
Kim YK, et al. Comparison of Persistent Submacular Fluid in Vitrectomy and Scleral Buckle Surgery for Macula-involving Retinal Detachment. Am J Ophthalmol. 2010;149(4):623-629.e1. PubMed PMID: 20149338.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of persistent submacular fluid in vitrectomy and scleral buckle surgery for macula-involving retinal detachment. AU - Kim,Yong-Kyu, AU - Woo,Se Joon, AU - Park,Kyu Hyung, AU - Yu,Young Suk, AU - Chung,Hum, Y1 - 2010/02/10/ PY - 2009/08/07/received PY - 2009/11/13/revised PY - 2009/11/11/accepted PY - 2010/2/13/entrez PY - 2010/2/13/pubmed PY - 2010/4/23/medline SP - 623 EP - 629.e1 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 149 IS - 4 N2 - PURPOSE: To compare the frequency of persistent submacular fluid (SMF) and sequential visual outcomes after pars plana vitrectomy (PPV) and scleral buckling (SB) in recent-onset macula-involving rhegmatogenous retinal detachment (RD), and thus to determine the role of persistent SMF on visual outcome with different surgical methods. DESIGN: Observational case series. METHODS: Sixty-one patients (61 eyes) who underwent successful PPV (16 patients) or SB (45 patients) underwent thorough ophthalmologic examinations including optical coherence tomography at 1 month after surgery, as well as every 3 months until SMF disappeared. The SB group was divided into 2 groups according to the presence (SB-SMF+) or absence (SB-SMF-) of persistent SMF at 1 month after surgery. Preoperative and postoperative best-corrected visual acuities were compared among the different surgical groups and also were analyzed depending on the RD duration (acute, symptom duration < or = 7 days; subacute, symptom duration > 7 and < or = 30 days). RESULTS: Persistent SMF at 1 month after surgery was more frequent in the SB group (55.6%) than it was in the PPV group (6.25%; P = .006). The SB-SMF+ group showed worse postoperative best-corrected visual acuity than the PPV or SB-SMF- groups at 6 to 12 months after surgery, whereas there were no significant differences in the final visual acuity among the groups. This difference in visual recovery was not observed in patients with subacute RD. CONCLUSIONS: The similar visual recovery patterns seen in the PPV and SB-SMF- groups suggest that persistent SMF is a more important prognostic factor than surgical method is in the setting of acute onset and successful RD surgery. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/20149338/Comparison_of_persistent_submacular_fluid_in_vitrectomy_and_scleral_buckle_surgery_for_macula_involving_retinal_detachment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(09)00881-2 DB - PRIME DP - Unbound Medicine ER -