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Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair.
Retina. 2011 Sep; 31(8):1505-12.R

Abstract

PURPOSE

To investigate the influence of subfoveal fluid and foveal thickness on visual outcome in patients who underwent reattachment surgery for rhegmatogenous retinal detachment (RRD).

METHODS

This prospective study included 53 patients who were undergoing successful scleral buckling surgery for primary RRD. A thorough ophthalmologic examination including best-corrected visual acuity, slit-lamp biomicroscopy, binocular indirect ophthalmoscopy, and optical coherence tomography scanning was performed preoperatively and during all subsequent follow-up visits at 1, 3, 6, 9, 12, and 24 months postoperatively.

RESULTS

Preoperative foveal thickness was significantly higher in the macula-off group (n = 38) compared with the macula-on group (n = 15) (P < 0.0001), whereas postoperative measurements were normal in both the groups. Linear mixed-model analysis revealed that persistent subfoveal fluid (P = 0.0004) was an independent predictor of a worse visual outcome after scleral buckling surgery for primary macula-off RRD, although the effect on visual outcome was small (0.1 logarithm of the minimal angle of resolution units). Moreover, increased preoperative foveal thickness was associated with a worse visual prognosis in macula-off RRD (P = 0.010).

CONCLUSION

Persistent subfoveal fluid and increased preoperative foveal thickness were associated with a worse visual prognosis in macula-off RRD patients, albeit the effect of persistent subfoveal fluid was small and temporary.

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Authors+Show Affiliations

Ricker LJ
Department of Ophthalmology, Eye Research Institute Maastricht, University Hospital Maastricht, Maastricht, The Netherlands. l.ricker@np.unimaas.nl
Noordzij LJ
No affiliation info available
Goezinne F
No affiliation info available
Cals DW
No affiliation info available
Berendschot TT
No affiliation info available
Liem AT
No affiliation info available
Hendrikse F
No affiliation info available
La Heij EC
No affiliation info available

MeSH

AdultAgedAged, 80 and overFemaleFollow-Up StudiesFovea CentralisHumansMaleMiddle AgedOphthalmoscopyPrognosisProspective StudiesRetinal DetachmentScleral BucklingSubretinal FluidTomography, Optical CoherenceVisual AcuityYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21522038

Citation

Ricker, Lukas J A G., et al. "Persistent Subfoveal Fluid and Increased Preoperative Foveal Thickness Impair Visual Outcome After Macula-off Retinal Detachment Repair." Retina (Philadelphia, Pa.), vol. 31, no. 8, 2011, pp. 1505-12.
Ricker LJ, Noordzij LJ, Goezinne F, et al. Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair. Retina. 2011;31(8):1505-12.
Ricker, L. J., Noordzij, L. J., Goezinne, F., Cals, D. W., Berendschot, T. T., Liem, A. T., Hendrikse, F., & La Heij, E. C. (2011). Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair. Retina (Philadelphia, Pa.), 31(8), 1505-12. https://doi.org/10.1097/IAE.0b013e31820a6910
Ricker LJ, et al. Persistent Subfoveal Fluid and Increased Preoperative Foveal Thickness Impair Visual Outcome After Macula-off Retinal Detachment Repair. Retina. 2011;31(8):1505-12. PubMed PMID: 21522038.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair. AU - Ricker,Lukas J A G, AU - Noordzij,Leo J, AU - Goezinne,Fleur, AU - Cals,Diana W J K, AU - Berendschot,Tos T J M, AU - Liem,Albert T A, AU - Hendrikse,Fred, AU - La Heij,Ellen C, PY - 2011/4/28/entrez PY - 2011/4/28/pubmed PY - 2012/1/14/medline SP - 1505 EP - 12 JF - Retina (Philadelphia, Pa.) JO - Retina VL - 31 IS - 8 N2 - PURPOSE: To investigate the influence of subfoveal fluid and foveal thickness on visual outcome in patients who underwent reattachment surgery for rhegmatogenous retinal detachment (RRD). METHODS: This prospective study included 53 patients who were undergoing successful scleral buckling surgery for primary RRD. A thorough ophthalmologic examination including best-corrected visual acuity, slit-lamp biomicroscopy, binocular indirect ophthalmoscopy, and optical coherence tomography scanning was performed preoperatively and during all subsequent follow-up visits at 1, 3, 6, 9, 12, and 24 months postoperatively. RESULTS: Preoperative foveal thickness was significantly higher in the macula-off group (n = 38) compared with the macula-on group (n = 15) (P < 0.0001), whereas postoperative measurements were normal in both the groups. Linear mixed-model analysis revealed that persistent subfoveal fluid (P = 0.0004) was an independent predictor of a worse visual outcome after scleral buckling surgery for primary macula-off RRD, although the effect on visual outcome was small (0.1 logarithm of the minimal angle of resolution units). Moreover, increased preoperative foveal thickness was associated with a worse visual prognosis in macula-off RRD (P = 0.010). CONCLUSION: Persistent subfoveal fluid and increased preoperative foveal thickness were associated with a worse visual prognosis in macula-off RRD patients, albeit the effect of persistent subfoveal fluid was small and temporary. SN - 1539-2864 UR - https://www.unboundmedicine.com/medline/citation/21522038/Persistent_subfoveal_fluid_and_increased_preoperative_foveal_thickness_impair_visual_outcome_after_macula_off_retinal_detachment_repair_ L2 - https://doi.org/10.1097/IAE.0b013e31820a6910 DB - PRIME DP - Unbound Medicine ER -