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Imaging analysis with optical coherence tomography angiography after primary repair of macula-off rhegmatogenous retinal detachment.
Graefes Arch Clin Exp Ophthalmol. 2019 Sep; 257(9):1847-1855.GA

Abstract

PURPOSE

To evaluate changes in the microcirculation of various retinal layers and choroid following successful repair of macula-off rhegmatogenous retinal detachment (RRD) using optical coherence tomography angiography (OCTA).

METHODS

Twenty-eight patients (28 eyes) who underwent successful repair of macula-off RRD were prospectively investigated. Differences in OCTA characteristics between retinal detachment (RD) and fellow eyes were compared. Quantitative measurements of the retinal capillary and choriocapillary associated with the preoperative and intraoperative factors were analyzed.

RESULTS

The mean vessel and parafoveal vessel densities were significantly lower in the superficial retinal capillary plexus (SCP) and deep retinal capillary plexus (DCP) in the RD eyes than the fellow eyes. Presence of preoperative intraretinal separation in the RD eyes was significantly associated with both an enlarged foveal avascular zone (P = 0.022) and a lower DCP vessel density (P = 0.031) postoperatively. Eyes with a scleral buckle alone had a greater postoperative subfoveal choroidal thickness (P = 0.037). Eyes undergoing vitrectomy alone had a higher postoperative vessel density in the choriocapillaris (P = 0.035). Eyes undergoing a vitrectomy and scleral buckle had a lower SCP (P = 0.031) and DCP (P = 0.035) vessel density postoperatively.

CONCLUSIONS

Macula-off RRD may cause not only retinal structural damage but also decreased retinal perfusion even after successful anatomical repair. Our findings suggested that RD eyes had a significantly lower vessel density than fellow eyes after surgery. The combined procedure might result in a lower vessel density, as compared with a scleral buckle or vitrectomy alone.

Authors+Show Affiliations

Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung, 813, Taiwan.Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung, 813, Taiwan. School of Medicine, National Yang-Ming University, Taipei, Taiwan.Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung, 813, Taiwan.Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung, 813, Taiwan. ttwu@vghks.gov.tw. School of Medicine, National Yang-Ming University, Taipei, Taiwan. ttwu@vghks.gov.tw.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31177300

Citation

Tsen, Chui-Lien, et al. "Imaging Analysis With Optical Coherence Tomography Angiography After Primary Repair of Macula-off Rhegmatogenous Retinal Detachment." Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, vol. 257, no. 9, 2019, pp. 1847-1855.
Tsen CL, Sheu SJ, Chen SC, et al. Imaging analysis with optical coherence tomography angiography after primary repair of macula-off rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol. 2019;257(9):1847-1855.
Tsen, C. L., Sheu, S. J., Chen, S. C., & Wu, T. T. (2019). Imaging analysis with optical coherence tomography angiography after primary repair of macula-off rhegmatogenous retinal detachment. Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, 257(9), 1847-1855. https://doi.org/10.1007/s00417-019-04381-4
Tsen CL, et al. Imaging Analysis With Optical Coherence Tomography Angiography After Primary Repair of Macula-off Rhegmatogenous Retinal Detachment. Graefes Arch Clin Exp Ophthalmol. 2019;257(9):1847-1855. PubMed PMID: 31177300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Imaging analysis with optical coherence tomography angiography after primary repair of macula-off rhegmatogenous retinal detachment. AU - Tsen,Chui-Lien, AU - Sheu,Shwu-Jiuan, AU - Chen,Shih-Chou, AU - Wu,Tsung-Tien, Y1 - 2019/06/08/ PY - 2019/01/04/received PY - 2019/05/29/accepted PY - 2019/04/26/revised PY - 2019/6/10/pubmed PY - 2019/8/27/medline PY - 2019/6/10/entrez KW - Imaging analysis KW - Macula-off KW - Optical coherence tomography angiography KW - Rhegmatogenous retinal detachment SP - 1847 EP - 1855 JF - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JO - Graefes Arch. Clin. Exp. Ophthalmol. VL - 257 IS - 9 N2 - PURPOSE: To evaluate changes in the microcirculation of various retinal layers and choroid following successful repair of macula-off rhegmatogenous retinal detachment (RRD) using optical coherence tomography angiography (OCTA). METHODS: Twenty-eight patients (28 eyes) who underwent successful repair of macula-off RRD were prospectively investigated. Differences in OCTA characteristics between retinal detachment (RD) and fellow eyes were compared. Quantitative measurements of the retinal capillary and choriocapillary associated with the preoperative and intraoperative factors were analyzed. RESULTS: The mean vessel and parafoveal vessel densities were significantly lower in the superficial retinal capillary plexus (SCP) and deep retinal capillary plexus (DCP) in the RD eyes than the fellow eyes. Presence of preoperative intraretinal separation in the RD eyes was significantly associated with both an enlarged foveal avascular zone (P = 0.022) and a lower DCP vessel density (P = 0.031) postoperatively. Eyes with a scleral buckle alone had a greater postoperative subfoveal choroidal thickness (P = 0.037). Eyes undergoing vitrectomy alone had a higher postoperative vessel density in the choriocapillaris (P = 0.035). Eyes undergoing a vitrectomy and scleral buckle had a lower SCP (P = 0.031) and DCP (P = 0.035) vessel density postoperatively. CONCLUSIONS: Macula-off RRD may cause not only retinal structural damage but also decreased retinal perfusion even after successful anatomical repair. Our findings suggested that RD eyes had a significantly lower vessel density than fellow eyes after surgery. The combined procedure might result in a lower vessel density, as compared with a scleral buckle or vitrectomy alone. SN - 1435-702X UR - https://www.unboundmedicine.com/medline/citation/31177300/Imaging_analysis_with_optical_coherence_tomography_angiography_after_primary_repair_of_macula_off_rhegmatogenous_retinal_detachment_ L2 - https://dx.doi.org/10.1007/s00417-019-04381-4 DB - PRIME DP - Unbound Medicine ER -