NDLI: Structural Recovery of the Detached Macula after Retinal Detachment Repair as Assessed by Optical Coherence Tomography

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Joe, Soo Geun Kim, Yoon Jeon Chae, Ju Byung Yang, Sung Jae Lee, Joo Yong Kim, June Gone Yoon, Young Hee
Description	Responsible library: WPRO
Abstract	PURPOSE: To investigate correlations between preoperative and postoperative foveal microstructures in patients with macula-off rhegmatogenous retinal detachment (RRD). METHODS: We reviewed the records of 31 eyes from 31 patients with macula-off RRD who had undergone successful re-attachment surgery. We analyzed data obtained from complete ophthalmologic examinations and optical coherence tomography (OCT) before and 9 to 12 months after surgery. All postoperative OCT measurements were taken with spectral-domain OCT, but a subset of preoperative OCT measurements were taken with time-domain OCT. RESULTS: The mean duration of macular detachment was 15.5 +/- 15.2 days, and mean preoperative best-corrected visual acuity (BCVA, logarithm of the minimum angle of resolution) was 1.03 +/- 0.68. Preoperative visual acuity was correlated with retinal detachment height (p < 0.001) and the existence of intraretinal separation (IRS) along with outer layer undulation (OLU) (p = 0.022), but not with macula-off duration. The final BCVA was significantly correlated with integrity of the junction between the photoreceptor inner and outer segments (IS/OS) combined with the continuity of external limiting membrane (ELM) (p = 0.025). The presence of IRS and OLU on a detached macula were highly correlated with the final postoperative integrity of the IS/OS junction and the ELM (p = 0.017). CONCLUSIONS: Eyes preoperatively exhibiting IRS and OLU showed a higher incidence of disruption to the photoreceptor IS/OS junction and the ELM at final follow-up. Such a close correlation between preoperative and postoperative structural changes may explain why ultimate visual recovery in such eyes is poor.
File Format	HTM / HTML
ISSN	10118942
e-ISSN	20929382
Journal	Korean Journal of Ophthalmology
Issue Number	3
Volume Number	27
Language	English
Publisher	Korean Ophthalmological Society
Publisher Date	2013-01-01
Publisher Place	Korea (South)
Access Restriction	Open
Subject Keyword	Discipline Ophthalmology Divorce Eye Membranes Retinal Detachment Tomography, Optical Coherence Visual Acuity Original Article
Content Type	Text
Resource Type	Article
Subject	Ophthalmology

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