EARLY SIMULTANEOUS FUNDUS AUTOFLUORESCENCE AND OPTICAL COHERENCE TOMOGRAPHY FEATURES AFTER PARS PLANA VITRECTOMY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT

被引:69
作者
Dell'Omo, Roberto [1 ]
Mura, Marco [1 ]
Oberstein, Sarit Y. Lesnik [1 ]
Bijl, Heico [1 ]
Tan, H. Stevie [1 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Ophthalmol, NL-1105 AZ Amsterdam, Netherlands
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2012年 / 32卷 / 04期
关键词
rhegmatogenous retinal detachment; retinal folds; fundus autofluorescence; optical coherence tomography; VISUAL-ACUITY; SURGERY; MACULA; REPAIR; EYES;
D O I
10.1097/IAE.0b013e31822c293e
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To describe fundus autofluorescence and optical coherence tomography (OCT) features of the macula after pars plana vitrectomy for rhegmatogenous retinal detachment. Methods: Thirty-three eyes of 33 consecutive patients with repaired rhegmatogenous retinal detachment with or without the involvement of the macula were prospectively investigated with simultaneous fundus autofluorescence and OCT imaging using the Spectralis HRA+OCT (Heidelberg Engineering, Heidelberg, Germany) within a few weeks after the operation. Results: Fundus autofluorescence imaging of the macula showed lines of increased and decreased autofluorescence in 19 cases (57.6%). On OCT, these lines corresponded to the following abnormalities: outer retinal folds, inner retinal folds, and skip reflectivity abnormalities of the photoreceptor inner segment/outer segment band. Other OCT findings, not related to abnormal lines on fundus autofluorescence, consisted of disruption of photoreceptor inner segment/outer segment band and collection of intraretinal or subretinal fluid. The presence of outer retinal folds significantly related to metamorphopsia but did not relate to poor postoperative visual acuity. Conclusion: Partial-thickness retinal folds occur commonly after vitrectomy for rhegmatogenous retinal detachment repair and may represent an important anatomical substrate for postoperative metamorphopsia. Fundus autofluorescence and OCT are both sensitive techniques for the detection of these abnormalities. RETINA 32: 719-728, 2012
引用
收藏
页码:719 / 728
页数:10
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