LONG-TERM VISUAL OUTCOMES AND THE TIMING OF SURGICAL REPAIR OF FOVEA-SPLITTING RHEGMATOGENOUS RETINAL DETACHMENTS

被引:8
作者
Lee, Ramon [1 ,2 ]
Shields, Ryan A. [1 ,2 ]
Maywood, Michael J. [3 ]
Nemeth, Cire [4 ]
Wa, Christianne A. [1 ,2 ]
Williams, George A. [1 ,2 ,3 ]
Hassan, Tarek S. [1 ,2 ,3 ]
Garretson, Bruce R. [1 ,2 ,3 ]
Capone, Antonio [1 ,2 ,3 ]
Ruby, Alan J. [1 ,2 ,3 ]
Drenser, Kimberly A. [1 ,2 ,3 ]
Faia, Lisa J. [1 ,2 ,3 ]
Randhawa, Sandeep [1 ,2 ,3 ]
Mahmoud, Tamer H. [1 ,2 ,3 ]
Wolfe, Jeremy D. [1 ,2 ,3 ]
机构
[1] Associated Retinal Consultants PC, Royal Oak, MI USA
[2] William Beaumont Hosp, Royal Oak, MI 48072 USA
[3] Oakland Univ, William Beaumont Sch Med, Rochester, MI 48063 USA
[4] Michigan State Univ, Coll Osteopath Med, E Lansing, MI 48824 USA
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2022年 / 42卷 / 02期
关键词
fovea-splitting; fovea status; rhegmatogenous retinal detachment; timing of surgery; visual outcomes; MACULAR DETACHMENT; DURATION; SURGERY; RECOVERY;
D O I
10.1097/IAE.0000000000003293
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To evaluate the visual outcomes and the affect of timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments. Method: A retrospective, consecutive cohort from multiple surgeons at a single center. Fovea status (fovea-on, fovea-splitting, or fovea-off) was classified by preoperative optical coherence tomography. The primary outcome measure was the visual acuity at the last follow-up that was further correlated with the timing of surgical repair. Results: One hundred and ninety-five eyes were included with 62 fovea-on, 65 fovea-splitting, and 68 fovea-off detachments. The mean preoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups was 0.16 +/- 0.21, 0.70 +/- 0.56, and 1.67 +/- 0.87, respectively (P = <0.001). Mean postoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups were 0.07 +/- 0.13, 0.10 +/- 0.15, and 0.20 +/- 0.22, respectively (P = <0.001). A statistically significant difference in mean postoperative logMAR visual acuity was found between fovea-off and fovea-on groups (P = 0.003) and between fovea-off and fovea-splitting groups (P = 0.013), however not between fovea-on and fovea-splitting groups (P = 0.827). Visual acuity improved when repair was performed earlier after presentation for fovea-on (R = 0.378, P = 0.002) and fovea-off groups (R = 0.277, P = 0.022), but not for the fovea-splitting group (R = 0.089, P = 0.481). Conclusion: We described the favorable visual outcomes of surgery for fovea-splitting rhegmatogenous retinal detachment and correlated these with the timing of surgical repair, which may help guide the management of this urgent, vision-threatening condition.
引用
收藏
页码:244 / 249
页数:6
相关论文
共 22 条
[1]   Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT [J].
Angermann, Reinhard ;
Bechrakis, Nikolaos E. ;
Rauchegger, Teresa ;
Casazza, Marina ;
Nowosielski, Yvonne ;
Zehetner, Claus .
JOURNAL OF OPHTHALMOLOGY, 2020, 2020
[2]  
[Anonymous], 1996, OPHTHALMOLOGY, V103, P1313
[3]   Spectral Domain OCT: An Aid to Diagnosis and Surgical Planning of Retinal Detachments [J].
Auger, Graham ;
Winder, Stephen .
JOURNAL OF OPHTHALMOLOGY, 2011, 2011
[4]   Optical coherence tomography analysis of the macula after vitrectomy surgery for retinal detachment [J].
Benson, SE ;
Schlottmann, PG ;
Bunce, C ;
Xing, W ;
Charteris, DG .
OPHTHALMOLOGY, 2006, 113 (07) :1179-1183
[5]   Scleral buckling surgery after macula-off retinal detachment - Worse visual outcome after more than 6 days [J].
Diederen, Roselie M. H. ;
La Heij, Ellen C. ;
Kessels, Alforts G. H. ;
Goezinne, Fleur ;
Liem, Albert T. A. ;
Hendrikse, Fred .
OPHTHALMOLOGY, 2007, 114 (04) :705-709
[6]   TIMING OF ACUTE MACULA-ON RHEGMATOGENOUS RETINAL DETACHMENT REPAIR [J].
Ehrlich, Rita ;
Niederer, Rachael L. ;
Ahmad, Nadeem ;
Polkinghorne, Philip .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2013, 33 (01) :105-110
[7]   Progression of foveola-on rhegmatogenous retinal detachment [J].
Hajari, Javad Nouri ;
Kyhnel, Alexander ;
Bech-Azeddine, Julia ;
la Cour, Morten ;
Kiilgaard, Jens Folke .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2014, 98 (11) :1534-1538
[8]   The effect of duration of macular detachment on results after the scleral buckle repair of primary, macula-off retinal detachments [J].
Hassan, TS ;
Sarrafizadeh, R ;
Ruby, AJ ;
Garretson, BR ;
Kuczynski, B ;
Williams, GA .
OPHTHALMOLOGY, 2002, 109 (01) :146-152
[9]   ANATOMIC AND VISUAL OUTCOMES IN EARLY VERSUS LATE MACULA-ON PRIMARY RETINAL DETACHMENT REPAIR [J].
Lai, Michael M. ;
Khan, Noureen ;
Weichel, Eric D. ;
Berinstein, Daniel M. .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2011, 31 (01) :93-98
[10]   Predictive visual outcome after macula-off retinal detachment surgery using optical coherence tomography [J].
Lecleire-Collet, A ;
Muraine, M ;
Menard, JF ;
Brasseur, G .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2005, 25 (01) :44-53