Foveal Microstructure and Visual Acuity after Retinal Detachment Repair

Wakabayashi, Taku; Oshima, Yusuke; Fujimoto, Hisataka; Murakami, Yoko; Sakaguchi, Hirokazu; Kusaka, Sunji; Tano, Yasuo

doi:10.1016/j.ophtha.2008.10.001

Cited by 271 publications

(93 citation statements)

References 25 publications

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“…The two most significant anatomical findings in the presence of metamorphopsia were the presence of postoperative ORFs and the decrease in reflectivity of the outer retina. The integrity of the ellipsoid band, also called the inner segment/outer segment junction, has been extensively studied after RD [14, 35-39]. However, in previous studies, the integrity of the photoreceptor layer was most often classified as either normal or disrupted on OCT.…”

Section: Discussionmentioning

confidence: 99%

Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery

Saleh¹,

Gauthier²,

Delbosc³

et al. 2018

Ophthalmologica

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Purpose: To determine the impact of metamorphopsia on quality of life after successful retinal detachment (RD) surgery and to determine which retinal changes are related to the most severe distortions. Design: This was a prospective, observational, consecutive study. Methods: The study included 58 eyes of 58 consecutive patients who underwent successful RD surgery. At 6 months postoperatively, the incidence and severity of metamorphopsia were assessed by a quality-of-life questionnaire. Microstructure retinal changes were studied with spectral domain optical coherence tomography (OCT). The questionnaire score was compared with pre- and postoperative OCT findings. Results: Overall, 20 patients (34.5%) had metamorphopsia. Outer retinal folds (ORFs) and the macular status before surgery, together with postoperative ORFs and decrease in ellipsoid and/or interdigitation photoreceptor zone reflectivity, were identified as risk factors of developing metamorphopsia (relative risk, 1.7–4.8). The most severe visual distortions were associated with ORFs. Conclusion: Metamorphopsia is a frequent occurrence after RD surgery and its impact on patients’ quality of life appears to be limited. While it may be difficult to prevent photoreceptor loss occurring after surgery, limiting postoperative ORFs may be helpful in reducing their incidence.

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Section: Discussionmentioning

confidence: 99%

Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery

Saleh¹,

Gauthier²,

Delbosc³

et al. 2018

Ophthalmologica

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“…Therefore, no eye had a disrupted ELM with a continuous IS/OS junction line. The same hypothesis was also used to explain cases of successfully repaired retinal detachment [25]. Also, a very recent publication highlighted the importance of early postoperative ELM restoration for the morphological and functional recovery of the foveal photoreceptor layer in closed MHs [26].…”

Section: Discussionmentioning

confidence: 99%

The Significance of the External Limiting Membrane in the Recovery of Photoreceptor Layer after Successful Macular Hole Closure: A Study by Spectral Domain Optical Coherence Tomography

2011

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Purpose: To evaluate the external limiting membrane (ELM) by spectral domain optical coherence tomography (SDOCT) and its correlation with the inner segment/outer segment (IS/OS) line in patients with successful macular hole surgery. Procedures: Forty-five eyes were divided into 3 groups according to the interval between surgery and first examination. In the first group the interval was between 6 and 12 months, in group 2 it was >12 months and ≤24 months, and in group 3 it was >24 months. The IS/OS and ELM of participants’ eyes were postoperatively assessed using SDOCT in 2008 and 12 months later. Results: A statistically significant association between the integrity of the ELM and the IS/OS junction line was observed in postoperative examinations in all 3 groups. Eyes with a complete IS/OS junction line had an intact ELM. Between the first and the second examinations, a significant improvement in best-corrected visual acuity (BCVA) was noted only in group 1. A positive statistical association was also observed in group 1 between restoration of the IS/OS junction line and improvement in BCVA over follow-up. Conclusions: The restoration of the IS/OS junction line is directly related to the integrity of the ELM.

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“…Undulation of the separated outer retina was found to be associated with visual outcome [18,19], and the height of the subretinal fluid beneath the fovea on OCT scans has been suggested as a prognostic factor because it can disturb the interaction between the neurosensory retina and the retinal pigment epithelium [19]. In addition, the postoperative status of the photoreceptor inner segment (IS)/outer segment (OS) junction or the ellipsoid zone and external limiting membrane (ELM) have been used to predict the visual outcome in RRD patients [22,23,24,25,26,27]. …”

Section: Introductionmentioning

confidence: 99%

Association of Spectral-Domain Optical Coherence Tomography Findings with Visual Outcome of Macula-Off Rhegmatogenous Retinal Detachment Surgery

Kang

Lee

2015

Ophthalmologica

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Purpose: To identify prognostic factors for the visual outcome for patients with macula-off rhegmatogenous retinal detachment (RRD). Methods: The medical records of 27 patients (27 eyes) with macula-off RRD were retrospectively investigated. In addition to clinical characteristics, spectral-domain optical coherence tomography (SD OCT) images were analyzed. Results: The central foveal thickness at baseline was 923 ± 499.5 µm, and the mean height of the subretinal fluid was 697.8 ± 463.6 µm. Dropout of backreflection at the fovea was detected on preoperative SD OCT in 8 patients (29.6%). The external limiting membrane was disrupted in 5 patients (18.5%) as was the photoreceptor integrity in 9 patients (33.3%) at 12 months. On multiple regression analysis, backreflection integrity was the only predictive factor for postoperative visual outcome (B = 0.179, p = 0.020). Conclusions: Backreflection integrity on preoperative SD OCT seems to be helpful in predicting the postoperative visual outcome in macula-off RRD patients.

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Foveal Microstructure and Visual Acuity after Retinal Detachment Repair

Cited by 271 publications

References 25 publications

Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery

Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery

The Significance of the External Limiting Membrane in the Recovery of Photoreceptor Layer after Successful Macular Hole Closure: A Study by Spectral Domain Optical Coherence Tomography

Association of Spectral-Domain Optical Coherence Tomography Findings with Visual Outcome of Macula-Off Rhegmatogenous Retinal Detachment Surgery

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