Macular Changes After Retinal Detachment Surgery

Sabates, Nelson R.; Sabates, Felix N.; Sabates, Roland; Lee, King Y.; Ziemianski, Matthew C.

doi:10.1016/s0002-9394(14)73255-6

Cited by 75 publications

(65 citation statements)

References 19 publications

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“…Macular pucker occurred in 8.4% of cases (63/745). a proportion similar to that reported by others [13][14][15]. In 23 cases of macular pucker, patients had a final VA of 0.5 or more, 7 of them spontaneously and 16 after surgical remov al.…”

Section: Discussionsupporting

confidence: 87%

“…In this series, we only observed 1 case of definite postoperative submacular pigment deposit, with a final VA of 1.0, which confirms the rarity and possible be nign nature o f this condition [21]. Definite fundus abnor malities were only detected in a total of 71 (31.1%) of all 228 cases with a final VA lower than 0.5, a much lower propor tion than the percentages reported by others [5,13,15]. This situation is probably due to the fact that we considered cases with either mild disturbances at the retinal pigment epithe lial level or thin, non-contracted, preretinal membranes as having an essentially normal postoperative appearance.…”

supporting

confidence: 71%

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Visual Acuity after Scleral Buckling Surgery

Girard

Karpouzas²

1995

Ophthalmologica

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We reviewed 745 cases of retinal detachment which had been successfully treated by scleral buckling and had presented without preoperative ocular problems precluding visual recovery. Final visual acuity (VA) was 0.5 or better in 517 cases (69.4%). The main causes of final VA below 0.5 were photoreceptor dysfunction, macular pucker, cystoid macular edema, and intraoperative retrofoveal hemorrhage. Stepwise logistic regression analysis revealed that five variables predicted visual failure: patient’s age of 71 years or more; preoperative VA reduced either to light perception counting fingers or to 0.1–0.4; low or high macular detachment for more than 7 days; grade B preoperative proliferative vitreoretinopathy, and intraoperative hemorrhage.

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Section: Discussionsupporting

confidence: 87%

supporting

confidence: 71%

Visual Acuity after Scleral Buckling Surgery

Girard

Karpouzas²

1995

Ophthalmologica

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“…Several causes of decreased VA after successful repair of retinal detachment have been identified, and these include persistent foveal detachment, 4 epiretinal membrane, cystoid macular oedema, 5,6 and retinal folds. 7 With improved visualization techniques, such as optical coherence tomography (OCT), structural abnormalities of the retina can be readily identified postoperatively; however, the functional status of the retina remains difficult to assess.…”

Section: Introductionmentioning

confidence: 99%

Ultra-wide-field autofluorescence imaging in non-traumatic rhegmatogenous retinal detachment

Witmer

Cho

Favarone

et al. 2012

Eye

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Purpose Rhegmatogenous retinal detachment (RRD) affects the function of the retina before and after surgical repair. We investigated ultra-wide-field autofluorescence (UAF) abnormalities in patients with acute RRD to improve our understanding of the functional changes in the retina before and after surgery. Methods In this retrospective study, we present the UAF imaging findings of 16 patients with acute, non-traumatic RRD. Imaging was obtained with the Optos 200 Tx (Optos) in 14 eyes preoperatively and in 12 eyes postoperatively. Twelve eyes had RRDs that involved the macula (group A), whereas four eyes had macula-sparing RRDs (group B). Results All patients (100%) with bullous retinal detachments demonstrated hypofluorescence over the area of retinal detachment. A hyperfluorescent leading edge (HLE) to the retinal detachment was observed preoperatively in 100% of eyes in group A and 75% of eyes in group B. Preoperative UAF through the fovea of group A eyes was normal (30%), hypofluorescent (50%) or hyperfluorescent (20%). In all patients with a HLE preoperatively, the HLE resolved by the 1-month postoperative visit. A residual line of demarcation remained in 8 of the 12 eyes (67%). In group A eyes, postoperative granular autofluorescent changes were present in four of the nine (44%) eyes, and were associated with worse preoperative (P ¼ 0.04) and postoperative (P ¼ 0.09) visual acuity. Conclusion UAF imaging reveals abnormalities in RRDs that allow excellent demarcation of the extent of the retinal detachment and assist in preoperative characterization of the detachment and postoperative counselling.

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“…Scleral buckling procedures have been used as a treatment for primary RRD for about 70 years. These procedures are still effective and widely adopted even today, the other current option to treat retinal detachment is vitrectomy but the reattachment rate and visual acuity results are not superior to scleral buckle (9,10) . Most of the adverse events in this study related to segmental scleral buckle were minor postoperative complications, mainly eyelid edema (9,11) .…”

Section: Discussionmentioning

confidence: 99%

Scleral buckle is good option for treatment of uncomplicated retinal detachment

Takasaka¹,

Chaves²,

Panetta³

et al. 2012

Rev. bras.oftalmol.

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RESUMOObjetivo: Descrever a taxa de reaplicação e os resultados da acuidade visual dos pacientes com descolamento de retina regmatogênico simples que se submeteram à cirurgia de introflexão escleral segmentar. Métodos: Uma série de casos prospectivo de 100 pacientes com perda visual ou sintomas (floaters e fotopsia), com duração inferior a 30 dias, agendados para a cirurgia. Nenhum paciente apresentou uma ruptura da retina superior a 30°, um descolamento de retina maior que 2 quadrantes ou vitreorretinopatia. Resultados: As taxas de sucesso anatômico em 1 semana, 1 mês e 6 meses foram de 93%, 100% e 100%, respectivamente. Sete pacientes foram submetidos à cirurgia de descolamento de retina adicional (vitrectomia via pars plana) após falha primária em uma semana de seguimento. A melhor acuidade visual pré-operatória, 1 mês, e de 6 meses pós-operatório foram 20/100, 20/80 e 20/50, respectivamente. As complicações pós-operatórias foram: edema palpebral em 10% dos pacientes, a hipertensão ocular transitória em 5%, pucker macular em 3%, diplopia transiente em 3%, e hifema (<0,5 mm) em 1%. Conclusão: Em pacientes com descolamento da retina sem complicações, a cirurgia de introflexão segmentar escleral mostrou um sucesso anatômico e funcional muito bom, com um número menor de complicações maiores. Descritores: Recurvamento da esclera; Descolamento de retina; Crioterapia; Vitreorretinopatia proliferativaRev Bras Oftalmol. 2012; 71 (6): 377-9The authors declare no conflicts of interest Recebido para publicação em: 22/9/2011 -Aceito para publicação em: 2/3/2012 378 Rev Bras Oftalmol. 2012; 71 (6): 377-9

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Macular Changes After Retinal Detachment Surgery

Cited by 75 publications

References 19 publications

Visual Acuity after Scleral Buckling Surgery

Visual Acuity after Scleral Buckling Surgery

Ultra-wide-field autofluorescence imaging in non-traumatic rhegmatogenous retinal detachment

Scleral buckle is good option for treatment of uncomplicated retinal detachment

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