Persistent foveal retinal detachment after successful rhegmatogenous retinal detachment surgery

Hagimura, Norikazu; Iida, Tomohiro; Suto, Katsuya; Kishi, Shoji

doi:10.1016/s0002-9394(01)01427-1

Cited by 123 publications

(104 citation statements)

References 5 publications

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“…1 The advent of optical coherence tomography (OCT) resulted in a number of reports of persistent SRF after RRD surgery. [2][3][4][5][6][7][8][9][10][11][12][13] Two patterns of residual SRF have been identified, confluent and bleb-like pockets of fluid and it has been reported that fluid can take more than 12 months to resolve. The presence of persistent SRF has been attributed to several possible causes without, however, conclusive evidence for either vitrectomy vs buckling surgery, the use of encircling vs segmental scleral explant, the use or omission of gas injection, completeness of SRF drainage, or cryotherapy.…”

Section: Introductionmentioning

confidence: 99%

“…The presence of persistent SRF has been attributed to several possible causes without, however, conclusive evidence for either vitrectomy vs buckling surgery, the use of encircling vs segmental scleral explant, the use or omission of gas injection, completeness of SRF drainage, or cryotherapy. [2][3][4][5][6][7][8][9][10][11][12][13] The incidence of persistent SRF varied widely among the published series, ranging from 9 to 94%. Furthermore, it remains unclear whether the visual outcome is affected: some authors have suggested that persistent submacular fluid does not influence visual outcome, 6,8,10 while others have disagreed.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, it remains unclear whether the visual outcome is affected: some authors have suggested that persistent submacular fluid does not influence visual outcome, 6,8,10 while others have disagreed. 3,4,13 These conflicting results may have been caused by short follow-up periods, small case numbers, or a lack of quantification of SRF.…”

Section: Introductionmentioning

confidence: 99%

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Spectral-domain optical coherence tomography analysis of persistent subretinal fluid after scleral buckling surgery for macula-off retinal detachment

Gharbiya

Malagola

Mariotti

et al. 2015

Eye

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Purpose To determine the predictive value of markers for persistent subretinal fluid (SRF) absorption and the influence of subfoveal fluid on visual outcome after scleral buckle (SB) surgery for rhegmatogenous retinal detachment (RRD). Patients and methods This was a retrospective, observational study. We reviewed the medical records of 64 eyes of 64 patients who underwent SB surgery for macula-off RRD. Patients underwent clinical examination and spectral-domain optical coherence tomography before surgery, at 1 month and every 3 months postoperatively. The height and width of SRF bleb(s) were measured over time.Results Persistent SRF at 1 month was observed in 40 eyes (62.5%). SRF blebs were first detected 1.7 ± 2.2 months postoperatively. In 29 cases that could be fully followed up, SRF blebs were completely absorbed 7.8 ± 4.4 months postoperatively. Resolution of fluid was associated with an improvement of VA (P = 0.003). Serial measurements of SRF bleb size showed that bleb width decreased significantly at all time points during the 12-month follow-up period (Po0.05), while significant bleb height decrease occurred from postoperative sixth month only (Po0.05). There was no correlation between VA outcomes and subfoveal bleb height or width (P40.05). The cut-off value of the bleb width-to-height ratio level for predicting bleb absorption at 6 months was 7, with 89% sensitivity and 83% specificity.Conclusions Visual improvement may occur with late resolution of residual subfoveal fluid. A bleb width-to-height ratio 47 indicates a higher risk of SRF to persist beyond 6 months after surgery.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spectral-domain optical coherence tomography analysis of persistent subretinal fluid after scleral buckling surgery for macula-off retinal detachment

Gharbiya

Malagola

Mariotti

et al. 2015

Eye

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“…Postoperative OCT is a particularly helpful and novel adjunct in explaining incomplete visual acuity recovery after apparent successful buckling retinal reattachment surgery, where subfoveal fluid accumulation not visible clinically or on fluorescein angiography may be identified. 1,2 The phenomenon of delayed subretinal fluid absorption causing shallow detachment presents a difficult management issue to vitreoretinal surgeons. Desatnik et al 3 report a 5-year retrospective series following pneumatic retinopexy with occurence in 4.3% of cases and time to complete absorption ranging from 10 to 26 months.…”

Section: Commentmentioning

confidence: 99%

Use of OCT to demonstrate persistent subretinal fluid after clinically successful retinal detachment repair

Sheth

Laidlaw

2005

Eye

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“…1 Persistent subretinal fluid has been identified by OCT in patients who have undergone successful retinal detachment surgery. [2][3][4][5][6] This fluid often cannot be seen on slit-lamp clinical examination, is not detected by fluorescein angiography and is associated with poor vision and upon its resolution with visual improvement.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the reproducibility and repeatability of a method of grading macular subretinal fluid using optical coherence tomography

Benson

Schlottmann

Bunce

et al. 2005

Eye

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Aim To devise a quantative method for the measurement of the extent of macular subretinal fluid using optical coherence tomography (OCT), and to assess the interobserver and intraobserver agreement for this grading system. Methods Observational cohort series. Patients were a cohort who underwent retinal detachment surgery over an 18-month period. All patients had OCT scan at 6 weeks after surgery. The scans were graded by two independent observers experienced in OCT interpretation and each grader was masked to the others findings. Observer 1 then regraded the scans on a later day masked to his previous findings. The interobserver and intraobserver agreement was assessed using weighted Kappa (Kw) statistics. Results In all, 116 patients were analysed. Both the intraobserver and interobserver agreement was very high, with Kw being 0.9631 and 0.9070, respectively. Conclusions The grading system for assessment of the extent of macular subretinal fluid using OCT appears to have very good reproducibility and repeatability. We propose that this grading system would be clinically useful when applied to pathologies visible on OCT scan of the macula.

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Persistent foveal retinal detachment after successful rhegmatogenous retinal detachment surgery

Cited by 123 publications

References 5 publications

Spectral-domain optical coherence tomography analysis of persistent subretinal fluid after scleral buckling surgery for macula-off retinal detachment

Spectral-domain optical coherence tomography analysis of persistent subretinal fluid after scleral buckling surgery for macula-off retinal detachment

Use of OCT to demonstrate persistent subretinal fluid after clinically successful retinal detachment repair

Assessment of the reproducibility and repeatability of a method of grading macular subretinal fluid using optical coherence tomography

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