Structural Recovery of the Detached Macula after Retinal Detachment Repair as Assessed by Optical Coherence Tomography.
10.3341/kjo.2013.27.3.178
- Author:
Soo Geun JOE
1
;
Yoon Jeon KIM
;
Ju Byung CHAE
;
Sung Jae YANG
;
Joo Yong LEE
;
June Gone KIM
;
Young Hee YOON
Author Information
1. Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yhyoon@amc.seoul.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Intraretinal layer separation;
Junction between the photoreceptor inner and outer segments;
Optical coherence tomography;
Outer retinal layer undulation;
Rhegmatogenous retinal detachment
- MeSH:
Adolescent;
Adult;
Female;
Fovea Centralis/*pathology/*surgery;
Humans;
Macula Lutea/pathology/surgery;
Male;
Middle Aged;
*Recovery of Function;
Retinal Detachment/*pathology/*surgery;
Retrospective Studies;
*Tomography, Optical Coherence;
Young Adult
- From:Korean Journal of Ophthalmology
2013;27(3):178-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To investigate correlations between preoperative and postoperative foveal microstructures in patients with macula-off rhegmatogenous retinal detachment (RRD). METHODS: We reviewed the records of 31 eyes from 31 patients with macula-off RRD who had undergone successful re-attachment surgery. We analyzed data obtained from complete ophthalmologic examinations and optical coherence tomography (OCT) before and 9 to 12 months after surgery. All postoperative OCT measurements were taken with spectral-domain OCT, but a subset of preoperative OCT measurements were taken with time-domain OCT. RESULTS: The mean duration of macular detachment was 15.5 +/- 15.2 days, and mean preoperative best-corrected visual acuity (BCVA, logarithm of the minimum angle of resolution) was 1.03 +/- 0.68. Preoperative visual acuity was correlated with retinal detachment height (p < 0.001) and the existence of intraretinal separation (IRS) along with outer layer undulation (OLU) (p = 0.022), but not with macula-off duration. The final BCVA was significantly correlated with integrity of the junction between the photoreceptor inner and outer segments (IS/OS) combined with the continuity of external limiting membrane (ELM) (p = 0.025). The presence of IRS and OLU on a detached macula were highly correlated with the final postoperative integrity of the IS/OS junction and the ELM (p = 0.017). CONCLUSIONS: Eyes preoperatively exhibiting IRS and OLU showed a higher incidence of disruption to the photoreceptor IS/OS junction and the ELM at final follow-up. Such a close correlation between preoperative and postoperative structural changes may explain why ultimate visual recovery in such eyes is poor.
