Spectral domain-OCT analysis of the macula after scleral buckling surgery for macula-off RRD
10.3760/cma.j.issn.1008-1372.2018.08.003
- VernacularTitle:频域相干光断层扫描观察不放液巩膜外加压术治疗孔源性视网膜脱离视网膜下液与视力的相关性
- Author:
Donghui LI
1
;
Jingyuan YANG
;
Weihong YU
;
Hanyi MIN
Author Information
1. 中国医学科学院北京协和医学院北京协和医院眼科
- Keywords:
Tomography,optical coherence;
Retinal detachment/SU;
Scleral buckling;
Subretinal fluid;
Visual acuity
- From:
Journal of Chinese Physician
2018;20(8):1128-1131
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effectiveness of scleral buckling without subretinal fluid drainage for macula-on rhegmatogenous retinal detachment (RRD),and to analyze the correlation between bestcorrected visual acuity (BCVA) and the height of foveal subretinal fluid as well as the thickness of central retina measured by optical coherence tomography.Methods The medical records of 27 patients (27 eyes)who underwent scleral buckling without subretinal fluid drainage for macula-on RRD were retrospectively analyzed.The BCVA,height of foveal subretinal fluid and central subfield thickness (CST) were evaluated preoperatively and 1 week,1 month,3 months,6 months and 12 months postoperatively.Results Postoperative BCVA of all eyes were improved significantly (P ＜ 0.05),and no significant improvement of BCVA was observed after 3 months postoperatively.After surgeries,the height of foveal subretinal fluid as well as the thickness of central foveal retina were correlated with the length of postoperative period significantly,respectively (P ＜ 0.05),but had no correlation with the improvement of postoperative BCVA (P ＞ 0.05).Conclusions Scleral buckling without subretinal fluid drainage for macula-off RRD improved the BCVA,especially in the first 3 months postoperatively.The postoperative alterations of subretinal fluid and central foveal retinal thickness had no correlation with BCVA.
