Objective: This study determined the incidence of macular abnormalities detected by optical coherence tomography (OCT) among patients who have undergone retinal-detachment surgery and investigated the association between pre- and postoperative vision, macular thickness, duration of detachment, and type of surgery done with respect to OCT findings. Methods: This is a noncomparative, nonconsecutive prospective case series of 41 eyes with unsatisfactory vision after scleral buckling, vitrectomy, or pneumatic retinopexy. OCT of the macula were taken and pre- and postoperative visual acuity (VA), time until retinal repair, time until OCT, and type of surgery were analyzed. Results: The mean postoperative VA was 20/130. There was a positive linear relationship between pre- and postoperative VA. The average macular thickness was 254 ± 60 µ, and a strong positive correlation with postoperative logMAR VA was observed. Nineteen (49%) eyes exhibited pockets of subretinal fluid (SRF), 6 had foveal thinning, 5 had macular hole, and 1 each had foveal cyst, cystoid macular edema, and epiretinal membrane. Six patients had worse vision after surgery, 2 of whom had SRF on OCT, 2 foveal thinning, 1 mild macular thickening, and 1 normal image. Conclusion OCT images of various macular abnormalities may explain post-detachmentsurgery visual complaints. There was a positive correlation between pre- and postoperative VA, and an inverse correlation between macular thickness and postoperative VA.
Tomography ; Optical Coherence Visual Acuity Subretinal Fluid Vitrectomy Scleral Buckling

Objective: To descibe a case of bilateral severe ischemic retinopathy in a patient with systemic lupus erythematosus (SLE) and elevated antiphospholipid antibody. Methods: This is a case report. Results: An otherwise healthy 16-year-old Filipino female presented with bilateral diffuse retinal arteriolar occlusion, wide areas of capillary nonperfusion, and macular ischemia. The diffuse retinal ischemia eventually led to neovascularization and fibroproliferative-membrane formation. Despite laser panretinal photocoagulation, one eye developed vitreous hemorrhage requiring vitrectomy. She was diagnosed to have SLE with mildly elevated anticardiolipin antibody on serial measurements and treated with anticoagulant to prevent further thrombotic episodes. Conclusion This form of severe SLE retinopathy associated with elevated levels of antiphospholipid antibodies is rare. When it occurs, recognition is vital so that appropriate treatment can be instituted.
Lupus Erythematosus ; Systemic Retinopathy Of Prematurity Antibodies ; Antiphospholipid