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Association of Spectral-Domain Optical Coherence Tomography Findings with Visual Outcome of Macula-Off Rhegmatogenous Retinal Detachment Surgery

Authors
 Kang HM  ;  Lee SC  ;  Lee CS 
Citation
 OPHTHALMOLOGICA, Vol.234(2) : 83-90, 2015 
Journal Title
 OPHTHALMOLOGICA 
ISSN
 0030-3755 
Issue Date
2015
MeSH
Adolescent ; Adult ; Cryotherapy ; Endotamponade ; Female ; Follow-Up Studies ; Humans ; Lens Implantation, Intraocular ; Male ; Middle Aged ; Phacoemulsification ; Retina/physiopathology* ; Retinal Detachment/physiopathology ; Retinal Detachment/surgery* ; Retrospective Studies ; Scleral Buckling ; Tomography, Optical Coherence ; Visual Acuity/physiology* ; Vitrectomy
Keywords
Backreflection ; External limiting membrane ; Photoreceptor integrity ; Retinal detachment ; Spectral-domain optical coherence tomography
Abstract
PURPOSE: To identify prognostic factors for the visual outcome for patients with macula-off rhegmatogenous retinal detachment (RRD). METHODS: The medical records of 27 patients (27 eyes) with macula-off RRD were retrospectively investigated. In addition to clinical characteristics, spectral-domain optical coherence tomography (SD OCT) images were analyzed. RESULTS: The central foveal thickness at baseline was 923 ± 499.5 µm, and the mean height of the subretinal fluid was 697.8 ± 463.6 µm. Dropout of backreflection at the fovea was detected on preoperative SD OCT in 8 patients (29.6%). The external limiting membrane was disrupted in 5 patients (18.5%) as was the photoreceptor integrity in 9 patients (33.3%) at 12 months. On multiple regression analysis, backreflection integrity was the only predictive factor for postoperative visual outcome (B = 0.179, p = 0.020). CONCLUSIONS: Backreflection integrity on preoperative SD OCT seems to be helpful in predicting the postoperative visual outcome in macula-off RRD patients.
Full Text
http://www.karger.com/Article/FullText/381786
DOI
10.1159/000381786
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hae Min(강혜민)
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
Lee, Christopher Seungkyu(이승규) ORCID logo https://orcid.org/0000-0001-5054-9470
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141284
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