Optical coherence tomography in the evaluation of incomplete visual acuity recovery after macula-off retinal detachments

Détails

ID Serval
serval:BIB_D792205FB039
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Optical coherence tomography in the evaluation of incomplete visual acuity recovery after macula-off retinal detachments
Périodique
Graefe's Archive for Clinical and Experimental Ophthalmology
Auteur(s)
Wolfensberger  T. J., Gonvers  M.
ISSN
0721-832X (Print)
Statut éditorial
Publié
Date de publication
02/2002
Volume
240
Numéro
2
Pages
85-9
Notes
Journal Article --- Old month value: Feb
Résumé
PURPOSE: To determine whether pre and/or postoperative optical coherence tomography (OCT) evaluation of the fovea is useful in explaining delayed or incomplete visual acuity recovery after successful surgery for shallow macula-off retinal detachments. METHODS: Prospective study of 16 patients (10 female, 6 male; mean age 53+/-4 years) with a spontaneous rhegmatogenous retinal detachment with peripheral breaks and a shallow elevation of the fovea. Patients were examined by OCT preoperatively and at 1, 6, and 10-12 months after surgery. At 1 month after surgery, fluorescein angiography was also performed. Mean follow-up was 11.0+/-1.0 months. RESULTS: Preoperative OCT images could be classified into four categories according to the extent of retinal edema and presence of foveal depression. The extent of retinal edema in the detached macula did not correlate with preoperative or postoperative vision. In 11 cases, OCT images at 1 month after surgery showed a foveal detachment with residual subretinal fluid that was not visible clinically or on angiography. Long-term persistence of this fluid could be observed in eight cases at 6 months and in one case at 12 months, and was associated with incomplete recovery of visual acuity. CONCLUSIONS: Preoperative OCT of the detached macula can demonstrate widespread retinal edema, the extent of which does not appear to influence final postoperative vision. Delayed and incomplete visual recovery after successful reattachment of the retina may, however, be due to persistent circumscribed subfoveal fluid accumulation that is visible only on OCT not clinically or on fluorescein angiography.
Mots-clé
Adult Aged *Diagnostic Techniques, Ophthalmological Exudates and Transudates Female Fluorescein Angiography Follow-Up Studies Humans Interferometry/methods Light Macula Lutea/pathology/*surgery Male Middle Aged Postoperative Complications/*diagnosis Prospective Studies Recovery of Function Retinal Detachment/diagnosis/*surgery Tomography/methods Vision Disorders/*diagnosis/etiology *Visual Acuity
Pubmed
Web of science
Création de la notice
28/01/2008 14:05
Dernière modification de la notice
20/08/2019 16:57
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