Five-year Follow-up of Macular Morphologic Changes After Rhegmatogenous Retinal Detachment Repair
Year: 2013
Type: article
Abstract: In Brief Purpose: To evaluate serially long-term macular morphologic changes after successful macula-involving rhegmatogenous retinal detachment repair and correlate changes with macular function. Methods: Repeat Fourier domain optical coherence tomography (FD OCT) imaging and microperimetry (MP-1) testing of 8 of the initial cohort of 17 eyes studied 5 years earlier. Results: The mean follow-up after rhegmatogenous retinal detachment repair was 3.4 months (range, 1–8.5 months) for the first FD OCT and 5 years (range, 3.75–5.75 years) for the follow-up FD OCT. The final postoperative best-corrected visual acuity mean was 20/201 (range, 20/20 to counting fingers). Six eyes with final best-corrected visual acuity >20/40 had an intact external limiting membrane and progressive resolution of photoreceptor inner segment–outer segment junction disruption and/or subretinal fluid on serial FD OCT, which correlated with improvement in macular function on MP-1. Two eyes with poor or worsening best-corrected visual acuity on follow-up had persistent or worsening inner segment–outer segment disruption on serial FD OCT. External limiting membrane was intact in one eye and persistently disrupted in the other. Conclusion: Macular function may progressively improve or worsen long-term after successful rhegmatogenous retinal detachment repair. Progressive resolution of subretinal fluid and/or inner segment–outer segment disruption on FD OCT correlated with improvement in macular function, whereas worsening or persistent inner segment–outer segment disruption correlates with worsening or persistently poor visual outcome. Macular morphology and function studied serially up to 5 years after successful repair of macula-off rhegmatogenous retinal detachment using Fourier domain optical coherence tomography and microperimetry showed that progressive improvement or worsening of the integrity of photoreceptor inner segment/outer segment junctions can occur, correlating with visual function long-term.
Source: Retina
Language: English
Topic: Retinal and Macular Surgery
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funder: National Eye Institute
OpenAlex ID: W1964460220