ROLE OF OPTICAL COHERENCE TOMOGRAPHY FOR PREDICTING POSTOPERATIVE VISUAL OUTCOMES AFTER REPAIR OF MACULA-OFF RHEGMATOGENOUS RETINAL DETACHMENT.

Autor:	Guan I; New York University Langone Health, New York, New York., Gupta MP; Retina Associates of Orange County, Laguna Hills, California., Papakostas T; Weill Cornell Medicine Department of Ophthalmology, New York, New York., Wu A; Weill Cornell Division of Biostatistics and Epidemiology; and., Nadelmann J; Department of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., D'Amico DJ; Weill Cornell Medicine Department of Ophthalmology, New York, New York., Kiss S; Weill Cornell Medicine Department of Ophthalmology, New York, New York., Orlin A; Weill Cornell Medicine Department of Ophthalmology, New York, New York.
Jazyk:	angličtina
Zdroj:	Retina (Philadelphia, Pa.) [Retina] 2021 Oct 01; Vol. 41 (10), pp. 2017-2025.
DOI:	10.1097/IAE.0000000000003162
Abstrakt:	Purpose: To identify any prognostic associations between preoperative optical coherence tomography findings and postoperative visual outcomes in patients with macula-off rhegmatogenous retinal detachment. Methods: A retrospective, single-center study of patients diagnosed with macula-off rhegmatogenous retinal detachment whom underwent surgical reattachment from 2012 to 2017. Optical coherence tomography images were analyzed by two retina surgeons. Outcome measures included "good" final vision (best-corrected visual acuity of 20/40 or better), "poor" final vision (best-corrected visual acuity of 20/200 or worse), and change in vision (worsened, improved, and improved ≥15 letters) at most recent follow-up. P values were calculated using t tests, analysis of variance, Wilcoxon rank-sum, or Kruskall-Wallis test. Results: A total of 49 eyes were included. There was a significant difference in the mean preoperative central retinal thickness between patients who had good final vision and patients who did not (96 μm vs. 161 μm, P = 0.048). In addition, a worse preoperative best-corrected visual acuity and greater subretinal fluid height were associated with vision improvement (P < 0.001). Those with persistent ellipsoid zone disruption postoperatively were less likely to have good final vision (odds ratio = 0.217, 95% confidence interval: 0.057-0.828). Conclusion: A lower mean preoperative central retinal thickness is associated with good visual prognosis. Eyes with ellipsoid zone disruption postoperatively were less likely to have good final vision. Future studies should include a larger cohort of patients and more optical coherence tomography variables to address the inconsistencies in the current literature.
Databáze:	MEDLINE
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