LONG-TERM VISUAL OUTCOMES AND THE TIMING OF SURGICAL REPAIR OF FOVEA-SPLITTING RHEGMATOGENOUS RETINAL DETACHMENTS.

Autor:	Lee R; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan., Shields RA; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan., Maywood MJ; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Nemeth C; Michigan State University College of Osteopathic Medicine, East Lansing, Michigan., Wa CA; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan., Williams GA; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Hassan TS; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Garretson BR; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Capone A Jr; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Ruby AJ; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Drenser KA; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Faia LJ; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Randhawa S; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Mahmoud TH; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and., Wolfe JD; Associated Retinal Consultants, P.C., Royal Oak, Michigan; William Beaumont Hospital, Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Rochester, Michigan; and.
Jazyk:	angličtina
Zdroj:	Retina (Philadelphia, Pa.) [Retina] 2022 Feb 01; Vol. 42 (2), pp. 244-249.
DOI:	10.1097/IAE.0000000000003293
Abstrakt:	Purpose: To evaluate the visual outcomes and the affect of timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments. Method: A retrospective, consecutive cohort from multiple surgeons at a single center. Fovea status (fovea-on, fovea-splitting, or fovea-off) was classified by preoperative optical coherence tomography. The primary outcome measure was the visual acuity at the last follow-up that was further correlated with the timing of surgical repair. Results: One hundred and ninety-five eyes were included with 62 fovea-on, 65 fovea-splitting, and 68 fovea-off detachments. The mean preoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups was 0.16 ± 0.21, 0.70 ± 0.56, and 1.67 ± 0.87, respectively (P = <0.001). Mean postoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups were 0.07 ± 0.13, 0.10 ± 0.15, and 0.20 ± 0.22, respectively (P = <0.001). A statistically significant difference in mean postoperative logMAR visual acuity was found between fovea-off and fovea-on groups (P = 0.003) and between fovea-off and fovea-splitting groups (P = 0.013), however not between fovea-on and fovea-splitting groups (P = 0.827). Visual acuity improved when repair was performed earlier after presentation for fovea-on (R = 0.378, P = 0.002) and fovea-off groups (R = 0.277, P = 0.022), but not for the fovea-splitting group (R = 0.089, P = 0.481). Conclusion: We described the favorable visual outcomes of surgery for fovea-splitting rhegmatogenous retinal detachment and correlated these with the timing of surgical repair, which may help guide the management of this urgent, vision-threatening condition.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu