Recovery course of persistent posterior subretinal fluid after successful repair of rhegmatogenous retinal detachment.

Autor: Mansour AM; Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.; Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon., López-Guajardo L; Department of Ophthalmology, Hospital Clinico San Carlos, Madrid, Spain., Belotto S; Institut Català de Retina, Barcelona, Spain., Lima LH; Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo, Sao Paulo, Brazil., Charbaji AR; Department of Applied Statistics & Research Methods, Lebanese American University, Beirut, Lebanon., Schwartz SG; Bascom Palmer Eye Institute, University of Miami, Miami, Florida, USA., Wu L; Asociados de Macula Vitreo y Retina de Costa Rica, San José, Costa Rica., Smiddy WE; Bascom Palmer Eye Institute, University of Miami, Miami, Florida, USA., Ascaso J; Department of Surgery, University of Zaragoza, Zaragoza, Spain.; Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain.; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain., Jürgens I; Institut Català de Retina, Barcelona, Spain., Foster RE; Cincinnati Eye Institute, Cincinnati, Ohio, USA., Elnahry AG; Department of Ophthalmology, Kasr Al-Ainy Hospitals, Cairo University, Cairo, Egypt.; Division of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, MD, USA., Sinawat S; Department of Ophthalmology, Khon Kaen University, Khon Kaen, Thailand., Pinilla I; Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain.; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain., Pérez-Salvador García E; Department of Ophthalmology, Hospital Universitario de Burgos, Burgos, Spain., Suarez Leoz M; Department of Ophthalmology, Hospital Universitario de Burgos, Burgos, Spain., Olivier Pascual N; Department of Ophthalmology, Complejo Hospitalario Universitario de Ferrol, Galicia, Spain., Zago Ribeiro L; Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo, Sao Paulo, Brazil., Arroyo Castillo R; Department of Ophthalmology, Complejo Hospitalario Universitario de Ferrol, Galicia, Spain., Navea A; Instituto de la Retina, Valencia, Spain., Kadayifcilar S; Department of Ophthalmology, Hacettepe University Faculty of Medicine, Ankara, Turkey., Ellabban AA; Department of Ophthalmology, Suez Canal University, Ismaïlia, Egypt.; Department of Ophthalmology, Hull University Teaching Hospitals, Hull, UK., Rey A; Institut Català de Retina, Barcelona, Spain., Mansour HA; Department of Ophthalmology, American University of Beirut, Beirut, Lebanon., Tripathy K; Department of Ophthalmology, ASG Eye Hospital, Kolkata, West Bengal, India., Kozak I; Moorfields Abu Dhabi, Abu Dhabi, UAE., Uwaydat SH; Jones Eye Institute, University of Arkansas Medical School, Little Rock, Arkansas, USA., Valero MS; Department of Ophthalmology, Hospital Universitario Juan Ramón Jiménez, Huelva, Spain., Cobo-Soriano R; Department of Ophthalmology, Hospital Universitario del Henares, Universidad Francisco de Vitoria, Madrid, Spain., Díaz-Barreda MD; Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain.; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain., Monje Fernández L; Department of Ophthalmology, Complejo Asistencial Universitario de León, León, Spain., González Del Valle F; Department of Ophthalmology, Hospital La Mancha-Centro, Alcázar de San Juan, Spain., López Liroz I; Instituto de la Retina, Valencia, Spain., Vazquez Cruchaga E; Centro Oftalmologico, Hospital de Galdacano, Universidad de Navarra, Bizkaia, Spain., Fonollosa A; Department of Ophthalmology, BioCruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain., Esteban Floria O; Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain., Relimpio Lopez MI; Department of Ophthalmology, Hospital Universitario Virgen Macarena, Seville, Spain., Shah G; The Retina Institute, St. Louis, MO, USA., Wingelaar MJ; The Retina Institute, St. Louis, MO, USA., Ravani R; Department of Ophthalmology, ASG Eye Hospital, Kolkata, West Bengal, India., Donate-López J; Department of Ophthalmology, Hospital La Luz, Madrid, Spain., Rubio Velázquez E; Hospital Rafael Mendez Lorca, Murcia, Spain., Parodi M; Department of Ophthalmology, University Vita-Salute Milan, Milan, Italy.
Jazyk: angličtina
Zdroj: European journal of ophthalmology [Eur J Ophthalmol] 2024 Jul; Vol. 34 (4), pp. 1217-1227. Date of Electronic Publication: 2023 Oct 30.
DOI: 10.1177/11206721231210693
Abstrakt: Purpose: To investigate best corrected visual acuity (BCVA), subretinal fluid (SRF) absorption time or ellipsoid zone (EZ) restoration time and various variables in patients with persistent SRF after successful primary repair of rhegmatogenous retinal detachment (RRD).
Methods: This retrospective multicenter study allowed independent analysis of the healing pattern by two observers based on composite of serial cross-sectional macular optical coherence tomography (OCT) scans. Univariate and multivariate analyses were implemented.
Results: One hundred and three cases had persistent SRF after pars plana vitrectomy, scleral buckling, or pneumatic retinopexy. By univariate analysis, SRF resolution time correlated positively with the number of retinal breaks ( p  < 0.001) and with increased myopia ( p  = 0.011). Using multivariate analysis, final BCVA (log MAR) correlated positively with age, duration of RRD, initial BCVA (OR = 3.28; [95%CI = 1.44-7.47]; p  = 0.015), and SRF resolution time (OR = 0.46 [95%CI 0.21-1.05]; p  = 0.049). EZ restoration time was longer with increasing number of retinal tears (OR = 0.67; [95%CI 0.29-1.52]; p  = 0.030), worse final BCVA, and presence of macula-off RRD (OR = 0.26; [95%CI 0.08-0.88]; p  = 0.056). SRF resolution time correlated marginally with prone position.
Conclusions: Residual posterior SRF is more common in eyes with multiple breaks or in myopic eyes. Final BCVA is better in younger subjects and in eyes with shorter duration of RRD. Persistent SRF is a self-limited disorder with a mean resolution of 11.2 months with good visual prognosis improving from a mean baseline logMAR of 1.08 to 0.25 at one year.
Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE
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