Investigation of causative factors for unusual shape of macula in eyes with macula-off rhegmatogenous retinal detachment

Autor: Hiroko Terasaki, Chie Iwase, Eimei Ra, Ryo Tomita, Takeshi Iwase
Rok vydání: 2021
Předmět:
Zdroj: Japanese Journal of Ophthalmology. 65:363-371
ISSN: 1613-2246
0021-5155
DOI: 10.1007/s10384-020-00810-8
Popis: To determine the factors significantly associated with anterior protrusion of the macula in eyes with a macula-off rhegmatogenous retinal detachment (RRD) and to determine the relationship between the intraretinal cystoid cavities (ICCs) and the anterior protrusion and function of the fovea. Retrospective cross-sectional study. Sixty-nine eyes of 69 patients with successfully reattached macula-off RRD were retrospectively analyzed. Six radial spectral-domain optical coherence tomographic (OCT) images were used to evaluate the effects of the ICCs on detached macula and to measure the angle of the retina at the macula as a parameter to evaluate the anterior protrusion of the detached retina. The findings were compared to other parameters. The mean angle of the retina at the macula was 143.1 ± 15.9° with a range of 108 to 172°. Preoperatively, 51 eyes (74%) had ICCs in the inner nuclear layer and/or the outer plexiform layer and Henle fiber layer complex, but none was present after surgery. Multivariate regression analyses revealed that the angle of the retina was significantly associated with the presence of ICCs (β = -0.637, P
Databáze: OpenAIRE