Why Poor Vision Despite an Attached Retina following Primary Vitrectomy in Egyptian Patients?
Autor: | Abdussalam M Abdullatif, Heba Magdy Ahmed El-Saied, Mohamad Amr Salah Eddin Abdelhakim, Hassan Aly Mortada |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Fovea Centralis Visual acuity genetic structures Visual Acuity Vision Low Spectral domain 03 medical and health sciences 0302 clinical medicine Poor vision Foveal Vitrectomy medicine Humans Prospective Studies External limiting membrane Aged Retina business.industry Primary vitrectomy Incidence Retinal Detachment Retinal detachment General Medicine Middle Aged medicine.disease Prognosis eye diseases Surgery Ophthalmology medicine.anatomical_structure 030221 ophthalmology & optometry Egypt Female sense organs medicine.symptom business 030217 neurology & neurosurgery Tomography Optical Coherence Follow-Up Studies |
Zdroj: | Seminars in ophthalmology. 33(2) |
ISSN: | 1744-5205 |
Popis: | Objective: To correlate findings on spectral domain optical coherence tomography (SD-OCT) and best-corrected visual acuity (BCVA) following primary vitrectomy for rhegmatogenous retinal detachment (RRD). Methods: In this prospective, interventional, non-randomized case series, 71 eyes with RRD of intermediate severity underwent primary vitrectomy followed by SD-OCT one month later. Main outcome measures were inner segment/outer segment (IS/OS) junction line and external limiting membrane (ELM) disruption. Results: All patients achieved reattachment with mean BCVA of 0.77 ± 0.36 logMAR. There was statistically significant correlation between each length of IS/OS and ELM defect on the one hand, and BCVA on the other hand. Conclusion: The extent of IS/OS and ELM disruption explains the poor visual outcome in successful RD surgery with an otherwise normal foveal contour. |
Databáze: | OpenAIRE |
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