CLINICAL AND STRUCTURAL IMPACT OF SUBMACULAR FLUID AFTER PNEUMATIC RETINOPEXY REPAIR FOR RHEGMATOGENOUS RETINAL DETACHMENT

Autor: William M, Carrera, Michelle Y, Peng, Manisha, Reddy, Judy J, Chen, Robert N, Johnson, J Michael, Jumper, H Richard, McDonald, Anita, Agarwal
Rok vydání: 2023
Předmět:
Zdroj: Retina. 43:72-80
ISSN: 0275-004X
DOI: 10.1097/iae.0000000000003635
Popis: To assess the impact of sub-macular fluid (SMF) following pneumatic retinopexy (PR) for primary rhegmatogenous retinal detachment (RRD) repair.Retrospective review of consecutive patients treated with PR for primary RRD repair. 387 eyes (374 patients) were included, of which 166 underwent OCT imaging following successful PR. Foveal-centered OCT scans were reviewed.SMF occurred in 59 eyes (35.5%) and was associated with macular detachment (p =0.001) and phakic lens status (p = 0.007). SMF resolved over an average of 9.39 months and was associated with worse pre-procedure BCVA and delayed visual recovery. Mean final BCVA was 0.277 logMAR (20/40) in eyes with SMF and 0.162 logMAR (20/30) in those without SMF (p0.001). SMF was associated with discontinuity of the interdigitation zone (IZ) (p = 0.003), ellipsoid zone (EZ) (p = 0.005), and external limiting membrane (p =0.001) following SMF resolution. EZ discontinuity was associated with worse visual prognosis (p = 0.009).Trace SMF detected by OCT is common following successful PR and resulted in delayed visual recovery and increased rates of outer retinal discontinuity following SMF resorption, although the final difference in BCVA in those with and without SMF was minimal.
Databáze: OpenAIRE