Ocular coherence tomographic examination of postoperative foveal architecture after scleral buckling vs vitrectomy for macular off retinal detachment.

Hdl Handle:
http://hdl.handle.net/10147/208844
Title:
Ocular coherence tomographic examination of postoperative foveal architecture after scleral buckling vs vitrectomy for macular off retinal detachment.
Authors:
Gibran, S K; Cleary, P E
Affiliation:
Department of Ophthalmology, Cork University Hospital, Cork, Ireland., syedgibran@yahoo.com
Citation:
Eye (Lond). 2007 Sep;21(9):1174-8. Epub 2006 May 19.
Journal:
Eye (London, England)
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208844
DOI:
10.1038/sj.eye.6702429
PubMed ID:
16710430
Abstract:
AIMS: This pilot study uses Optical Coherence Tomography (OCT) imaging to compare the difference in foveal architecture after successful retinal detachment (RD) surgery by scleral buckling or pars plana vitrectomy (PPV). METHODS: Prospective recruitment of patients with macular off RDs. Detachment surgery was undertaken by scleral buckling, external drainage, and air injection (group 1) or by PPV (group 2). Postoperatively patients had clinical examinations and OCT at 1, 3, 6, and 12 months. If abnormalities persisted, a further OCT was obtained at 18 months. RESULTS: Retinal reattachment, including clinical macular reattachment, was achieved in all cases within 24 h postoperatively. In group 1 (n=22), postoperative OCT showed persistent foveal detachment in 63% of cases (n=14) at 1 and 3 months. At 6 and 12 months, 36% (n=8) and 9% (n=2) had a persistent foveal detachment, respectively, and at 18 months, foveal detachment eventually. In group 2 (n=21), postoperative OCT showed an attached fovea in all cases; however, foveal thickening suggesting intraretinal oedema was present in all cases. The oedematous appearance of retina on OCT settled in 1-3 months. No foveal abnormality was seen at 6 and 12 months postoperatively. CONCLUSIONS: A high proportion of patients with successful retinal reattachment surgery by scleral buckling had foveal detachments postoperatively. No cases who had PPV had foveal detachments; however, transient retinal oedema was evident in all cases. The aetiology of these changes is unknown and warrants further investigation, as there is the potential of a long-term effect on vision.
Language:
eng
MeSH:
Aged; Drainage; Female; Fovea Centralis/*pathology; Humans; Male; Middle Aged; Papilledema/etiology; Pilot Projects; Retinal Detachment/physiopathology/*surgery; Scleral Buckling/*methods; Tomography, Optical Coherence; Visual Acuity; Vitrectomy/*methods
ISSN:
0950-222X (Print); 0950-222X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorGibran, S Ken_GB
dc.contributor.authorCleary, P Een_GB
dc.date.accessioned2012-02-03T15:05:12Z-
dc.date.available2012-02-03T15:05:12Z-
dc.date.issued2012-02-03T15:05:12Z-
dc.identifier.citationEye (Lond). 2007 Sep;21(9):1174-8. Epub 2006 May 19.en_GB
dc.identifier.issn0950-222X (Print)en_GB
dc.identifier.issn0950-222X (Linking)en_GB
dc.identifier.pmid16710430en_GB
dc.identifier.doi10.1038/sj.eye.6702429en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208844-
dc.description.abstractAIMS: This pilot study uses Optical Coherence Tomography (OCT) imaging to compare the difference in foveal architecture after successful retinal detachment (RD) surgery by scleral buckling or pars plana vitrectomy (PPV). METHODS: Prospective recruitment of patients with macular off RDs. Detachment surgery was undertaken by scleral buckling, external drainage, and air injection (group 1) or by PPV (group 2). Postoperatively patients had clinical examinations and OCT at 1, 3, 6, and 12 months. If abnormalities persisted, a further OCT was obtained at 18 months. RESULTS: Retinal reattachment, including clinical macular reattachment, was achieved in all cases within 24 h postoperatively. In group 1 (n=22), postoperative OCT showed persistent foveal detachment in 63% of cases (n=14) at 1 and 3 months. At 6 and 12 months, 36% (n=8) and 9% (n=2) had a persistent foveal detachment, respectively, and at 18 months, foveal detachment eventually. In group 2 (n=21), postoperative OCT showed an attached fovea in all cases; however, foveal thickening suggesting intraretinal oedema was present in all cases. The oedematous appearance of retina on OCT settled in 1-3 months. No foveal abnormality was seen at 6 and 12 months postoperatively. CONCLUSIONS: A high proportion of patients with successful retinal reattachment surgery by scleral buckling had foveal detachments postoperatively. No cases who had PPV had foveal detachments; however, transient retinal oedema was evident in all cases. The aetiology of these changes is unknown and warrants further investigation, as there is the potential of a long-term effect on vision.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshDrainageen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFovea Centralis/*pathologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPapilledema/etiologyen_GB
dc.subject.meshPilot Projectsen_GB
dc.subject.meshRetinal Detachment/physiopathology/*surgeryen_GB
dc.subject.meshScleral Buckling/*methodsen_GB
dc.subject.meshTomography, Optical Coherenceen_GB
dc.subject.meshVisual Acuityen_GB
dc.subject.meshVitrectomy/*methodsen_GB
dc.titleOcular coherence tomographic examination of postoperative foveal architecture after scleral buckling vs vitrectomy for macular off retinal detachment.en_GB
dc.contributor.departmentDepartment of Ophthalmology, Cork University Hospital, Cork, Ireland., syedgibran@yahoo.comen_GB
dc.identifier.journalEye (London, England)en_GB
dc.description.provinceMunster-
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