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

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    Authors
    Gibran, S K
    Cleary, P E
    Affiliation
    Department of Ophthalmology, Cork University Hospital, Cork, Ireland., syedgibran@yahoo.com
    Issue Date
    2012-02-03T15:05:12Z
    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
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    Citation
    Eye (Lond). 2007 Sep;21(9):1174-8. Epub 2006 May 19.
    Journal
    Eye (London, England)
    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
    ISSN
    0950-222X (Print)
    0950-222X (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1038/sj.eye.6702429
    Scopus Count
    Collections
    Cork University Hospital

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