Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade
Essam Elmatbouly Saber, Ahmed Sherin Mostafa Bayoumy, Mohamed Nagy Elmohamady, Hussam Mustafa Faramawi Department of Opthalmology, Faculty of Medicine, Benha University, Qaliopia, Egypt Objectives: To study the macular microstructural changes and their relationship to visual acuity (VA) following...
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Dove Medical Press
2018
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oai:doaj.org-article:61c0218694bb47368780ab7cdc7c69752021-12-02T07:32:10ZMacular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade1177-5483https://doaj.org/article/61c0218694bb47368780ab7cdc7c69752018-10-01T00:00:00Zhttps://www.dovepress.com/macular-microstructure-and-visual-acuity-after-macula-off-retinal-deta-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Essam Elmatbouly Saber, Ahmed Sherin Mostafa Bayoumy, Mohamed Nagy Elmohamady, Hussam Mustafa Faramawi Department of Opthalmology, Faculty of Medicine, Benha University, Qaliopia, Egypt Objectives: To study the macular microstructural changes and their relationship to visual acuity (VA) following primary vitrectomy and silicone tamponade for retinal detachment. Patients and methods: A total of 40 cases with macula-off rhegmatogenous retinal detachment underwent 23-gauge vitrectomy with silicone oil tamponade. Cases with open globe injury and other ocular pathology were excluded. Optical coherence tomography (OCT) imaging of the macula was done about 3 and 6 months postoperatively. OCT macular microstructural changes were recorded and correlated to VA. Results: A total of 36 eyes were evaluated by statistical analysis. The best-corrected VA (BCVA) improved in 35 patients (97.2%) and remained unchanged in one patient (2.8%). Patients were divided into two groups based on 6-month postoperative BCVA: group I with 6-month postoperative BCVA of <1 LogMAR and group II with 6-month postoperative BCVA of ≥1 LogMAR. No disruption of retinal microstructure occurred in 70% of cases in group I. Mild disruption was found in 30% of group I and 25% of group II, whereas severe disruption was found in 75% of group II cases. Epiretinal membrane formed early in three eyes in group II and late in two eyes in group I. Conclusion: Macular microstructural changes detected by OCT is directly correlated to visual outcomes of retinal detachment repair. Keywords: retinal detachment, vitrectomy, silicone oil, OCT, ellipsoid zone, ERMSaber EEBayoumy ASMElmohamady MNFaramawi HMDove Medical PressarticleRetinal detachmentVitrectomySilicone oilOCTEllipsoid zoneERMOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2005-2013 (2018) |
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Retinal detachment Vitrectomy Silicone oil OCT Ellipsoid zone ERM Ophthalmology RE1-994 |
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Retinal detachment Vitrectomy Silicone oil OCT Ellipsoid zone ERM Ophthalmology RE1-994 Saber EE Bayoumy ASM Elmohamady MN Faramawi HM Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
description |
Essam Elmatbouly Saber, Ahmed Sherin Mostafa Bayoumy, Mohamed Nagy Elmohamady, Hussam Mustafa Faramawi Department of Opthalmology, Faculty of Medicine, Benha University, Qaliopia, Egypt Objectives: To study the macular microstructural changes and their relationship to visual acuity (VA) following primary vitrectomy and silicone tamponade for retinal detachment. Patients and methods: A total of 40 cases with macula-off rhegmatogenous retinal detachment underwent 23-gauge vitrectomy with silicone oil tamponade. Cases with open globe injury and other ocular pathology were excluded. Optical coherence tomography (OCT) imaging of the macula was done about 3 and 6 months postoperatively. OCT macular microstructural changes were recorded and correlated to VA. Results: A total of 36 eyes were evaluated by statistical analysis. The best-corrected VA (BCVA) improved in 35 patients (97.2%) and remained unchanged in one patient (2.8%). Patients were divided into two groups based on 6-month postoperative BCVA: group I with 6-month postoperative BCVA of <1 LogMAR and group II with 6-month postoperative BCVA of ≥1 LogMAR. No disruption of retinal microstructure occurred in 70% of cases in group I. Mild disruption was found in 30% of group I and 25% of group II, whereas severe disruption was found in 75% of group II cases. Epiretinal membrane formed early in three eyes in group II and late in two eyes in group I. Conclusion: Macular microstructural changes detected by OCT is directly correlated to visual outcomes of retinal detachment repair. Keywords: retinal detachment, vitrectomy, silicone oil, OCT, ellipsoid zone, ERM |
format |
article |
author |
Saber EE Bayoumy ASM Elmohamady MN Faramawi HM |
author_facet |
Saber EE Bayoumy ASM Elmohamady MN Faramawi HM |
author_sort |
Saber EE |
title |
Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
title_short |
Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
title_full |
Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
title_fullStr |
Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
title_full_unstemmed |
Macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
title_sort |
macular microstructure and visual acuity after macula-off retinal detachment repair by 23-gauge vitrectomy plus silicone endotamponade |
publisher |
Dove Medical Press |
publishDate |
2018 |
url |
https://doaj.org/article/61c0218694bb47368780ab7cdc7c6975 |
work_keys_str_mv |
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_version_ |
1718399338647912448 |