Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment

Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment

Minhee Cho1,*, Matthew T Witmer1,*, Guilleherme Favarone2, RV Paul Chan1, Donald J D'Amico1, Szilárd Kiss11Weill Cornell Medical College, Department of Ophthalmology, New York, NY, USA; 2Hospital do Olho Rio Preto, Department of Retina and Vitreous, São Jos&...

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Autores principales: Cho M, Witmer MT, Favarone G, Chan RVP, D'Amico DJ, Kiss S
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2012
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/ae380641afd34c2aba193e2aa8b3c725
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spelling oai:doaj.org-article:ae380641afd34c2aba193e2aa8b3c7252021-12-02T06:31:37ZOptical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment1177-54671177-5483https://doaj.org/article/ae380641afd34c2aba193e2aa8b3c7252012-01-01T00:00:00Zhttp://www.dovepress.com/optical-coherence-tomography-predicts-visual-outcome-in-macula-involvi-a9039https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Minhee Cho1,*, Matthew T Witmer1,*, Guilleherme Favarone2, RV Paul Chan1, Donald J D'Amico1, Szilárd Kiss11Weill Cornell Medical College, Department of Ophthalmology, New York, NY, USA; 2Hospital do Olho Rio Preto, Department of Retina and Vitreous, São José do Rio Preto, Brazil *These authors contributed equally to this workPurpose: Visual recovery after rhegmatogenous retinal detachment (RRD) repair depends upon various anatomical factors. We investigated spectral-domain optical coherence tomography (SD-OCT) abnormalities, pre- and postoperatively, in patients with nontraumatic RRD and correlated these findings with visual outcome.Methods: The medical records of all patients presenting to Weill Cornell Medical College with nontraumatic macula-involving RRD from August 2010 to September 2011 were retrospectively reviewed in this single-center, consecutive case series. All patients underwent pre- and postoperative visual acuity (VA) testing, slit-lamp biomicroscopy, and dilated fundus examination. Spectral domain optical coherence tomography was obtained preoperatively in twelve patients and postoperatively in ten patients.Results: Twelve patients (12 eyes) were included in the final analysis. Preoperative optical coherence tomography revealed that the inner segment/outer segment (IS/OS) junction was disrupted in 10/12 eyes (83%), the external limiting membrane (ELM) was disrupted in 9/12 (75%) eyes, cystoid macular edema (CME) was present in 10/12 (83%) eyes, an epiretinal membrane (ERM) was present in 2/12 eyes (17%) and outer retinal corrugation was present in 7/12 (58%) eyes. In postoperative imaging of 10 eyes, the IS/OS junction was disrupted in 4/10 (40%), the ELM was disrupted in 3/10 (30%) eyes, CME was present in 2/10 (20%), and an ERM in 1/10 (10%). All retinas were attached postoperatively. Outer retinal corrugation was the most predictive of worse preoperative (P = 0.0016) and 1-month postoperative visual acuity (P = 0.05).Conclusion: Preoperative SD-OCT demonstrating outer retinal corrugation in macula involving RRD predicts poor visual acuity outcome in nontraumatic RRD. Such findings may have implications for the urgency for these eyes to undergo surgical repair.Keywords: macula-involving, optical coherence tomography, outer retinal corrugation, retinal detachmentCho MWitmer MTFavarone GChan RVPD'Amico DJKiss SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 91-96 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Cho M
Witmer MT
Favarone G
Chan RVP
D'Amico DJ
Kiss S
Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
description Minhee Cho1,*, Matthew T Witmer1,*, Guilleherme Favarone2, RV Paul Chan1, Donald J D'Amico1, Szilárd Kiss11Weill Cornell Medical College, Department of Ophthalmology, New York, NY, USA; 2Hospital do Olho Rio Preto, Department of Retina and Vitreous, São José do Rio Preto, Brazil *These authors contributed equally to this workPurpose: Visual recovery after rhegmatogenous retinal detachment (RRD) repair depends upon various anatomical factors. We investigated spectral-domain optical coherence tomography (SD-OCT) abnormalities, pre- and postoperatively, in patients with nontraumatic RRD and correlated these findings with visual outcome.Methods: The medical records of all patients presenting to Weill Cornell Medical College with nontraumatic macula-involving RRD from August 2010 to September 2011 were retrospectively reviewed in this single-center, consecutive case series. All patients underwent pre- and postoperative visual acuity (VA) testing, slit-lamp biomicroscopy, and dilated fundus examination. Spectral domain optical coherence tomography was obtained preoperatively in twelve patients and postoperatively in ten patients.Results: Twelve patients (12 eyes) were included in the final analysis. Preoperative optical coherence tomography revealed that the inner segment/outer segment (IS/OS) junction was disrupted in 10/12 eyes (83%), the external limiting membrane (ELM) was disrupted in 9/12 (75%) eyes, cystoid macular edema (CME) was present in 10/12 (83%) eyes, an epiretinal membrane (ERM) was present in 2/12 eyes (17%) and outer retinal corrugation was present in 7/12 (58%) eyes. In postoperative imaging of 10 eyes, the IS/OS junction was disrupted in 4/10 (40%), the ELM was disrupted in 3/10 (30%) eyes, CME was present in 2/10 (20%), and an ERM in 1/10 (10%). All retinas were attached postoperatively. Outer retinal corrugation was the most predictive of worse preoperative (P = 0.0016) and 1-month postoperative visual acuity (P = 0.05).Conclusion: Preoperative SD-OCT demonstrating outer retinal corrugation in macula involving RRD predicts poor visual acuity outcome in nontraumatic RRD. Such findings may have implications for the urgency for these eyes to undergo surgical repair.Keywords: macula-involving, optical coherence tomography, outer retinal corrugation, retinal detachment
format article
author Cho M
Witmer MT
Favarone G
Chan RVP
D'Amico DJ
Kiss S
author_facet Cho M
Witmer MT
Favarone G
Chan RVP
D'Amico DJ
Kiss S
author_sort Cho M
title Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
title_short Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
title_full Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
title_fullStr Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
title_full_unstemmed Optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
title_sort optical coherence tomography predicts visual outcome in macula-involving rhegmatogenous retinal detachment
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/ae380641afd34c2aba193e2aa8b3c725
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