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Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair.
Ricker, Lukas J A G; Noordzij, Leo J; Goezinne, Fleur; Cals, Diana W J K; Berendschot, Tos T J M; Liem, Albert T A; Hendrikse, Fred; La Heij, Ellen C.
Afiliación
  • Ricker LJ; Department of Ophthalmology, Eye Research Institute Maastricht, University Hospital Maastricht, Maastricht, The Netherlands. l.ricker@np.unimaas.nl
Retina ; 31(8): 1505-12, 2011 Sep.
Article en En | MEDLINE | ID: mdl-21522038
PURPOSE: To investigate the influence of subfoveal fluid and foveal thickness on visual outcome in patients who underwent reattachment surgery for rhegmatogenous retinal detachment (RRD). METHODS: This prospective study included 53 patients who were undergoing successful scleral buckling surgery for primary RRD. A thorough ophthalmologic examination including best-corrected visual acuity, slit-lamp biomicroscopy, binocular indirect ophthalmoscopy, and optical coherence tomography scanning was performed preoperatively and during all subsequent follow-up visits at 1, 3, 6, 9, 12, and 24 months postoperatively. RESULTS: Preoperative foveal thickness was significantly higher in the macula-off group (n = 38) compared with the macula-on group (n = 15) (P < 0.0001), whereas postoperative measurements were normal in both the groups. Linear mixed-model analysis revealed that persistent subfoveal fluid (P = 0.0004) was an independent predictor of a worse visual outcome after scleral buckling surgery for primary macula-off RRD, although the effect on visual outcome was small (0.1 logarithm of the minimal angle of resolution units). Moreover, increased preoperative foveal thickness was associated with a worse visual prognosis in macula-off RRD (P = 0.010). CONCLUSION: Persistent subfoveal fluid and increased preoperative foveal thickness were associated with a worse visual prognosis in macula-off RRD patients, albeit the effect of persistent subfoveal fluid was small and temporary.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Curvatura de la Esclerótica / Desprendimiento de Retina / Agudeza Visual / Líquido Subretiniano / Fóvea Central Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Retina Año: 2011 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Curvatura de la Esclerótica / Desprendimiento de Retina / Agudeza Visual / Líquido Subretiniano / Fóvea Central Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Retina Año: 2011 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos