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Long-term outcome of macular shift after retinal detachment repair.
Guber, Josef; Schawkat, Megir; Scholl, Hendrik P N; Guber, Ivo; Valmaggia, Christophe.
Afiliación
  • Guber J; Eye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland. josef_guber@hotmail.com.
  • Schawkat M; Department of Ophthalmology, University of Basel, Basel, Switzerland. josef_guber@hotmail.com.
  • Scholl HPN; Eye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
  • Guber I; Department of Ophthalmology, University of Basel, Basel, Switzerland.
  • Valmaggia C; Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.
Graefes Arch Clin Exp Ophthalmol ; 259(6): 1487-1491, 2021 Jun.
Article en En | MEDLINE | ID: mdl-33237392
BACKGROUND: This study aimed to evaluate the long-term change of postoperative retinal shift after pars plana vitrectomy for macular off retinal detachment. METHODS: In this retrospective study, patients with retinal shift after pars plana vitrectomy for macula-off rhegmatogenous retinal detachment (RRD) were examined at 3 weeks and 12 months postoperatively. Fundus autofluorescence images were obtained to visualize retinal rotation. Best-corrected visual acuity was measured and metamorphopsia assessed using the Amsler grid. RESULTS: Nine patients with postoperative retinal shift were included in the study. Retinal shift decreased significantly in these patients, on average by 1.07° (range 0.52-1.62, p = 0.002) after 12 months. However, more patients complained of distorted vision after 12 months (odds ratio for change = 3.0, 95% CI: 0.24 to 157.49). The main reason was the new formation of an epiretinal membrane (odds ratio for change = infinity, 95% CI: 0.41 to infinity). There was no change in visual acuity observed (p = 0.16). CONCLUSION: Postoperative retinal shift after RRD repair decreases over a 1-year span. While retinal shift is the main cause for metamorphopsia in the early postoperative period, formation of an ERM is the main reason for distorted vision long term.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desprendimiento de Retina / Membrana Epirretinal Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Humans Idioma: En Revista: Graefes Arch Clin Exp Ophthalmol Año: 2021 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desprendimiento de Retina / Membrana Epirretinal Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Humans Idioma: En Revista: Graefes Arch Clin Exp Ophthalmol Año: 2021 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania