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Foveal Structure in Macula-Off Rhegmatogenous Retinal Detachment After Scleral Buckling or Vitrectomy Publisher



Roohipoor R1 ; Mohammadi N1 ; Ghassemi F1 ; Karkhaneh R1 ; Rezaei M2 ; Niliahmadabadi M1 ; Ebrahimiadib N1
Authors
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Authors Affiliations
  1. 1. Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Qazvin Square, South Kargar Avenue, Tehran, 13366, Iran
  2. 2. Department of Biostatictics, Kermanshah University of Medical Sciences, Kermanshah, Iran

Source: Journal of Ophthalmic and Vision Research Published:2015


Abstract

Purpose: To evaluate foveal microstructural changes and to determine its association with visual outcomes after reattachment of rhegmatogenous retinal detachments (RRDs) by scleral buckling (SB) or pars plana vitrectomy (PPV). Methods: Using spectral domain optical coherence tomography (SD-OCT), foveal microstructure in eyes with macula-off RRD were studied 1, 3, 6, 9, 12 and 15 months after PPV or SB and correlated with visual outcomes. Results: Forty-two eyes were included in the final analysis. Even with improved microstructural changes and normalization of retinal structures on OCT, final visual acuity was not correlated with microstructural changes in eyes undergoing PPV. In the SB group, final visual acuity was significantly correlated with an intact inner segment/outer segment (IS/OS) junction (P = 0.013). There was no significant correlation between final visual acuity and presence of subretinal fluid (SRF) in either group. Conclusion: After SB, eyes with an intact IS/OS junction had better final visual acuity. In the PPV group, there was no significant correlation between microstructural changes and visual acuity. The presence of SRF did not influence final visual acuity in both groups. © 2015 Journal of Ophthalmic and Vision Research.