Spectral-domain optical coherence tomography analysis of persistent subretinal fluid after scleral buckling surgery for macula-off retinal detachment

Purpose: To identify prognostic factors for the visual outcome for patients with macula-off rhegmatogenous retinal detachment (RRD). Methods: The medical records of 27 patients (27 eyes) with macula-off RRD were retrospectively investigated. In addition to clinical characteristics, spectral-domain optical coherence tomography (SD OCT) images were analyzed. Results: The central foveal thickness at baseline was 923 ± 499.5 µm, and the mean height of the subretinal fluid was 697.8 ± 463.6 µm. Dropout of backreflection at the fovea was detected on preoperative SD OCT in 8 patients (29.6%). The external limiting membrane was disrupted in 5 patients (18.5%) as was the photoreceptor integrity in 9 patients (33.3%) at 12 months. On multiple regression analysis, backreflection integrity was the only predictive factor for postoperative visual outcome (B = 0.179, p = 0.020). Conclusions: Backreflection integrity on preoperative SD OCT seems to be helpful in predicting the postoperative visual outcome in macula-off RRD patients.

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Scleral buckling versus vitrectomy for macula-off rhegmatogenous retinal detachment as accessed with spectral-domain optical coherence tomography: a retrospective observational case series

BMC Ophthalmology ◽

10.1186/1471-2415-13-12 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 8

Author(s):

Chunmei Huang ◽

Te Fu ◽

Tonghe Zhang ◽

Xinyi Wu ◽

Qiang Ji ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Case Series ◽

Scleral Buckling ◽

Spectral Domain ◽

Optical Coherence

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Subretinal Fluid Optical Density and Spectral-Domain Optical Coherence Tomography Characteristics for the Diagnosis of Circumscribed Choroidal Hemangioma

Ophthalmologica ◽

10.1159/000492948 ◽

2018 ◽

Vol 241 (4) ◽

pp. 195-201 ◽

Cited By ~ 1

Author(s):

Dinah Zur ◽

Shahar Frenkel ◽

Ari Leshno ◽

Matias Iglicki ◽

Noa Ben-Artzi Cohen ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Optical Density ◽

Subretinal Fluid ◽

Spectral Domain ◽

Optical Coherence ◽

Choroidal Hemangioma

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Spectral-Domain Optical Coherence Tomography-Based Morphofunctional Characterization of Dome-Shaped Maculopathy in Indian Population

Journal of Ophthalmology ◽

10.1155/2020/8869455 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Naresh Babu Kannan ◽

Sagnik Sen ◽

Prithviraj Udaya ◽

Obuli Ramachandran ◽

Kim Ramasamy

Keyword(s):

Optical Coherence Tomography ◽

Indian Population ◽

Subretinal Fluid ◽

Cross Sectional Study ◽

Spectral Domain ◽

Dome Height ◽

Optical Coherence ◽

Cross Sectional ◽

Sd Oct

Purpose. To study the clinicodemographic profile of dome-shaped maculopathy (DSM) eyes in the Indian population and characterization using spectral-domain optical coherence tomography (SD-OCT). Methods. This observational cross-sectional study included 25 eyes of 14 patients diagnosed with DSM. All eyes underwent SD-OCT for characterization of the dome profile and also to measure central macular thickness (CMT), subfoveal choroidal thickness (SFCT), and dome height (DH) and to detect the presence of subretinal fluid (SRF). Results. The mean age of patients was 48.36 ± 14.23 years (range, 28–65 years). Eleven patients had bilateral involvement. Mean axial length of all eyes was 24.25 ± 1.95 mm and mean spherical equivalent −4.23 ± 3.79 DS. Overall, 11/25 eyes (44%) had round domes, 9/25 eyes (36%) had horizontal domes, and 5/25 eyes (20%) had vertical domes, with a mean dome height at fovea of 500.54 ± 291.58 µm. Vertical domes had higher DH compared to horizontal or combined domes p = 0.02 . Six eyes (6/25, 24%) showed the presence of SRF; 60% of vertical domes had SRF, and 22.2% of horizontal domes had SRF. The eyes having SRF had significantly higher CMT p = 0.017 and DH p = 0.001 , especially in horizontal domes p = 0.023 . The eyes with thicker SFCT tended to have higher DH and poorer visual acuity. Conclusion. Indian DSM eyes may have relatively lesser amounts of myopia. Choroidal thickening may play a role in development of DSM and may also be related to development of subretinal fluid in such eyes.

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