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T. Mori, C. Kato, S. Kubo; The retinal thickness after reattachment in serous and rhegmatogenous retinal detachments. . Invest. Ophthalmol. Vis. Sci. 2004;45(13):2068.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To investigate morphological and functional changes in reattached retina of serous(s–) and rhegmatogenous(rhg–) retinal detachments.Methods: We studied 4 eyes of 4 patients with s–RD (3 central serous chorioretinopathies and 1 Harada disease) and 16 eyes of 16 patients with rhg–RD involving the macula. Three patients with CSC were cured spontaneously and 1 patient with Harada disease was treated by steroid. All of 16 eyes with rhg–RD underwent surgical therapies and gained good reattachments. Duration of macular detachment was 1–4wks in s–RD, and within 1week in 6 eyes, within 2wks in 5 eyes and within 4wks in 5 eyes in rhg–RD. We excluded patients who had residual detachment or cyst in rhg–RD. We measured retinal thickness of the macula by OCT and log MAR visual acuity after reattachment. Duration between reattachment and OCT measurement was within 3 days in s–RD and 1–8wks in rhg–RD (average: 3.8wks). Results: log MAR visual acuity was 0 in all of 4 eyes with s–RD and 0.43±0.28 in rhg–RD. The retinal thickness was 140.8±15.0µm(128–155µm) in s–RD and 152.9±42.3µm(114–282µm)in rhg–RD. The foveal excavation was detected in 13 eyes (logMAR visual acuity=0.38±0.27,retinal thickness=136.5±13.7µm) and not detected in 3 eyes (logMAR visual acuity=0.63±0.21, retinal thickness=224.0±54.1µm) in rhg–RD. Conclusions: Anatomic and functional recovery of detached retina in s–RD is earlier than that in rhg–RD. Retinal edema is one of the causes of early visual disturbance in RD.
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