September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Spectral Domain Optical Coherence Tomography Imaging of Subretinal Bands Associated with Chronic Retinal Detachment
Author Affiliations & Notes
  • Nikisha Kothari
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
  • Ajay Kuriyan
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
  • Harry W Flynn
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
  • Footnotes
    Commercial Relationships   Nikisha Kothari, None; Ajay Kuriyan, None; Harry Flynn, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 4263. doi:
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      Nikisha Kothari, Ajay Kuriyan, Harry W Flynn; Spectral Domain Optical Coherence Tomography Imaging of Subretinal Bands Associated with Chronic Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4263.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To demonstrate subretinal bands using spectral domain optical coherence tomography (SD-OCT) and to show that successful retinal reattachment can be accomplished without removal of these bands.

Methods : We performed a retrospective consecutive case series to identify hyperreflective subretinal bands by SD-OCT and a retrospective clinical review of surgical outcomes.

Results : Three patients underwent vitreoretinal surgery to repair chronic retinal detachments with subretinal bands. Surgical techniques included scleral buckling alone (Case 1 and 2) and scleral buckling, pars plana vitrectomy, and gas (Case 3). Follow-up ranged from 2 to 35 years. In Case 1, preoperative and postoperative fundus photography and SD-OCT demonstrated successful retinal reattachment and persistent subretinal bands (Figure 1). SD-OCT demonstrated the location and extent of the subretinal bands. Retinal reattachment was accomplished without removal of bands. Visual acuity outcomes ranged from 20/20 to 20/50.

Conclusions : Subretinal bands in chronic retinal detachments can be detected with SD-OCT and removal of these bands was not necessary to accomplish retinal reattachment.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

 

(A,B) Pre-operative fundus photography and SD-OCT demonstrated an inferonasal retinal detachment, subretinal fluid, and a hyperreflective subretinal band.

(A,B) Pre-operative fundus photography and SD-OCT demonstrated an inferonasal retinal detachment, subretinal fluid, and a hyperreflective subretinal band.

 

(C,D) Post-operative imaging demonstrated resolution of subretinal fluid and persistent subretinal bands (Cirrus HD-OCT).

(C,D) Post-operative imaging demonstrated resolution of subretinal fluid and persistent subretinal bands (Cirrus HD-OCT).

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