June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Morphologic changes after retinal detachment surgery using spectral domain optical coherence tomography
Author Affiliations & Notes
  • SOLDERMANN yoann
    ophtalmology, hôpital edouard herriot, Lyon, France
  • Boujnah Ygal
    ophtalmology, hôpital edouard herriot, Lyon, France
  • Cornut Pierre Loic
    ophtalmology, hôpital edouard herriot, Lyon, France
  • Beccat Sylvain
    ophtalmology, hôpital edouard herriot, Lyon, France
  • Burillon Carole
    ophtalmology, hôpital edouard herriot, Lyon, France
  • Footnotes
    Commercial Relationships SOLDERMANN yoann, None; Boujnah Ygal, None; Cornut Pierre Loic, None; Beccat Sylvain, None; Burillon Carole, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 2872. doi:
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      SOLDERMANN yoann, Boujnah Ygal, Cornut Pierre Loic, Beccat Sylvain, Burillon Carole; Morphologic changes after retinal detachment surgery using spectral domain optical coherence tomography. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2872.

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

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Abstract

Purpose: To analyse macular region using spectral domain optical coherence tomography (SD-OCT) 3 months after retinal detachment surgery.

Methods: Patients treated for retinal detachment were included in this retrospective study between March 2010 and August 2012. Patients underwent a macular SD-OCT analysis for both eyes 3 months after surgery (macular cube analysis and high definition aquisitions) to assess macular thickness, vitreo-macular junction, persistent subretinal fluid, external limited membrane and IS/OS (inner segment/outer segment) junction line integrity.

Results: 155 eyes (101 males and 54 females) were included. Mean age was 59,8 years (15,5 to 84,5). Pre operative macular detachment was observed in 18% of cases. 31 eyes underwent an ab externo procedure and 124 eyes were treated by posterior vitrectomy. Mean best corrected visual acuity was 20/400 (1,25 log MAR, 0 to 2,90) before surgery and 20/40 (0,37 log MAR, 0 to 2,3) after surgery. 3 months after surgery, mean macular thickness was 291 μm (99 to 686) for treated eyes and 266 μm (116 to 455) for controlateral eyes. Macular OCT analysis founded IS/OS junction line alteration in 42,5% of cases, external limited membrane line disappearance in 27,3%, macular epiretinal membrane in 45%, persistent subretinal fluid in 17,8% and macular edema in 12,2% of cases at 3 months.

Conclusions: Macular SD-OCT analysis 3 months after retinal detachment surgery showed macular changes in 64,5% of cases in our study. SD-OCT is useful to demonstrate frequent macular changes arising after retinal detachment surgery and to better understand functional complaints.

Keywords: 697 retinal detachment • 585 macula/fovea • 552 imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound)  
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