June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Restoration of foveal thickness and architecture after macula-off retinal detachment repair.
Author Affiliations & Notes
  • Roberto Dell'Omo
    Medicine and Health Sciences, University of Molise, Campobasso, Italy
  • Mariaelena Filippelli
    Medicine and Health Sciences, University of Molise, Campobasso, Italy
    Second University of Naples, Napoli, Italy
  • Dario Giorgio
    Medicine and Health Sciences, University of Molise, Campobasso, Italy
  • Roberto Di Iorio
    Medicine and Health Sciences, University of Molise, Campobasso, Italy
  • Ermanno dell'Omo
    Medicine and Health Sciences, University of Molise, Campobasso, Italy
  • Ciro Costagliola
    Medicine and Health Sciences, University of Molise, Campobasso, Italy
  • Footnotes
    Commercial Relationships Roberto Dell'Omo, None; Mariaelena Filippelli, None; Dario Giorgio, None; Roberto Di Iorio, None; Ermanno dell'Omo, None; Ciro Costagliola, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 5906. doi:https://doi.org/
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      Roberto Dell'Omo, Mariaelena Filippelli, Dario Giorgio, Roberto Di Iorio, Ermanno dell'Omo, Ciro Costagliola; Restoration of foveal thickness and architecture after macula-off retinal detachment repair.. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):5906. doi: https://doi.org/.

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

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Abstract

Purpose: To investigate the foveal changes after repair of macula-off rhegmatogenous retinal detachment (RRD).

Methods: Prospective comparative case series. Twenty-four eyes of 24 patients with macula-off/ fovea-on detachment ( n= 9) and fovea-off detachment (n=15) were studied. Serial optical coherence tomography (OCT) images taken at the same location were recorded at month 1,3,6 and 12 after operation. Fellow eyes were used as controls.

Results: No significant changes of the central foveal thickness (CFT) were recorded in the fovea-on group over the follow-up. From month 1 to month 12, CFT increased significantly in the fovea-off group (P< 0.001). In this group, a significant increase of the Henle fiber and outer nuclear layer thickness(P=0.004), and of the ellipsoid zone (EZ)-retinal pigment epithelium (RPE) thickness (P < 0.001) was recorded. Significant restoration of the integrity of the external limiting membrane in the fovea-off group (P <0.001) and significant restoration of the EZ and cone interdigitation zone in the fovea-on group and the fovea-off group were observed (P <0.02 and P<0.001, and P<0.00 and P<0.001, respectively). Twelve months after operation the foveal bulge restored in 8 out of 15 eyes of the fovea-off group.

Conclusions: OCT scans taken serially at the same location show a progressive increase of foveal thickness and restoration of the integrity of outer retinal bands after repair of fovea-off RRD. The ELM-RPE thickness correlates with BCVA.

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