April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Long-term Macular Morphologic Changes after Macula-off Rhegmatogenous Retinal Detachment Repair: High Resolution Fourier-domain OCT Findings
Saadia Rashid; Suman Pilli; Eric K. Chin; Robert J. Zawadzki; Susanna S. Park
Author Affiliations & Notes
  • Saadia Rashid
    Ophthalmology, University of California, Davis, Sacramento, California
  • Suman Pilli
    Ophthalmology, University of California, Davis, Sacramento, California
  • Eric K. Chin
    Ophthalmology, University of California, Davis, Sacramento, California
  • Robert J. Zawadzki
    Ophthalmology & Vison Science, University of California Davis, Sacramento, California
  • Susanna S. Park
    Ophthalmology & Vision Science, Univ of California Davis Med Ctr, Sacramento, California
  • Footnotes
    Commercial Relationships  Saadia Rashid, None; Suman Pilli, None; Eric K. Chin, None; Robert J. Zawadzki, None; Susanna S. Park, None
  • Footnotes
    Support  National Eye Institute EY 014743 (JSW), Research to Prevent Blindness (RPB)
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 2165. doi:
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      Saadia Rashid, Suman Pilli, Eric K. Chin, Robert J. Zawadzki, Susanna S. Park; Long-term Macular Morphologic Changes after Macula-off Rhegmatogenous Retinal Detachment Repair: High Resolution Fourier-domain OCT Findings. Invest. Ophthalmol. Vis. Sci. 2011;52(14):2165.

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Abstract

Purpose: : To evaluate the long-term macular morphological changes in subjects after successful macula-off rhegmatogenous retinal detachment (RD) repair using high resolution Fourier-domain optical coherence tomography (FD-OCT).

Methods: : Six eyes of 6 subjects without maculopathy who had successful macula-off RD repair and imaged with FD-OCT 5 years earlier was reimaged with FD-OCT. Best corrected visual acuity (BCVA) and macular morphologic changes on FD-OCT images from first scan were compared to that of the follow-up scan.

Results: : Pre-operative BCVA ranged from counting fingers (n=5) to 20/150 (n=1). Mean post-operative follow-up duration was 2.2 mos (range 1 to 3 mos) for the initial scan and 4.9 yrs (range 3.75 to 5.75 yrs) for the follow-up scan. BCVA at time of the initial scan ranged from 20/25 to 20/200. BCVA at time of the follow-up scan ranged from 20/20 to CF (≥ 20/25, n=5). BCVA improved in 4 eyes and worsened in 2 eyes between scans. Among 4 eyes with improved BCVA during follow-up, there was complete or partial resolution of foveal photoreceptor inner segment-outer segment junction (IS-OS) and Verhoeff’s membrane (VM) abnormality seen on initial scan. None of these 4 eyes had subfoveal subretinal fluid (SRF) on initial or final scan. Among two eyes that had worsening of BCVA between scans, one eye had new subfoveal photoreceptor outer segment thinning/defect with persistent foveal IS-OS/ VM abnormality noted on the initial scan. The other eye had persistent patchy photoreceptor loss seen on initial scan with slight subfoveal enlargement of defect.

Conclusions: : Delayed changes in foveal photoreceptor IS-OS and VM are seen using FD-OCT on long-term follow-up of eyes with successful macula-off rhegmatogenous retinal detachment. Persistent or new disruption of foveal photoreceptor IS-OS and VM is associated with persistent or worsening vision loss while resolution of foveal IS-OS/ VM abnormality is associated with improvement in visual acuity.

Keywords: retinal detachment • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • photoreceptors 
© 2011, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2025 Association for Research in Vision and Ophthalmology.
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