Abstract
Abstract: :
Purpose: To examine retinal function and anatomical results after scleral buckling for recent onset retinal detachment Methods: Ten patients that had surgery with scleral buckling for retinal detachment lasting for seven days or less, were examined. OCT, Multifocal electroretinography (mfERG) and full–field electroretinography (full–field ERG) were performed preoperatively, and after six months postoperatively. The mfERG was performed using an IR light for visualizing the fundus during stimulation, thereby securing fixation control. Results: In nine patients, anatomic success was achieved after one operation. For these, MfERG amplitudes were reduced preoperatively in both detached and attached retina, with significant improvement at follow–up (p=0,0078 and p<0,0117, respectively). Foveal amplitudes improved, but significance was not reached (p=0,0742). Rod function was significantly improved at follow–up, as assessed with full–field ERG (p=0,0117). OCT showed subretinal foveal fluid in four patients, one of whom did not have foveal detachment preoperatively. One patient was reoperated and therefore not included in the above. Conclusions:In recent–onset retinal detachment, total rod– and localized central retinal dysfunction in both detached and attached area, improved significantly after reattachment. MfERG and OCT are suitable tools for further studies regarding functional outcomes in retinal detachment.
Keywords: electroretinography: clinical • retinal detachment • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound)