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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)
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.
We performed a retrospective consecutive case series to identify hyperreflective subretinal bands by SD-OCT and a retrospective clinical review of surgical outcomes.
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.
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.
(C,D) Post-operative imaging demonstrated resolution of subretinal fluid and persistent subretinal bands (Cirrus HD-OCT).
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