Abstract
Purpose :
To determine whether the patient’s age correlates with the final best corrected visual acuity (BCVA) following surgical repair of a macula-off RRD. To look for signs of accelerated retinal atrophy after RRD in elderly patients using Optical Coherence Tomography (OCT).
Methods :
Retrospective, consecutive case series. The medical records of patients who presented with RRD at an academic medical center anytime between January 2012 and October 2020 were reviewed. These patients were divided into three age groups: (A) ≤60 years-old, (B) 61-75 years-old, and (C) ≥76 years-old. Differences in postoperative BCVA between these age groups were assessed. Secondary outcome was differences in the central retinal thickness (CRT) based on OCT.
Results :
From the 412 patients that were screened, 106 met the inclusion criteria (Figure 1). Eighty of them were male. Thirty-four of them were in group A, 49 in group B, and 23 in group C. The mean age ± SD was 66.7 ± 10.3 years-old. The mean follow-up period was 22.1 ± 18.1 months. The mean logMAR (Snellen) BCVA ± SD, pre-operatively and post-operatively, were 1.5 ± 0.8 (20/630) and 0.5 ± 0.5 (20/60), respectively. At final follow-up, logMAR (Snellen) BCVA was 0.25 (20/35), 0.57 (20/74) and 0.62 (20/83) in groups A, B, and C, respectively (p < 0.05 between the different subgroups). The difference in final CRT on OCT between the subgroups was not statistically significant (316.9 μm in group A, 313.2 μm in group B, and 310.2 μm in group C).
Conclusions :
In elderly patients who undergo successful surgery for macula-off primary RRD the visual recovery might be more limited compared to that in younger patients. In the current study the difference between the CRT in different age subgroups was not statistically significant.
This is a 2021 ARVO Annual Meeting abstract.