June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Recovery Course of Persistent Subretinal Fluid After Successful Repair of Rhegmatogenous Retinal Detachment
Malik Said Ladki; Ahmad Mansour; Lorenzo López-Guajardo; Luiz Henrique Lima; Stephen G Schwartz; Lihteh Wu; William Smiddy; Javier Ascaso; Ignasi Jürgens; Robert Foster; Ayman G. Elnahry; Isabel Pinilla Pinilla Lozano; Eduardo Pérez-Salvador García; Maxwell Wingelaar; Sami H Uwaydat; Maurizio Battaglia Parodi
Author Affiliations & Notes
  • Malik Said Ladki
    School of Medicine, The University of Texas Medical Branch at Galveston, Galveston, Texas, United States
  • Ahmad Mansour
    Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
    Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon
  • Lorenzo López-Guajardo
    Department of Ophthalmology, Hospital Clinico San Carlos, Madrid, Comunidad de Madrid, Spain
  • Luiz Henrique Lima
    Department of Ophthalmology, Universidade Federal de Sao Paulo, Sao Paulo, São Paulo, Brazil
  • Stephen G Schwartz
    Department of Ophthalmology, University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida, United States
  • Lihteh Wu
    Department of Ophthalmology, Asociados de Macula Vitreo y Retina de Costa Rica, San Jose, San José, Costa Rica
  • William Smiddy
    Department of Ophthalmology, University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida, United States
  • Javier Ascaso
    Department of Surgery, Universidad de Zaragoza, Zaragoza, Aragón, Spain
    Department of Ophthalmology, Hospital Clinico Universitario Lozano Blesa, Zaragoza, Aragón, Spain
  • Ignasi Jürgens
    Institut Catala de Retina SL, Barcelona, Catalunya, Spain
  • Robert Foster
    Cincinnati Eye Institute, Cincinnati, Ohio, United States
  • Ayman G. Elnahry
    Department of Ophthalmology, Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt
    Division of Epidemiology and Clinical Applications, National Eye Institute, Bethesda, Maryland, United States
  • Isabel Pinilla Pinilla Lozano
    Department of Ophthalmology, Hospital Clinico Universitario Lozano Blesa, Zaragoza, Aragón, Spain
  • Eduardo Pérez-Salvador García
    Department of Ophthalmology, Hospital Universitario de Burgos, Burgos, Castilla y León, Spain
  • Maxwell Wingelaar
    The Retina Institute, St. Louis, Missouri, United States
  • Sami H Uwaydat
    Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
  • Maurizio Battaglia Parodi
    Department of Ophthalmology, Ospedale San Raffaele Sede di San Raffaele Turro, Milano, Lombardia, Italy
  • Footnotes
    Commercial Relationships   Malik Ladki None; Ahmad Mansour None; Lorenzo López-Guajardo None; Luiz Lima None; Stephen Schwartz None; Lihteh Wu None; William Smiddy None; Javier Ascaso None; Ignasi Jürgens None; Robert Foster None; Ayman Elnahry None; Isabel Pinilla Lozano None; Eduardo Pérez-Salvador García None; Maxwell Wingelaar None; Sami Uwaydat None; Maurizio Parodi None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 4551. doi:
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      Malik Said Ladki, Ahmad Mansour, Lorenzo López-Guajardo, Luiz Henrique Lima, Stephen G Schwartz, Lihteh Wu, William Smiddy, Javier Ascaso, Ignasi Jürgens, Robert Foster, Ayman G. Elnahry, Isabel Pinilla Pinilla Lozano, Eduardo Pérez-Salvador García, Maxwell Wingelaar, Sami H Uwaydat, Maurizio Battaglia Parodi; Recovery Course of Persistent Subretinal Fluid After Successful Repair of Rhegmatogenous Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2023;64(8):4551.

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Abstract

Purpose : To investigate the correlation between outcome measures (final best corrected visual acuity (BCVA), time for subretinal fluid (SRF) absorption, time for ellipsoid zone (EZ) restoration) and various systemic and ocular variables in patients with persistent SRF after successful primary repair of rhegmatogenous retinal detachment (RRD).

Methods : This retrospective multicenter study collected clinical data (including BCVA) and made a composite montage of the serial cross-sectional macular optical coherence tomography (OCT) scans. Subsequently, independent analysis of the healing pattern was recorded by two observers (resolution of SRF and restoration of EZ). Univariate and multivariate analyses were implemented.

Results : One hundred and three cases had persistent SRF after pars plana vitrectomy (PPV), scleral buckling (SB), or pneumatic retinopexy. Mean±SD BCVA in logMAR (Snellen equivalent) improved from baseline 1.08±0.87 (20/240) (one-month after surgery) to a final of 0.21±0.24 (20/32) at the last follow-up 25.4±23.1months) (p=0.001). By univariate analysis, SRF resolution time correlated positively with the number of retinal breaks (p<0.001) and with increased myopia (p=0.011). Using multivariate analysis, final BCVA (logMAR) correlated positively with age, duration of RRD, initial BCVA (OR=3.28; [95%CI= 1.44-7.47]; p=0.015), and SRF resolution time (OR=0.46 [95%CI 0.21-1.05]; p=0.049). EZ restoration time was longer with increasing number of retinal tears (OR=0.67; [95%CI 0.29-1.52]; p=0.030), worse final BCVA, and presence of macula-off RRD (OR=0.26; [95%CI 0.08-0.88]; p=0.056). SRF resolution time correlated marginally with prone position.

Conclusions : Final BCVA is better in younger subjects and in eyes with shorter duration of RRD. It is a self-limited disorder with good visual prognosis.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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Copyright © 2024 Association for Research in Vision and Ophthalmology.
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