PMID- 22275812
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20121002
LR  - 20211021
IS  - 1177-5483 (Electronic)
IS  - 1177-5467 (Print)
IS  - 1177-5467 (Linking)
VI  - 6
DP  - 2012
TI  - Optical coherence tomography predicts visual outcome in macula-involving 
      rhegmatogenous retinal detachment.
PG  - 91-6
LID - 10.2147/OPTH.S28173 [doi]
AB  - PURPOSE: Visual recovery after rhegmatogenous retinal detachment (RRD) repair 
      depends upon various anatomical factors. We investigated spectral-domain optical 
      coherence tomography (SD-OCT) abnormalities, pre- and postoperatively, in 
      patients with nontraumatic RRD and correlated these findings with visual outcome. 
      METHODS: The medical records of all patients presenting to Weill Cornell Medical 
      College with nontraumatic macula-involving RRD from August 2010 to September 2011 
      were retrospectively reviewed in this single-center, consecutive case series. All 
      patients underwent pre- and postoperative visual acuity (VA) testing, slit-lamp 
      biomicroscopy, and dilated fundus examination. Spectral domain optical coherence 
      tomography was obtained preoperatively in twelve patients and postoperatively in 
      ten patients. RESULTS: Twelve patients (12 eyes) were included in the final 
      analysis. Preoperative optical coherence tomography revealed that the inner 
      segment/outer segment (IS/OS) junction was disrupted in 10/12 eyes (83%), the 
      external limiting membrane (ELM) was disrupted in 9/12 (75%) eyes, cystoid 
      macular edema (CME) was present in 10/12 (83%) eyes, an epiretinal membrane (ERM) 
      was present in 2/12 eyes (17%) and outer retinal corrugation was present in 7/12 
      (58%) eyes. In postoperative imaging of 10 eyes, the IS/OS junction was disrupted 
      in 4/10 (40%), the ELM was disrupted in 3/10 (30%) eyes, CME was present in 2/10 
      (20%), and an ERM in 1/10 (10%). All retinas were attached postoperatively. Outer 
      retinal corrugation was the most predictive of worse preoperative (P = 0.0016) 
      and 1-month postoperative visual acuity (P = 0.05). CONCLUSION: Preoperative 
      SD-OCT demonstrating outer retinal corrugation in macula involving RRD predicts 
      poor visual acuity outcome in nontraumatic RRD. Such findings may have 
      implications for the urgency for these eyes to undergo surgical repair.
FAU - Cho, Minhee
AU  - Cho M
AD  - Weill Cornell Medical College, Department of Ophthalmology, New York, NY, USA.
FAU - Witmer, Matthew T
AU  - Witmer MT
FAU - Favarone, Guilleherme
AU  - Favarone G
FAU - Chan, Rv Paul
AU  - Chan RP
FAU - D'Amico, Donald J
AU  - D'Amico DJ
FAU - Kiss, Szilard
AU  - Kiss S
LA  - eng
PT  - Case Reports
DEP - 20120111
PL  - New Zealand
TA  - Clin Ophthalmol
JT  - Clinical ophthalmology (Auckland, N.Z.)
JID - 101321512
PMC - PMC3261694
OTO - NOTNLM
OT  - macula-involving
OT  - optical coherence tomography
OT  - outer retinal corrugation
OT  - retinal detachment
EDAT- 2012/01/26 06:00
MHDA- 2012/01/26 06:01
PMCR- 2012/01/11
CRDT- 2012/01/26 06:00
PHST- 2012/01/26 06:00 [entrez]
PHST- 2012/01/26 06:00 [pubmed]
PHST- 2012/01/26 06:01 [medline]
PHST- 2012/01/11 00:00 [pmc-release]
AID - opth-6-091 [pii]
AID - 10.2147/OPTH.S28173 [doi]
PST - ppublish
SO  - Clin Ophthalmol. 2012;6:91-6. doi: 10.2147/OPTH.S28173. Epub 2012 Jan 11.