PMID- 33576133 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20220117 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 99 IP - 7 DP - 2021 Nov TI - Functional and anatomical outcomes after successful repair of macula-off retinal detachment: a 12-month follow-up of the DOREFA study. PG - e1190-e1197 LID - 10.1111/aos.14777 [doi] AB - PURPOSE: To report visual and anatomical outcomes and determine predictors of good visual acuity (VA) recovery after macula-off rhegmatogenous retinal detachment (RD). METHODS: Prospective multicentre study including 115 eyes from 115 patients successfully operated on for RD, with assessment of VA and spectral-domain optical coherence tomography (SD-OCT) macular images at 1, 3, 6 and 12 months after surgery. RESULTS: Over the follow-up period, VA significantly improved from median [IQR] 62 [46; 72] ETDRS letters at 1 month to 75 [67; 80] ETDRS letters at 12 months (p < 0.001) with a concomitant decreased number of eyes with any SD-OCT lesions (p < 0.001). The presence of subretinal fluid (SRF) significantly decreased (p < 0.001), as did the number of photoreceptor (PR) layer lesions (p = 0.04). At 12 months, lesions in the PR layer and poor VA recovery were significantly associated with a longer time to surgery (p = 0.007 and p < 0.001, respectively). The rate of patients without PR lesions increased from 40.9% at 1 month to 60.0% at 6 months and 73.9% at 12 months (p < 0.001). The incidence of epiretinal membrane (ERM) significantly increased (p < 0.001), while cystoid macular oedema (CME) remained stable over time. Visual acuity (VA) at 3 months postoperatively was a good reflection of final VA recovery (p < 0.001). CONCLUSION: Visual acuity (VA) improved in parallel with the decreasing number of eyes with SD-OCT lesions after macula-off rhegmatogenous RD. A long time to surgery was the only preoperative factor associated with poor VA recovery after retinal detachment surgery. CI - (c) 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Baudin, Florian AU - Baudin F AUID- ORCID: 0000-0003-4976-9876 AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - EA 7460 Pathophysiology and Epidemiology of Cerebro-Cardiovascular Diseases (PEC2), University Hospital, Dijon, France. FAU - Deschasse, Clemence AU - Deschasse C AD - Department of Ophthalmology, University Hospital, Dijon, France. FAU - Gabrielle, Pierre-Henry AU - Gabrielle PH AUID- ORCID: 0000-0002-9688-4845 AD - Department of Ophthalmology, University Hospital, Dijon, France. FAU - Berrod, Jean P AU - Berrod JP AD - Department of Ophthalmology, University Hospital, Nancy, France. FAU - Le Mer, Yannick AU - Le Mer Y AD - Department of Ophthalmology, Fondation A. de Rothschild, Paris, France. FAU - Arndt, Carl AU - Arndt C AD - Department of Ophthalmology, University Hospital, Reims, France. FAU - Tadayoni, Ramin AU - Tadayoni R AD - Department of Ophthalmology, Lariboisiere Hospital, Paris, France. FAU - Delyfer, Marie N AU - Delyfer MN AUID- ORCID: 0000-0002-3127-8617 AD - Department of Ophthalmology, University Hospital, Bordeaux, France. FAU - Weber, Michel AU - Weber M AD - Department of Ophthalmology, University Hospital, Nantes, France. FAU - Gaucher, David AU - Gaucher D AD - Department of Ophthalmology, University Hospital, Strasbourg, France. AD - Bacteriology institute, UR-7290, Strasbourg University, Strasbourg, France. FAU - Saleh, Maher AU - Saleh M AD - Department of Ophthalmology, University Hospital, Besancon, France. FAU - Chiquet, Christophe AU - Chiquet C AUID- ORCID: 0000-0002-7601-4885 AD - Department of Ophthalmology, University Hospital, Grenoble, France. FAU - Creuzot-Garcher, Catherine AU - Creuzot-Garcher C AUID- ORCID: 0000-0002-3587-4598 AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research group, GSGA, UMR 1324 INRA, 6265 CNRS, Dijon, France. LA - eng GR - 2011-A00266-35/French Ministry of Health/ PT - Journal Article PT - Multicenter Study DEP - 20210211 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 SB - IM MH - Aged MH - Female MH - Follow-Up Studies MH - Humans MH - Macula Lutea/*diagnostic imaging MH - Male MH - Middle Aged MH - Postoperative Period MH - Prospective Studies MH - Retinal Detachment/diagnosis/physiopathology/*surgery MH - Scleral Buckling/*methods MH - Time Factors MH - Tomography, Optical Coherence/methods MH - *Visual Acuity MH - Vitrectomy/*methods OTO - NOTNLM OT - cystoid macular oedema OT - external limiting membrane OT - photoreceptor layer OT - rhegmatogenous retinal detachment OT - spectral-domain optical coherence tomography OT - subretinal fluid OT - vitreoretinal surgery EDAT- 2021/02/13 06:00 MHDA- 2022/01/18 06:00 CRDT- 2021/02/12 06:15 PHST- 2020/12/11 00:00 [revised] PHST- 2020/06/02 00:00 [received] PHST- 2021/01/13 00:00 [accepted] PHST- 2021/02/13 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/02/12 06:15 [entrez] AID - 10.1111/aos.14777 [doi] PST - ppublish SO - Acta Ophthalmol. 2021 Nov;99(7):e1190-e1197. doi: 10.1111/aos.14777. Epub 2021 Feb 11.