PMID- 34137182
OWN - NLM
STAT- MEDLINE
DCOM- 20220414
LR  - 20220414
IS  - 1755-3768 (Electronic)
IS  - 1755-375X (Linking)
VI  - 100
IP  - 3
DP  - 2022 May
TI  - Incidence and risk factors for macular oedema after primary rhegmatogenous 
      retinal detachment surgery: a prospective single-centre study.
PG  - 295-301
LID - 10.1111/aos.14940 [doi]
AB  - PURPOSE: To assess the incidence of cystoid macular oedema (CME) diagnosed by 
      spectral domain optical coherence tomography (SD-OCT) after primary 
      rhegmatogenous retinal detachment (RRD) surgery. METHODS: From April 2016 to 
      October 2017, 150 eyes of 150 patients presenting with primary RRD were included 
      consecutively in this prospective single-centre study. Patients with the 
      following characteristics were excluded: previous vitreoretinal surgery, combined 
      cataract surgery, preoperatively presentation with any intraocular or systemic 
      inflammatory condition, visible macular oedema or epiretinal membrane (ERM) on 
      funduscopy. SD-OCT (Spectralis, Heidelberg Engineering) was conducted 3 and 
      6 weeks after surgery. RESULTS: One hundred and twenty-eight of the 150 patients 
      completed the study, of whom 107 (age: 61.7 +/- 11.5 years, mean +/- SD) showed 
      successful retinal attachment during follow-up visits. The most frequent 
      operation method was scleral buckling (54.2%), followed by vitrectomy (25.2%) and 
      the combination of both techniques (20.6%). Postoperative SD-OCT revealed CME, 
      neurosensory detachment and ERM in 18.7, 31.8 and 32.7% of all cases, 
      respectively. The risk of postoperative CME was significantly elevated in 
      patients with ERM (42.9 versus 6.9%, p < 0.001). In addition, patients with 
      initial detachment of the macula had more postoperative CME (26.5 versus 11.1%, 
      p = 0.044). BCVA improvement was significantly lower in patients with CME 
      compared to patients without 6 weeks after surgery for macula-on RRD. 
      CONCLUSIONS: This prospective study confirmed that postoperative CME is a 
      frequent complication after RRD surgery; we identified ERM and macula-off RRD as 
      potential risk factors. As CME potentially delays visual recovery, postoperative 
      follow-ups should include SD-OCT.
CI  - (c) 2021 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on 
      behalf of Acta Ophthalmologica Scandinavica Foundation.
FAU - Gebler, Marie
AU  - Gebler M
AD  - Department of Ophthalmology, University Medical Center Goettingen, Goettingen, 
      Germany.
FAU - Pfeiffer, Sebastian
AU  - Pfeiffer S
AD  - Department of Research, Teaching and Clinical Science, University Medical Center 
      Goettingen, Goettingen, Germany.
FAU - Callizo, Josep
AU  - Callizo J
AUID- ORCID: 0000-0002-0475-1093
AD  - Department of Ophthalmology, University Medical Center Goettingen, Goettingen, 
      Germany.
FAU - Hoerauf, Hans
AU  - Hoerauf H
AD  - Department of Ophthalmology, University Medical Center Goettingen, Goettingen, 
      Germany.
FAU - Feltgen, Nicolas
AU  - Feltgen N
AUID- ORCID: 0000-0002-6857-3003
AD  - Department of Ophthalmology, University Medical Center Goettingen, Goettingen, 
      Germany.
FAU - Bemme, Sebastian
AU  - Bemme S
AUID- ORCID: 0000-0002-4701-0332
AD  - Department of Ophthalmology, University Medical Center Goettingen, Goettingen, 
      Germany.
LA  - eng
PT  - Journal Article
DEP - 20210616
PL  - England
TA  - Acta Ophthalmol
JT  - Acta ophthalmologica
JID - 101468102
SB  - IM
MH  - Aged
MH  - *Epiretinal Membrane/diagnosis/epidemiology/surgery
MH  - Humans
MH  - Incidence
MH  - *Macular Edema/diagnosis/epidemiology/etiology
MH  - Middle Aged
MH  - Prospective Studies
MH  - *Retinal Detachment/diagnosis/epidemiology/surgery
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Tomography, Optical Coherence/methods
MH  - Visual Acuity
MH  - Vitrectomy/adverse effects/methods
OTO - NOTNLM
OT  - buckling surgery
OT  - cystoid macular oedema
OT  - retinal detachment
OT  - vitrectomy
EDAT- 2021/06/18 06:00
MHDA- 2022/04/15 06:00
CRDT- 2021/06/17 07:14
PHST- 2020/03/26 00:00 [received]
PHST- 2021/05/20 00:00 [accepted]
PHST- 2021/06/18 06:00 [pubmed]
PHST- 2022/04/15 06:00 [medline]
PHST- 2021/06/17 07:14 [entrez]
AID - 10.1111/aos.14940 [doi]
PST - ppublish
SO  - Acta Ophthalmol. 2022 May;100(3):295-301. doi: 10.1111/aos.14940. Epub 2021 Jun 
      16.