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  • Title: [Utility of optical coherence tomography in assessing macular anatomy after conventional surgical repair of rhegmatogenous retinal detachment].
    Author: Kubicka-Trząska A, Karska-Basta I, Morawski K, Kobylarz J, Romanowska-Dixon B.
    Journal: Klin Oczna; 2015; 117(3):160-4. PubMed ID: 26999938.
    Abstract:
    AIM: To determine the utility of optical coherence tomography in assessing macular anatomy of patients treated with conventional surgery for rhegmatogenous retinal detachment involving the macula. MATERIAL AND METHODS: 42 patients (42 eyes) treated for rhegmatogenous retinal detachment with macular involvement were enrolled in the study. 14 of them were treated with segmental scleral buckling, 8 patients--with encircling scleral buckling, and 20 others--with scleral explant placed along the horizontal or vertical meridian and encircling scleral band. The assessment in each case involved the assessment of best corrected visual acuity, Amsler grid test and optical coherence tomography of the macular region performed on day 1. following surgery as well as in months 1, 3 and 6 afterwards. RESULTS: On day 1. after the surgery, residual retinal detachment with macular involvement was confirmed in all patients with optical coherence tomography and no best corrected visual acuity improvement was noted. The central retinal elevation ranged from 315 microm to 480 microm (mean 387 microm). Subsequent follow-up assessments performed at months 1, 3 and 6 showed a gradual reabsorption of subretinal fluid and the reduction of central retinal elevation to 371 pm, 286 microm and 219 microm, respectively. At the final follow-up, the submacular fluid was completely resolved in 88.1% of eyes. The statistical analysis showed a significant correlation between the reduction of central retinal elevation and best corrected visual acuity improvement (p<0.01). CONCLUSIONS: Our results show that the optical coherence tomography may be a useful tool in assessing the residual retinal detachment responsible for the lack of visual acuity improvement after the uneventful conventional retinal detachment surgery.
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