Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT

Journal of Ophthalmology
Reinhard AngermannClaus Zehetner

Abstract

To investigate the impact of surgical delay after the objectivation of the foveal status by spectral-domain optical coherence tomography (SD-OCT) on visual outcomes in patients with rhegmatogenous retinal detachment (RRD) with foveal involvement. A retrospective dataset analysis of 508 eyes of 504 consecutive patients with primary RRD was performed. The primary outcome measure was the best-corrected visual acuity as a function of time between the assessment of the foveal status with SD-OCT upon initial examination at the department and RRD repair. In total, 188 eyes (37.0%) had a complete foveal detachment and 31 (6.1%) eyes had a bisected fovea by the retinal detachment. A hundred eyes with total foveal detachment received surgery within 24 h and 65 eyes between 24 h and 72 h. Visual outcomes for eyes with detached fovea were significantly better when treated within 24 h (0.47 ± 0.39) compared with those treated between 24 h and 72 h (0.84 ± 0.66; p=0.01) after objectivation of the foveal status with SD-OCT. Pars plana vitrectomy was performed in 174 (92.6%) eyes and scleral buckling surgery in 14 (7.4%) eyes with complete foveal involvement of RRD. Our findings suggest improved visual outcomes for patients receiving surgery w...Continue Reading

References

Sep 11, 2002·Current Eye Research·Toshio HisatomiGuido Kroemer
Feb 13, 2016·The British Journal of Ophthalmology·Andreas FringsLars Wagenfeld
Dec 7, 2018·The British Journal of Ophthalmology·Margaret A GrevenIra H Schachar

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Citations

Aug 8, 2020·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Nicolas FeltgenHans Hoerauf
Mar 23, 2021·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Nicolas FeltgenHans Hoerauf
Jul 29, 2021·Stem Cell Research & Therapy·Zengping LiuBoris V Stanzel

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