Preoperative Posturing of Patients with Macula-On Retinal Detachment Reduces Progression Toward the Fovea

Ophthalmology
Jan H de JongJan C van Meurs

Abstract

Traditionally, preoperative posturing consisting of bed rest and positioning is prescribed to patients with macula-on retinal detachment (RD) to prevent RD progression and detachment of the fovea. Execution of such advice can be cumbersome and expensive. This study aimed to investigate if preoperative posturing affects the progression of RD. Prospective cohort study. Ninety-eight patients with macula-on RD were included. Inclusion criteria were volume optical coherence tomography (OCT) scans could be obtained with sufficient quality; and the smallest distance from the fovea to the detachment border was 1.25 mm or more. Patients were admitted to the ward for bed rest in anticipation of surgery and were positioned on the side where the RD was mainly located. At baseline and before and after each interruption for meals or toilet visits, a 37°×45° OCT volume scan was performed using a wide-angle Spectralis OCT (Heidelberg Engineering, Heidelberg, Germany). The distance between the nearest point of the RD border and fovea was measured using a custom-built measuring tool. The RD border displacement and the average RD border displacement velocity moving toward (negative) or away (positive) from the fovea were determined for intervals ...Continue Reading

Citations

Feb 27, 2018·Biomechanics and Modeling in Mechanobiology·J VroonA Elsheikh
Jan 21, 2018·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·N E Bechrakis, A Dimmer
Jul 26, 2019·Ophthalmic Surgery, Lasers & Imaging Retina·James C MajorAlexander M Rusakevich
Aug 18, 2020·Investigative Ophthalmology & Visual Science·Heijan NgEllen C La Heij
Jan 13, 2019·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Irene T LeeCharles C Wykoff
Aug 8, 2020·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Nicolas FeltgenHans Hoerauf
May 28, 2019·Acta Ophthalmologica·Christian IlsbyMark Alberti
Apr 4, 2019·Translational Vision Science & Technology·Jan Hendrik de JongKoenraad Arndt Vermeer
Mar 23, 2021·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Nicolas FeltgenHans Hoerauf

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