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Vascular changes after vitrectomy for rhegmatogenous retinal detachment: optical coherence tomography angiography study
Author(s) -
Bonfiglio Vincenza,
Ortisi Elina,
Scollo Davide,
Reibaldi Michele,
Russo Andrea,
Pizzo Alessandra,
Faro Giuseppe,
Macchi Iacopo,
Fallico Matteo,
Toro Mario D.,
Rejdak Robert,
Nowomiejska Katarzyna,
Toto Lisa,
Rinaldi Michele,
Cillino Salvatore,
Avitabile Teresio,
Longo Antonio
Publication year - 2020
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.14315
Subject(s) - ophthalmology , foveal avascular zone , vitrectomy , medicine , pars plana , retinal detachment , tamponade , optical coherence tomography angiography , foveal , retinal , visual acuity
Purpose To analyse the postoperative foveal avascular zone (FAZ) area, superficial vessel density (SVD) and deep vessel density (DVD) and their correlation with functional (best‐corrected visual acuity, BCVA) and anatomical outcomes (foveal macular thickness, FMT) after surgery for rhegmatogenous retinal detachment (RRD) repair. Method Patients with RRD eyes, successfully treated with a single pars plana vitrectomy (PPV) with gas tamponade and a minimum 12 months follow‐up, were re‐examined. Foveal avascular zone (FAZ) area, SVD, DVD and FMT were evaluated by using optical coherence tomography angiography (OCTA) and compared to fellow eye. Results Fifty‐six patients with macula‐on and 37 with macula‐off RRD were included in the study. In both groups, no difference in FMT and FAZ area was found compared to fellow eyes. In macula‐on RRD eyes, a lower parafoveal DVD (p = 0.001) was detected; FAZ area was related to FMT (p = 0.025), and the postoperative BCVA was correlated with parafoveal DVD (p = 0.010) and FAZ area (p = 0.003). In macula‐off RRD eyes, lower parafoveal SDV (p = 0.012), and foveal and parafoveal DVD (p = 0.012 and p < 0.001, respectively) were observed. BCVA was related to FAZ area (p = 0.012), foveal SVD (p = 0.005) and parafoveal DVD (p = 0.010). Conclusion Rhegmatogenous retinal detachment eyes successfully treated with PPV had lower vessel density in the superficial and deep retinal plexus compared to fellow healthy eyes; BCVA was related to FAZ area and vessel density.