Open AccessPreoperative Optical Coherence Tomography Findings of Foveal-Splitting Rhegmatogenous Retinal Detachment
Author(s) -
Valérie Mané,
Ismaël Chehaibou,
Mathieu Lehmann,
Elise Philippakis,
Pierre-Raphaël Rothschild,
Elodie Bousquet,
Ramin Tadayoni
Publication year - 2020
Publication title -
ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.639
H-Index - 60
eISSN - 1423-0267
pISSN - 0030-3755
DOI - 10.1159/000510726
Subject(s) - foveal , ophthalmology , medicine , retinal detachment , macula lutea , fundus (uterus) , visual acuity , fovea centralis , optical coherence tomography , macula densa , retinal , radiology , renin–angiotensin system , blood pressure
Purpose: To assess preoperative optical coherence tomography (OCT) findings of foveal-splitting retinal detachment (RD) and determine postoperative outcomes. Methods: Consecutive patients who underwent RD surgery over a 1-year period were included. Patients diagnosed with a detachment extending to the edge of the fovea on fundus examination (i.e., macula-On/Off) underwent macular OCT scanning. Visual acuity (VA) after 1 year of macula-On/Off, macula-On, and macula-Off eyes was compared. Results: A total of 85 eyes were included, 8 of which had a macula-On/Off RD. On preoperative OCT, all macula-On/Off RD eyes had foveal detachment extending beyond the foveal center over a median distance of 632 µm. Mean VA of the macula-On/Off eyes had improved from 20/160 to 20/40 at 1 year postoperatively ( p = 0.035). The preoperative VA of macula-On/Off eyes was significantly better than macula-Off eyes ( p = 0.032) and lower than macula-On eyes ( p = 0.004). At 1 year, the VA of macula-On/Off eyes was no different from that of the macula-On eyes ( p = 0.320), and tended to be better than that of the macula-Off eyes ( p = 0.062). Conclusion: Preoperative OCT revealed a shallow RD extending beyond the foveal center in eyes with clinical foveal-splitting RD. These eyes, termed macula-On/Off RD eyes, had a preoperative VA between macula-On and macula-Off eyes, while their final VA was close to those with macula-On RD.