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Choroidal thickness in chronic rhegmatogenous retinal detachment before and after surgery, and comparison with acute cases

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Abstract

Purpose

To evaluate subfoveal choroidal thickness (SCT) in cases with chronic rhegmatogenous retinal detachment (RRD), before and after pars plana vitrectomy, and cases with acute RRD using optical coherence tomography.

Methods

This retrospective study included 24 eyes with chronic RRD and 26 eyes with recent-onset RRD. Best corrected visual acuity, intraocular pressure, and SCT were measured and compared between the two groups. Of 24 eyes with chronic RRD, 11 had primary pars plana vitrectomy. Measurements of operated and fellow eyes were also compared before surgery and 1 week, 1 and 3 months after surgery.

Results

The preoperative mean SCT in eyes with chronic RRD was 342.6 ± 111.7 µm and in fellow eyes 342.4 ± 116.7 µm (P = 0.83) and in eyes with acute RRD was 346.2 ± 51 µm and in fellow eyes 262.7 ± 46.8 µm (P < 0.001). There was also no significant change in SCT between baseline before surgery and 3 months after surgery in eyes with chronic RRD (P = 0.20).

Conclusion

No significant difference was found in the mean SCT between affected and fellow eyes in chronic RRD. This may be related to intraocular inflammation, which is more limited in chronic than in acute RRD. There was also no significant difference in the SCT in eyes with chronic RRD between the operated and fellow eyes after surgery. It may be concluded that vitrectomy does not affect choroidal thickness.

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References

  1. Kuhn F, Aylward B (2014) Rhegmatogenous retinal detachment: a reappraisal of its pathophysiology and treatment. Ophthalmic Res 51:15–31

    Article  PubMed  Google Scholar 

  2. Li YM, Fang W, Jin XH et al (2012) Risk factors related to chronic rhegmatogenous retinal detachment. Int J Ophthalmol 5(1):92–96

    PubMed  PubMed Central  CAS  Google Scholar 

  3. James M, O’Doherty M, Beatty S (2007) The prognostic influence of chronicity of rhegmatogenous retinal detachment on anatomic success after reattachment surgery. Am J Ophthalmol 143:1032–1034

    Article  PubMed  Google Scholar 

  4. Gerding H, Hersener A (2013) Anatomical and functional results of primary pars plana vitrectomy in rhegmatogenous retinal detachment. Klin Monlb Augenheilkd 4:409–412

    Google Scholar 

  5. Yao Y, Jiang L, Wang Z et al (2006) Scleral buckling procedures for longstanding or chronic rhegmatogenous retinal detachment with subretinal proliferation. Ophthalmology 113:821–825

    Article  PubMed  Google Scholar 

  6. Kımura M, Nishimuta A, Yokogawa H et al (2012) Subfoveal choroidal thickness change following segmental scleral buckling for rhegmatogenous retinal detachment. Am J Ophthalmol 154:893–900

    Article  PubMed  Google Scholar 

  7. Sayman Muslubas I, Karacorlu M, Hocaoglu M et al (2016) Subfoveal choroidal thickness change after pars plana vitrectomy in recent onset rhegmatogenous retinal detachment. Retina 36(12):2371–2376

    Article  PubMed  Google Scholar 

  8. Williams GA, Reeser F, O’Brien WJ et al (1983) Prostacyclin and thromboxane A2 derivatives in rhegmatogenous subretinal fluid. Arch Ophthalmol 101(3):463–464

    Article  PubMed  CAS  Google Scholar 

  9. Ricker LJAG, Kijlstra A, De Jager W et al (2010) Chemokine levels in subretinal fluid obtained during scleral buckling surgery after rhegmatogenous retinal detachment. Invest Ophthalmol Vis Sci 51:4143–4150

    Article  PubMed  Google Scholar 

  10. Quntyn JC, Brasseur G (2004) Subretinal fluid in primary rhegmatogenous retinal detachment: physiopathology and composition. Surv Ophthalmol 49:96–108

    Article  Google Scholar 

  11. Alm A, Nillson SFE (2009) Uveoscleral outflow—a review. Exp Eye Res 88:760–768

    Article  PubMed  CAS  Google Scholar 

  12. Odrobina D, Olzewska IL, Gozdek P et al (2013) Influence of scleral buckling surgery with encircling band on subfoveal choroidal thickness in long-term observations. Biomed Res 2013:586894

    Google Scholar 

  13. Miura M, Arimoto G, Tsukahara R et al (2012) Choroidal thickness after scleral buckling. Ophthalmology 119:1497–1498

    Article  PubMed  Google Scholar 

  14. Akkoyun I, Pınarcı EY, Yesilırmak N et al (2014) Choroidal thickness after scleral buckling surgery in macula-off rhegmatogenous retinal detachment [in German]. Ophthalmologe 111:954–960

    Article  PubMed  CAS  Google Scholar 

  15. Akkoyun I, Yılmaz G (2014) Choroidal thickness change after sclera buckling surgery versus pars plana vitrectomy in macula-off rhegmatogenous retinal detachment. Klin Monbl Augenheilkd 231:1029–1033 (in German)

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

The authors wish to thank to Omer Uysal, Ph.D., for statistical analysis.

Funding

This research received no specific Grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Correspondence to Murat Karacorlu.

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No payment or services have been received from a third party for any aspect of the submitted work, including design, data collection, analysis, or interpretation of the data, writing of the report, or in the decision to submit the article for publication.

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Sayman Muslubas, I., Hocaoglu, M., Ersoz, M.G. et al. Choroidal thickness in chronic rhegmatogenous retinal detachment before and after surgery, and comparison with acute cases. Int Ophthalmol 38, 1035–1042 (2018). https://doi.org/10.1007/s10792-017-0556-9

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  • DOI: https://doi.org/10.1007/s10792-017-0556-9

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