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Correlation between morphological changes and functional outcomes of recent-onset macula-off rhegmatogenous retinal detachment: prognostic factors in rhegmatogenous retinal detachment

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Abstract

Purpose

To assess correlation between preoperative and postoperative findings and surgical factors, and postoperative functional outcomes after successful repair of acute macula-off rhegmatogenous retinal detachment (RRD).

Methods

Forty-four eyes of 44 patients with recent-onset macula-off RRD who had primary pars plana vitrectomy were included in this retrospective study. Best-corrected visual acuity (BCVA) and retinal and choroidal changes on spectral-domain optical coherence tomography (SD-OCT) were evaluated before and after surgery. Correlation between preoperative and postoperative variables such as demographic and clinical data, SD-OCT findings and surgical factors, and postoperative functional outcomes were assessed.

Results

Eighteen women and 26 men, whose mean age at the onset of RRD was 51.7 ± 14.4 years, were evaluated. The mean preoperative and postoperative logMAR BCVA were 1.1 ± 0.5 (20/250) and 0.14 ± 0.1 (20/30), respectively, after a mean of 16.7 ± 7.2 months. Although all factors were evaluated as prognostic factors for functional outcome after surgical treatment of recent-onset macula-off RRD, epiretinal membrane formation was found as the only factor affecting postoperative visual acuity.

Conclusion

Satisfactory visual recovery can be achieved after a successful surgery in patients with acute RRD without any association with morphological changes such as increased subretinal fluid, central foveal thickness, subfoveal choroidal thickness, cystic spaces in the inner nuclear layer and/or outer nuclear layer, undulation of separated outer retina, and disruption of the photoreceptor layer. Epiretinal membrane formation may affect visual outcome in these patients.

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Acknowledgements

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

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Authors and Affiliations

  1. Istanbul Retina Institute, Hakkı Yeten Cad. Unimed Center No: 19/7, Fulya – Şişli, 34349, Istanbul, Turkey

    Murat Karacorlu, Isil Sayman Muslubas, Mumin Hocaoglu, Serra Arf & Mehmet Giray Ersoz

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  1. Murat Karacorlu
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  2. Isil Sayman Muslubas
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  3. Mumin Hocaoglu
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  4. Serra Arf
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  5. Mehmet Giray Ersoz
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Correspondence to Murat Karacorlu.

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Karacorlu, M., Sayman Muslubas, I., Hocaoglu, M. et al. Correlation between morphological changes and functional outcomes of recent-onset macula-off rhegmatogenous retinal detachment: prognostic factors in rhegmatogenous retinal detachment. Int Ophthalmol 38, 1275–1283 (2018). https://doi.org/10.1007/s10792-017-0591-6

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  • DOI: https://doi.org/10.1007/s10792-017-0591-6

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