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Long-term outcome of macular shift after retinal detachment repair

  • Retinal Disorders
  • Published:
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Abstract

Background

This study aimed to evaluate the long-term change of postoperative retinal shift after pars plana vitrectomy for macular off retinal detachment.

Methods

In this retrospective study, patients with retinal shift after pars plana vitrectomy for macula-off rhegmatogenous retinal detachment (RRD) were examined at 3 weeks and 12 months postoperatively. Fundus autofluorescence images were obtained to visualize retinal rotation. Best-corrected visual acuity was measured and metamorphopsia assessed using the Amsler grid.

Results

Nine patients with postoperative retinal shift were included in the study. Retinal shift decreased significantly in these patients, on average by 1.07° (range 0.52–1.62, p = 0.002) after 12 months. However, more patients complained of distorted vision after 12 months (odds ratio for change = 3.0, 95% CI: 0.24 to 157.49). The main reason was the new formation of an epiretinal membrane (odds ratio for change = infinity, 95% CI: 0.41 to infinity). There was no change in visual acuity observed (p = 0.16).

Conclusion

Postoperative retinal shift after RRD repair decreases over a 1-year span. While retinal shift is the main cause for metamorphopsia in the early postoperative period, formation of an ERM is the main reason for distorted vision long term.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgments

We thank Dr. sc. nat. Sabine Güsewell for her assistance in statistical analysis.

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Authors and Affiliations

  1. Eye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland

    Josef Guber, Megir Schawkat & Christophe Valmaggia

  2. Department of Ophthalmology, University of Basel, Basel, Switzerland

    Josef Guber & Hendrik P. N. Scholl

  3. Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA

    Hendrik P. N. Scholl

  4. Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland

    Hendrik P. N. Scholl

  5. Department of Ophthalmology, University of Geneva, Geneva, Switzerland

    Ivo Guber

Authors
  1. Josef Guber
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  2. Megir Schawkat
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  3. Hendrik P. N. Scholl
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  4. Ivo Guber
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  5. Christophe Valmaggia
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Contributions

All authors made substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; gave final approval of the version to be published; and agreed to be accountable for all aspects of the work.

Corresponding author

Correspondence to Josef Guber.

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Conflict of interest

The authors declare that have no conflicts of interest.

Research involving human and animal rights

The study was approved by the local ethic committee and was performed as a part of departmental quality control (EKOS (Ethikkommission Ostschweiz), BASEC (Business Administration System for Ethics Committees) number 2018-00104). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from all individual participants included in the study.

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Guber, J., Schawkat, M., Scholl, H.P.N. et al. Long-term outcome of macular shift after retinal detachment repair. Graefes Arch Clin Exp Ophthalmol 259, 1487–1491 (2021). https://doi.org/10.1007/s00417-020-05019-6

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  • DOI: https://doi.org/10.1007/s00417-020-05019-6

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