Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery
Purpose: The purpose of the study was to investigate spectral domain optical coherence tomography (SD-OCT) findings as predictors of visual outcomes in patients undergoing retinal detachment (RD) surgery for rhegmatogenous RD (RRD). Materials and Methods: A prospective study was conducted on 50 eyes...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Clinical Ophthalmology and Research |
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| Online Access: | https://journals.lww.com/10.4103/jcor.jcor_66_24 |
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| author | Pankti Shah Tejas H Desai |
| author_facet | Pankti Shah Tejas H Desai |
| author_sort | Pankti Shah |
| collection | DOAJ |
| description | Purpose:
The purpose of the study was to investigate spectral domain optical coherence tomography (SD-OCT) findings as predictors of visual outcomes in patients undergoing retinal detachment (RD) surgery for rhegmatogenous RD (RRD).
Materials and Methods:
A prospective study was conducted on 50 eyes diagnosed with RRD, aged between 10 and 80 years, who underwent RD surgery at a tertiary eye care hospital between September 2018 and February 2020. Comprehensive ophthalmic evaluations were performed, and SD-OCT images were analyzed in addition to clinical assessments.
Results:
Significant improvements were observed in best-corrected visual acuity (BCVA) and central foveal thickness (CFT) at the end of the 12th week, with mean values of 0.79 ± 0.34 (range: 0.30–1.78) and 261.72 ± 58.13 (range: 201–433), respectively. Postoperatively, epiretinal membrane was detected in 14 (28%) patients, whereas external limiting membrane (ELM) disruption was noted in 8 (16.0%) patients. The percentage of photoreceptor inner segment/outer segment (IS/OS) disruption in RRD patients was 11 (22.0%), and 8 (16.0%) patients had subretinal fluid (SRF). Intraretinal fluid was absent in all patients postoperatively.
Conclusion:
High-resolution imaging by SD-OCT facilitates the interpretation of retinal anatomy and enables the detection of clinically nonevident structures. ELM disruption, IS/OS disruption, and the presence of SRF were associated with poor visual outcomes. While no statistically significant difference was found in the presence of SRF between macula-on and macula-off RRD patients, ELM and IS/OS disruption was observed only in macula-off RRD cases. Overall, macula-on patients showed improvements in BCVA and CFT at the end of the 12 weeks compared to macula-off RRD patients following RD surgery. |
| format | Article |
| id | doaj-art-353b5975e68543eba710a1f4736f2984 |
| institution | Kabale University |
| issn | 2320-3897 2320-3900 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical Ophthalmology and Research |
| spelling | doaj-art-353b5975e68543eba710a1f4736f29842025-02-06T06:38:52ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972320-39002025-01-01131394410.4103/jcor.jcor_66_24Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgeryPankti ShahTejas H DesaiPurpose: The purpose of the study was to investigate spectral domain optical coherence tomography (SD-OCT) findings as predictors of visual outcomes in patients undergoing retinal detachment (RD) surgery for rhegmatogenous RD (RRD). Materials and Methods: A prospective study was conducted on 50 eyes diagnosed with RRD, aged between 10 and 80 years, who underwent RD surgery at a tertiary eye care hospital between September 2018 and February 2020. Comprehensive ophthalmic evaluations were performed, and SD-OCT images were analyzed in addition to clinical assessments. Results: Significant improvements were observed in best-corrected visual acuity (BCVA) and central foveal thickness (CFT) at the end of the 12th week, with mean values of 0.79 ± 0.34 (range: 0.30–1.78) and 261.72 ± 58.13 (range: 201–433), respectively. Postoperatively, epiretinal membrane was detected in 14 (28%) patients, whereas external limiting membrane (ELM) disruption was noted in 8 (16.0%) patients. The percentage of photoreceptor inner segment/outer segment (IS/OS) disruption in RRD patients was 11 (22.0%), and 8 (16.0%) patients had subretinal fluid (SRF). Intraretinal fluid was absent in all patients postoperatively. Conclusion: High-resolution imaging by SD-OCT facilitates the interpretation of retinal anatomy and enables the detection of clinically nonevident structures. ELM disruption, IS/OS disruption, and the presence of SRF were associated with poor visual outcomes. While no statistically significant difference was found in the presence of SRF between macula-on and macula-off RRD patients, ELM and IS/OS disruption was observed only in macula-off RRD cases. Overall, macula-on patients showed improvements in BCVA and CFT at the end of the 12 weeks compared to macula-off RRD patients following RD surgery.https://journals.lww.com/10.4103/jcor.jcor_66_24external limiting membrane disruptioninner segment/outer segment disruptionretinal detachment surgeryspectral domain optical coherence tomography findingssubretinal fluid visual outcome |
| spellingShingle | Pankti Shah Tejas H Desai Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery Journal of Clinical Ophthalmology and Research external limiting membrane disruption inner segment/outer segment disruption retinal detachment surgery spectral domain optical coherence tomography findings subretinal fluid visual outcome |
| title | Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery |
| title_full | Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery |
| title_fullStr | Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery |
| title_full_unstemmed | Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery |
| title_short | Spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery |
| title_sort | spectral domain optical coherence tomography findings predicting visual outcome in patients with rhegmatogenous retinal detachment undergoing retinal detachment surgery |
| topic | external limiting membrane disruption inner segment/outer segment disruption retinal detachment surgery spectral domain optical coherence tomography findings subretinal fluid visual outcome |
| url | https://journals.lww.com/10.4103/jcor.jcor_66_24 |
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