Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT
Purpose. To investigate the impact of surgical delay after the objectivation of the foveal status by spectral-domain optical coherence tomography (SD-OCT) on visual outcomes in patients with rhegmatogenous retinal detachment (RRD) with foveal involvement. Methods. A retrospective dataset analysis of...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/2307935 |
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| author | Reinhard Angermann Nikolaos E. Bechrakis Teresa Rauchegger Marina Casazza Yvonne Nowosielski Claus Zehetner |
| author_facet | Reinhard Angermann Nikolaos E. Bechrakis Teresa Rauchegger Marina Casazza Yvonne Nowosielski Claus Zehetner |
| author_sort | Reinhard Angermann |
| collection | DOAJ |
| description | Purpose. To investigate the impact of surgical delay after the objectivation of the foveal status by spectral-domain optical coherence tomography (SD-OCT) on visual outcomes in patients with rhegmatogenous retinal detachment (RRD) with foveal involvement. Methods. A retrospective dataset analysis of 508 eyes of 504 consecutive patients with primary RRD was performed. The primary outcome measure was the best-corrected visual acuity as a function of time between the assessment of the foveal status with SD-OCT upon initial examination at the department and RRD repair. Results. In total, 188 eyes (37.0%) had a complete foveal detachment and 31 (6.1%) eyes had a bisected fovea by the retinal detachment. A hundred eyes with total foveal detachment received surgery within 24 h and 65 eyes between 24 h and 72 h. Visual outcomes for eyes with detached fovea were significantly better when treated within 24 h (0.47 ± 0.39) compared with those treated between 24 h and 72 h (0.84 ± 0.66; p=0.01) after objectivation of the foveal status with SD-OCT. Pars plana vitrectomy was performed in 174 (92.6%) eyes and scleral buckling surgery in 14 (7.4%) eyes with complete foveal involvement of RRD. Conclusions. Our findings suggest improved visual outcomes for patients receiving surgery within 24 h after a definitive diagnosis of fovea-involving RRD compared to surgical interventions that were further delayed. |
| format | Article |
| id | doaj-art-67342bafcdd449fcae1afc55d7ce608f |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-67342bafcdd449fcae1afc55d7ce608f2025-02-03T06:43:45ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/23079352307935Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCTReinhard Angermann0Nikolaos E. Bechrakis1Teresa Rauchegger2Marina Casazza3Yvonne Nowosielski4Claus Zehetner5Department of Ophthalmology, Medical University Innsbruck, Innsbruck, AustriaDepartment of Ophthalmology, University Hospital Essen, Essen, GermanyDepartment of Ophthalmology, Medical University Innsbruck, Innsbruck, AustriaDepartment of Ophthalmology, Medical University Innsbruck, Innsbruck, AustriaDepartment of Ophthalmology, Medical University Innsbruck, Innsbruck, AustriaDepartment of Ophthalmology, Medical University Innsbruck, Innsbruck, AustriaPurpose. To investigate the impact of surgical delay after the objectivation of the foveal status by spectral-domain optical coherence tomography (SD-OCT) on visual outcomes in patients with rhegmatogenous retinal detachment (RRD) with foveal involvement. Methods. A retrospective dataset analysis of 508 eyes of 504 consecutive patients with primary RRD was performed. The primary outcome measure was the best-corrected visual acuity as a function of time between the assessment of the foveal status with SD-OCT upon initial examination at the department and RRD repair. Results. In total, 188 eyes (37.0%) had a complete foveal detachment and 31 (6.1%) eyes had a bisected fovea by the retinal detachment. A hundred eyes with total foveal detachment received surgery within 24 h and 65 eyes between 24 h and 72 h. Visual outcomes for eyes with detached fovea were significantly better when treated within 24 h (0.47 ± 0.39) compared with those treated between 24 h and 72 h (0.84 ± 0.66; p=0.01) after objectivation of the foveal status with SD-OCT. Pars plana vitrectomy was performed in 174 (92.6%) eyes and scleral buckling surgery in 14 (7.4%) eyes with complete foveal involvement of RRD. Conclusions. Our findings suggest improved visual outcomes for patients receiving surgery within 24 h after a definitive diagnosis of fovea-involving RRD compared to surgical interventions that were further delayed.http://dx.doi.org/10.1155/2020/2307935 |
| spellingShingle | Reinhard Angermann Nikolaos E. Bechrakis Teresa Rauchegger Marina Casazza Yvonne Nowosielski Claus Zehetner Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT Journal of Ophthalmology |
| title | Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT |
| title_full | Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT |
| title_fullStr | Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT |
| title_full_unstemmed | Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT |
| title_short | Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT |
| title_sort | effect of timing on visual outcomes in fovea involving retinal detachments verified by sd oct |
| url | http://dx.doi.org/10.1155/2020/2307935 |
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