Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/821864 |
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| author | Salvatore Di Lauro Melissa Castrejón Itziar Fernández Jimena Rojas Rosa M. Coco María R. Sanabria Enrique Rodríguez de la Rua J. Carlos Pastor |
| author_facet | Salvatore Di Lauro Melissa Castrejón Itziar Fernández Jimena Rojas Rosa M. Coco María R. Sanabria Enrique Rodríguez de la Rua J. Carlos Pastor |
| author_sort | Salvatore Di Lauro |
| collection | DOAJ |
| description | Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n=357); (2) macula-on patients with visual loss at the third month of follow-up (n=53) which were further subdivided in (3) phakic eyes (n=39); and (4) pseudophakic eyes (n=14). Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n=39 phakic eyes; n=14 pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures). Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis. |
| format | Article |
| id | doaj-art-fab533df7c1f4c7ea85a0055ed49bca4 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-fab533df7c1f4c7ea85a0055ed49bca42025-02-03T06:12:10ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/821864821864Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre StudySalvatore Di Lauro0Melissa Castrejón1Itziar Fernández2Jimena Rojas3Rosa M. Coco4María R. Sanabria5Enrique Rodríguez de la Rua6J. Carlos Pastor7IOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainIOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainIOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainIOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainIOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainIOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainHospital Universitario Virgen Macarena y Hospital Universitario Virgen del Rocío, 41009 Sevilla, SpainIOBA (Eye Institute), University of Valladolid, 47011 Valladolid, SpainPurpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n=357); (2) macula-on patients with visual loss at the third month of follow-up (n=53) which were further subdivided in (3) phakic eyes (n=39); and (4) pseudophakic eyes (n=14). Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n=39 phakic eyes; n=14 pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures). Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis.http://dx.doi.org/10.1155/2015/821864 |
| spellingShingle | Salvatore Di Lauro Melissa Castrejón Itziar Fernández Jimena Rojas Rosa M. Coco María R. Sanabria Enrique Rodríguez de la Rua J. Carlos Pastor Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study Journal of Ophthalmology |
| title | Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study |
| title_full | Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study |
| title_fullStr | Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study |
| title_full_unstemmed | Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study |
| title_short | Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study |
| title_sort | loss of visual acuity after successful surgery for macula on rhegmatogenous retinal detachment in a prospective multicentre study |
| url | http://dx.doi.org/10.1155/2015/821864 |
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