AI Summary & Key Takeaways
AI InsightIt does not affect visual acuity negatively, and its spontaneous resolution may take months.
📌 3 Key Takeaways
Abstract
Purpose: To examine the maculae of eyes with macula-off regmatogenous retinal detachment by optical coherence tomography (OCT) after scleral buckling surgery. Materials and Methods: Eighteen eyes of 18 patients with macula-off regmatogenous retinal detachment who had no trauma or other ocular pathologies were included in this prospective study. Scleral buckling surgery were applied to all patients. In addition to ophthalmologic examination, maculae were examined by OCT postoperatively on 1st, 3rd, 6th, 9th and 12th months. According to this, presence of subretinal fluid (SRF) on macula, its structure, persistence period, and its effect on visual acuity were evaluated. Results: SRF was detected in 9 (50%) patients by macular OCT following surgery. This fliud was as a single cyst in 5 eyes, multipl cysts in 1 eye and confluent SRF in 3 eyes. There was no difference according to age and sex between eyes with SRF and without SRF. Preoperative detachment period was longer in eyes with SRF. According to the preoperative and postoperative visual acuities on 1st, 3rd, 6th, 9th and 12th months, there was no statistical difference between eyes with SRF and without SRF, SRF was resolved completely after 4.1±2.3 (2-9) months. Conclusions: SRF detected after retinal detachment surgery may be related to longer detachment period preoperatively. It does not affect visual acuity negatively, and its spontaneous resolution may take months.
Özet
Amaç: Makula tutulumlu, regmatojen retina dekolmanı bulunan hastalara uygulanan skleral çökertme cerrahisi sonrası, makulanın optikal koherens tomografi (OKT) ile incelenmesi. Gereç ve Yöntem: Bu prospektif çalışmaya makulaları tutulmuş, travma veya diğer oküler patolojisi bulunmayan regmatojen retina dekolmanlı 18 hastanın 18 gözü dahil edildi. Hastaların tümüne skleral çökertme cerrahisi uygulandı. Postoperatif 1. ay, 3. ay, 6. ay, 9. ay ve 12. ayda oftalmolojik muayeneye ek olarak, makulalar OKT ile incelendi. Buna göre, makulada subretinal sıvının (SRS) varlığı, tipi, bulunma süresi ve bu sıvının görmeye olan etkisi değerlendirildi. Bulgular: Cerrahiyi takiben 9 (%50) hastada makular OKT’de SRS tespit edildi. Bu sıvı 5 gözde tek bir kist,1’inde multipl kist ve 3’ünde de diffüz sıvı şeklindeydi. SRS bulunan ve bulunmayan gözler arasında yaş ve cinsiyet yönünden bir farklılık yoktu. Preoperatif dekolman süresi SRS bulunan gözlerde daha uzundu. Preoperatif ve postoperatif 1. ay, 3. ay, 6. ay, 9. ay ve 12. ayda SRS bulunan ve bulunmayan gözlerin görme keskinlikleri arasında istatistiksel olarak bir fark yoktu. SRS’nin tamamen emilimi 4.1±2.3 (2-9) ayda meydana geldi. Sonuç: Dekolman cerrahisini takiben gelişen subretinal sıvı oluşumu preoperatif dekolman süresinin uzunluğu ile ilişkili olup görmeyi olumsuz yönde etkilemez, ve spontan rezolüsyonu aylarca sürebilir.