First Author: B.Sánchez Cañal SPAIN
Co Author(s): M. Martinez Rubio
Back to previous
Investigate by optical coherence tomography the natural history of subretinal fluid in patients with rhegmatogenous retinal detachment, the photoreceptor involvement and establish whether there is a correlation with postoperative final visual acuity of the patient.
Hospital General Universitario Alicante, Alicante (Spain)
Prospective study of 23 cases in patients with a diagnosis of rhegmatogenous retinal detachment with macular involment or not and posterior surgical treatment with vitrectomy via pars plana 23G and endolaser, both with scleral buckling as without it.
Twenty three patients were finally included in the study. In the 100% we achieved to reaplicate the retina with one surgery. Only 4.3% of the patients showed intraretinal postoperatory fluid in the OCT image. IS/OS line was affected in the 39, 1% of the cases. On the 26.1% of the patients was affected the ELM and subretinal fluid appeared in the 26.1%. The mean of preoperatory visual acuity (VA) corresponds to 1.02±1.06 (LogMAR) meanwhile postoperatoy VA was of 0.25±0.29. The state of the ELM and the presence of intraretinal fluid are factors that have influence on the VA after the surgical repair of the retinal detachment. There is no influence of the alteration of the IS-OS line and the presence of subretinal fluid on the VA.
Incomplete visual recovery after retinal surgery of retinal detachment may be related to different alterations in the ELM and with the presence of intraretinal fluid, and it is possible to determinate it using OCT.