Effect of Timing on Visual Outcomes in Fovea-Involving Retinal Detachments Verified by SD-OCT.
Journal
Journal of ophthalmology
ISSN: 2090-004X
Titre abrégé: J Ophthalmol
Pays: United States
ID NLM: 101524199
Informations de publication
Date de publication:
2020
2020
Historique:
received:
08
11
2019
accepted:
04
02
2020
entrez:
10
3
2020
pubmed:
10
3
2020
medline:
10
3
2020
Statut:
epublish
Résumé
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. 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. 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; 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.
Identifiants
pubmed: 32148936
doi: 10.1155/2020/2307935
pmc: PMC7057004
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2307935Informations de copyright
Copyright © 2020 Reinhard Angermann et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest.
Références
Br J Ophthalmol. 2019 Oct;103(10):1503-1506
pubmed: 30504489
Invest Ophthalmol Vis Sci. 1995 May;36(6):990-6
pubmed: 7730033
Trans Am Ophthalmol Soc. 1982;80:475-97
pubmed: 6763802
Retina. 2011 Sep;31(8):1505-12
pubmed: 21522038
Curr Eye Res. 2002 Mar;24(3):161-72
pubmed: 12221523
Ophthalmology. 2002 Jan;109(1):146-52
pubmed: 11772595
Retina. 2018 Jan;38(1):137-147
pubmed: 28099315
Br J Ophthalmol. 2016 Nov;100(11):1466-1469
pubmed: 26868705
Retina. 2014 Oct;34(10):1917-25
pubmed: 25121930
Eye (Lond). 2007 Apr;21(4):534-40
pubmed: 16456590
Jpn J Ophthalmol. 2000 Sep-Oct;44(5):538-49
pubmed: 11033134
Ophthalmology. 2009 Mar;116(3):519-28
pubmed: 19147231
Retina. 2013 Oct;33(9):1931-7
pubmed: 23591530