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2015 ; 29
(9
): 1186-93
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gab.com Text
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English Wikipedia
Spectral-domain optical coherence tomography analysis of persistent subretinal
fluid after scleral buckling surgery for macula-off retinal detachment
#MMPMID26139048
Gharbiya M
; Malagola R
; Mariotti C
; Parisi F
; De Vico U
; Ganino C
; Grandinetti F
Eye (Lond)
2015[Sep]; 29
(9
): 1186-93
PMID26139048
show ga
PURPOSE: To determine the predictive value of markers for persistent subretinal
fluid (SRF) absorption and the influence of subfoveal fluid on visual outcome
after scleral buckle (SB) surgery for rhegmatogenous retinal detachment (RRD).
PATIENTS AND METHODS: This was a retrospective, observational study. We reviewed
the medical records of 64 eyes of 64 patients who underwent SB surgery for
macula-off RRD. Patients underwent clinical examination and spectral-domain
optical coherence tomography before surgery, at 1 month and every 3 months
postoperatively. The height and width of SRF bleb(s) were measured over time.
RESULTS: Persistent SRF at 1 month was observed in 40 eyes (62.5%). SRF blebs
were first detected 1.7 ± 2.2 months postoperatively. In 29 cases that could be
fully followed up, SRF blebs were completely absorbed 7.8 ± 4.4 months
postoperatively. Resolution of fluid was associated with an improvement of VA (P
= 0.003). Serial measurements of SRF bleb size showed that bleb width decreased
significantly at all time points during the 12-month follow-up period (P < 0.05),
while significant bleb height decrease occurred from postoperative sixth month
only (P < 0.05). There was no correlation between VA outcomes and subfoveal bleb
height or width (P > 0.05). The cut-off value of the bleb width-to-height ratio
level for predicting bleb absorption at 6 months was 7, with 89% sensitivity and
83% specificity. CONCLUSIONS: Visual improvement may occur with late resolution
of residual subfoveal fluid. A bleb width-to-height ratio >7 indicates a higher
risk of SRF to persist beyond 6 months after surgery.