Long-term follow-up with optical coherence tomography and microperimetry in eyes with metamorphopsia after macula-off retinal detachment repair
| العنوان: | Long-term follow-up with optical coherence tomography and microperimetry in eyes with metamorphopsia after macula-off retinal detachment repair |
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| المؤلفون: | Alberto Rossetti, A. Manfre, Daniele Doro, Edoardo Midena |
| المصدر: | Eye. 24:1808-1813 |
| بيانات النشر: | Springer Science and Business Media LLC, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, genetic structures, Long term follow up, Eye disease, Vision Disorders, Visual Acuity, Postoperative Complications, Optical coherence tomography, Ophthalmology, Humans, Medicine, Macula Lutea, Metamorphopsia, Aged, medicine.diagnostic_test, business.industry, Retinal Detachment, Retinal detachment repair, Retinal detachment, Middle Aged, medicine.disease, eye diseases, Scleral Buckling, Visual Field Tests, Optometry, Female, sense organs, Visual Fields, medicine.symptom, business, Microperimetry, Tomography, Optical Coherence, Follow-Up Studies, Retinopathy |
| الوصف: | to report the long-term sequential morphological and functional results in eyes with metamorphopsia after retinal detachment (RD) repair.in six eyes of six patients aged 58.7 ± 11.0 years with metamorphopsia after successful buckling surgery for macula-off RD, best-corrected visual acuity (BCVA), fundus biomicroscopy, Amsler grid test, time-domain optical coherence tomography (TD-OCT) and central 12° microperimetry (MP-1) were performed at months 1, 3, 6, 12, and 18. At 5 to 6 years after surgery all patients underwent also spectral domain (SD)-OCT.three eyes slowly recovered pre-RD BCVA. In the remaining three eyes-with good final BCVA-the interrupted junction line between photoreceptor cell inner and outer segments (IS/OS) was progressively less evident after RD surgery; and the external limiting membrane was preserved on SD-OCT examination. In all eyes post-operative metamorphopsia faded with time, but fully disappeared in 6 years only in two eyes without photoreceptor abnormalities. One of the two eyes with subretinal fluid up to 6 months and IS/OS disruption had central dense scotoma with relatively unstable fixation on MP-1 and persistent metamorphopsia. Macular sensitivity (MS) increased from 9.7 ± 7.1 at month 1 to 13.5 ± 5.6 dB at the final check, and was weakly (r=0.33) correlated with post-operative BCVA and OCT abnormalities.long-standing metamorphopsia can occur after successful macula-off RD repair even without detectable photoreceptor disruption on OCT. Post-operative BCVA recovery weakly correlates with increasing MS, and late restoration of the photoreceptor layer may be observed. |
| تدمد: | 1476-5454 0950-222X |
| DOI: | 10.1038/eye.2010.138 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5e2db6823be72ced0b5e1d9e9c1681cf https://doi.org/10.1038/eye.2010.138 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5e2db6823be72ced0b5e1d9e9c1681cf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14765454 0950222X |
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| DOI: | 10.1038/eye.2010.138 |