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Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study

Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was...

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Autores principales: Di Lauro, Salvatore, Castrejón, Melissa, Fernández, Itziar, Rojas, Jimena, Coco, Rosa M., Sanabria, María R., Rodríguez de la Rua, Enrique, Pastor, J. Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660023/
https://www.ncbi.nlm.nih.gov/pubmed/26640704
http://dx.doi.org/10.1155/2015/821864
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author Di Lauro, Salvatore
Castrejón, Melissa
Fernández, Itziar
Rojas, Jimena
Coco, Rosa M.
Sanabria, María R.
Rodríguez de la Rua, Enrique
Pastor, J. Carlos
author_facet Di Lauro, Salvatore
Castrejón, Melissa
Fernández, Itziar
Rojas, Jimena
Coco, Rosa M.
Sanabria, María R.
Rodríguez de la Rua, Enrique
Pastor, J. Carlos
author_sort Di Lauro, Salvatore
collection PubMed
description Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n = 357); (2) macula-on patients with visual loss at the third month of follow-up (n = 53) which were further subdivided in (3) phakic eyes (n = 39); and (4) pseudophakic eyes (n = 14). Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n = 39 phakic eyes; n = 14 pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures). Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis.
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spelling pubmed-46600232015-12-06 Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study Di Lauro, Salvatore Castrejón, Melissa Fernández, Itziar Rojas, Jimena Coco, Rosa M. Sanabria, María R. Rodríguez de la Rua, Enrique Pastor, J. Carlos J Ophthalmol Clinical Study Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n = 357); (2) macula-on patients with visual loss at the third month of follow-up (n = 53) which were further subdivided in (3) phakic eyes (n = 39); and (4) pseudophakic eyes (n = 14). Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n = 39 phakic eyes; n = 14 pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures). Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis. Hindawi Publishing Corporation 2015 2015-11-12 /pmc/articles/PMC4660023/ /pubmed/26640704 http://dx.doi.org/10.1155/2015/821864 Text en Copyright © 2015 Salvatore Di Lauro et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Di Lauro, Salvatore
Castrejón, Melissa
Fernández, Itziar
Rojas, Jimena
Coco, Rosa M.
Sanabria, María R.
Rodríguez de la Rua, Enrique
Pastor, J. Carlos
Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
title Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
title_full Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
title_fullStr Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
title_full_unstemmed Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
title_short Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study
title_sort loss of visual acuity after successful surgery for macula-on rhegmatogenous retinal detachment in a prospective multicentre study
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660023/
https://www.ncbi.nlm.nih.gov/pubmed/26640704
http://dx.doi.org/10.1155/2015/821864
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