Abstract:No significant difference was found in the mean SCT between affected and fellow eyes in chronic RRD. This may be related to intraocular inflammation, which is more limited in chronic than in acute RRD. There was also no significant difference in the SCT in eyes with chronic RRD between the operated and fellow eyes after surgery. It may be concluded that vitrectomy does not affect choroidal thickness.
“…Changes in the choroidal thickness have been reported in various eye diseases [19][20][21]. Kimura et al reported that the mean choroidal thickness increased in eyes with RRD compared to fellow eyes preoperatively [22].…”
Purpose: To evaluate the effects of intravitreal silicone oil (SO) on subfoveal choroidal thickness (SFCT). Methods: A total of 60 patients with unilateral pseudophakic macula-off rhegmatogenous retinal detachment were treated with a three-port pars plana vitrectomy and a 5,700-cSt SO endotamponade and subsequent SO removal. SFCT was measured before and 3 months after SO removal. The main outcome measure was the difference between the SFCT of operated eyes and the fellow eyes. Results: Before SO removal, the mean SFCT differences in group 1 (3–6 months’ duration of SO), group 2 (6–9 months’ duration of SO), and group 3 (9–18 months’ duration of SO) were –14.8, –25.5, and –62.1 µm, respectively (p = 0.002, r = 0.398). Three months after SO removal, the mean SFCT differences in group 1, group 2, and group 3 were –13.4, –23.3, and –59.0 µm, respectively (p = 0.002, r = 0.393). Conclusion: SFCT decreased significantly in eyes with long-term (≥6 months) intravitreal SO tamponade. Choroidal thinning did not improve after SO removal.
“…Changes in the choroidal thickness have been reported in various eye diseases [19][20][21]. Kimura et al reported that the mean choroidal thickness increased in eyes with RRD compared to fellow eyes preoperatively [22].…”
Purpose: To evaluate the effects of intravitreal silicone oil (SO) on subfoveal choroidal thickness (SFCT). Methods: A total of 60 patients with unilateral pseudophakic macula-off rhegmatogenous retinal detachment were treated with a three-port pars plana vitrectomy and a 5,700-cSt SO endotamponade and subsequent SO removal. SFCT was measured before and 3 months after SO removal. The main outcome measure was the difference between the SFCT of operated eyes and the fellow eyes. Results: Before SO removal, the mean SFCT differences in group 1 (3–6 months’ duration of SO), group 2 (6–9 months’ duration of SO), and group 3 (9–18 months’ duration of SO) were –14.8, –25.5, and –62.1 µm, respectively (p = 0.002, r = 0.398). Three months after SO removal, the mean SFCT differences in group 1, group 2, and group 3 were –13.4, –23.3, and –59.0 µm, respectively (p = 0.002, r = 0.393). Conclusion: SFCT decreased significantly in eyes with long-term (≥6 months) intravitreal SO tamponade. Choroidal thinning did not improve after SO removal.
“…Flow of fluid from the posterior chamber, into the subretinal space reaching the retinal pigment epithelium, is believed to be a consequence of RD and can cause choroidal thickening. 15 CT has also been shown to decrease with age, a possible 16 Therefore, we believe that age is not a primary contributor to the significant CT increase observed in Group 2 patients. Successful RD surgery is normally associated with incomplete visual acuity recovery; however, some improvement is normally observed.…”
Purpose: To compare the choroidal thickness before and after pars plana vitrectomy for rhegmatogenous retinal detachment repair.Methods: A retrospective case series of rhegmatogenous retinal detachment patients presenting between January 2015 and September 2020. Subfoveal choroidal thickness (SFCT) and anatomical success were measured in operated eyes and fellow eyes at presentation, as well as 3 months and 6 months after pars plana vitrectomy for rhegmatogenous retinal detachment repair.Results: A total of 93 patients (males 59%) with a mean age of 61.8 ± 15.2 years were included. Eighty-one patients were anatomically successful (Group 1) and 12 redetached (Group 2). The mean SFCT of the operated eye at presentation was 258.3 ± 82.0 mm in comparison with 257.5 ± 83.7 mm in the fellow eye (P = 0.96). Group 2 presented with thicker SFCT than Group 1 at baseline (309.2 ± 56.2 vs. 250.7 ± 82.8 mm; P = 0.01). Both groups demonstrated thinning trend throughout follow-up. At 6-month follow-up, the mean SFCT was 225.6 ± 75.5 mm (P = 0.05). Fellow-eye SFCT was stable throughout follow-up (257 ± 83.7 at baseline vs. 255 ± 80.2 mm at 6 months).Conclusion: Eyes with rhegmatogenous retinal detachment demonstrated thinning in the SFCT after vitrectomy surgery. Eyes with recurrent retinal detachment presented with a thicker choroid at baseline. Thicker SFCT at presentation may play a role in retinal redetachment.
“…Later, owing to the removal of the vitreous body and ERM, the oxygen and nutrient supply to the retinal tissues improve, and the thickness of the choroid is expected to decrease. Taking into account studies that showed no change in choroidal thickness before and after vitrectomy in patients with macular hole [ 11 , 12 , 16 ] and patients with rhegmatogenous retinal detachment [ 17 , 18 ], the effect of internal limiting membrane peeling and vitreous removal on choroidal thickness is not considered significant. Therefore, the decrease in choroidal thickness after surgery in this study was considered an effect of ERM removal.…”
This study aimed to investigate changes in choroidal thickness after pars plana vitrectomy (PPV) with and without air tamponade in patients with idiopathic epiretinal membrane (ERM). We retrospectively reviewed 61 patients with ERM who underwent a 25-gauge transconjunctival sutureless PPV. The patients were divided into two groups: the air tamponade group (30 eyes) and the nontamponade group (31 eyes). Subfoveal choroidal thickness (SFCT) was analyzed over 12 months. No significant differences were seen between the two groups at baseline. For all patients, the SFCT was significantly thicker at 1 month after surgery and significantly thinner at 6 and 12 months after surgery than preoperative values. In the subgroup analysis, there was no significant difference in SFCT 3 months after surgery compared with the preoperative values in both groups, but SFCT was significantly lower 6 months after surgery in both groups. In conclusion, our results showed that choroidal thickness temporarily increased after surgery and then gradually decreased until 12 months after the PPV for ERM.
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