Choroidal Thickness Is Associated with Delayed Subretinal Fluid Absorption after Rhegmatogenous Retinal Detachment Surgery

Chantarasorn, Yodpong; Oellers, Patrick; Eliott, Dean

doi:10.1016/j.oret.2019.05.009

Cited by 11 publications

(14 citation statements)

References 26 publications

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“…Furthermore, persistent SRF has been recently associated with increased subfoveal choroidal thickness; this finding relates SRF to the pachychoroid spectrum, and this could open potential new therapeutic scenarios for the management of this condition. 24 The natural history of SRF is to be reabsorbed within the first 12 months, with rapid visual recovery and no consequences on the external retinal layers. 25 Only a small percentage (6%-9%) of eyes present persistent SRF after12 months.…”

Section: Subretinal Fluid (Srf)mentioning

confidence: 99%

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Macular optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment

Coppola

Marchese

Cicinelli

et al. 2020

European Journal of Ophthalmology

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The primary aim of this study was to summarize and illustrate the main structural cross-sectional optical coherence tomography findings encountered after vitreoretinal surgery for rhegmatogenous retinal detachment. This was a non-systematic review of literature on structural cross-sectional optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment. Adequate illustrations of the main findings described were found after a retrospective analysis of imaging and charts of patients operated at the department where this study was performed. The main structural cross-sectional optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment included persistent subretinal fluid, subretinal blebs, retinal folds, subretinal perfluorocarbon liquids, macular alterations related to silicone oil, epiretinal membranes, proliferative vitreoretinopathy, cystoid macular edema, macular holes, and recurrent retinal detachment. In conclusion, optical coherence tomography was a useful tool after vitreoretinal surgery for rhegmatogenous retinal detachment. Some optical coherence tomography findings may not be evident on fundus examination, and optical coherence tomography can reveal essential details for the clinical management and the visual prognosis. Other findings, despite being visible on funduscopic examination, may be better assessed with the aid of optical coherence tomography. All these elements contribute to support the importance of tomographic assessment in the follow-up of eyes treated for vitreoretinal conditions.

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Section: Subretinal Fluid (Srf)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Macular optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment

Coppola

Marchese

Cicinelli

et al. 2020

European Journal of Ophthalmology

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“…Persistent SRF is common after successful SB surgery for primary RRD [6,7]. Among the 90 RRD eyes investigated in this study, 43 eyes (47.78%) had persistent SRF 3 months after SB.…”

Section: Discussionmentioning

confidence: 72%

“…Therefore, we considered that the effect of surgery on choroid is much greater than that of high myopia. Eliott et al [6] investigated the association between SFCT and persistent SRF after surgery for RRD, and the results showed that eyes with persistent SRF had significantly thicker SFCT than eyes without SRF. Multiple logistic regression analysis showed that SFCT of 280 µm or more was a significant factor associated with the persistence of SRF.…”

Section: Discussionmentioning

confidence: 99%

Effect of High Myopia on Delayed Absorption of Subretinal Fluid after Scleral Buckling Surgery

Meng

Long

Chen

et al. 2022

JCM

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This study compared the absorption of subretinal fluid (SRF) in patients with rhegmatogenous retinal detachment (RRD) with and without high myopia after scleral buckling (SB) and investigated the effect of high myopia on SRF absorption. This retrospective study included patients with primary macula-off RRD grouped according to myopia and age. The optical coherence tomography (OCT) and OCT angiography indicators included subretinal fluid height (SRFH), subfoveal choroidal thickness (SFCT), and choroidal capillary blood flow density (CCFD) measured regularly. The presence of SRF 3 months after surgery was defined as delayed absorption. Overall, 90 eyes of 89 patients were enrolled, and 46 eyes (51.11%) had high myopia. In 43 eyes (47.78%), SRF absorption was delayed. There was no significant difference in SRF absorption after SB between the high and non-high myopia groups; younger patients (<35 years) had a higher probability of delayed absorption (p < 0.05). The SFCT in high myopia was significantly thinner than that in the non-high myopia group (p < 0.05); SFCT and SRFH were positively correlated (rs = 0.275, p = 0.002), and there was a significant difference between the average CCFD with and without SRF (p < 0.05). High myopia had no significant effect on SRF absorption after SB.

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“…Persistent subretinal fluid is sometimes found after the repair of RD and may influence the outcome of RD procedures. 28 Increased subretinal fluid viscosity may also reduce the reabsorption of the retinal pigment epithelium in chronic RD. Previous research shows that younger patients with RRD are at an increased risk of developing persistent subretinal fluid, further supporting our results.…”

Section: Discussionmentioning

confidence: 99%

Association of Choroidal Thickness With Rhegmatogenous Retinal Detachment Repair

Trivizki

Eremenko

et al. 2022

Retina

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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.

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Choroidal Thickness Is Associated with Delayed Subretinal Fluid Absorption after Rhegmatogenous Retinal Detachment Surgery

Cited by 11 publications

References 26 publications

Macular optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment

Macular optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment

Effect of High Myopia on Delayed Absorption of Subretinal Fluid after Scleral Buckling Surgery

Association of Choroidal Thickness With Rhegmatogenous Retinal Detachment Repair

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