Long-term visual acuity and the duration of macular detachment: findings from a prospective population-based study

Mitry, Danny; Awan, Muhammad Amer; Borooah, Shyamanga; Syrogiannis, Andreas; Lim-Fat, Charles; Campbell, Harry; Wright, Alan F.; Fleck, Brian; Charteris, David G.; Yorston, David; Singh, Jaswinder

doi:10.1136/bjophthalmol-2012-302330

Cited by 56 publications

(62 citation statements)

References 13 publications

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“…But there was a threshold after 4 weeks when visual acuity further decreased. This is in line with other data [16] : thresholds for deterioration of results at 8 and 21 days [2] or after 10 days and 6 weeks of symptom duration were described [6] .…”

Section: Discussionsupporting

confidence: 73%

“…For example, Hassan et al [6] could find no effect on the final visual outcome for the first 10 days of duration of the detachment, but a decrease in visual acuity after 10 days and again after 6 weeks of symptom duration. Another study defined days 8 and 21 after the onset of symptoms as important thresholds that affect the visual outcome adversely [2] . In both studies, onset of symptom duration was equated to onset of retinal detachment.…”

Section: Introductionmentioning

confidence: 99%

“…Rhegmatogenous retinal detachment (RRD) represents a common vision-threatening ocular disorder that requires surgical intervention [1][2][3][4] . RRDs are usually regarded as surgical urgencies or even emergencies, either for macula-on detachments to prevent a detachment of the macula, or for macula-off detachments to minimize vision loss due to ongoing malnutrition of the retina.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Symptom Duration until Surgery on First-Year Outcome in Pseudophakic Primary Rhegmatogenous Retinal Detachment

et al. 2017

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Purpose: To investigate the effect of symptom duration in pseudophakic primary rhegmatogenous retinal detachment (RRD) with or without macular involvement on functional and anatomical outcome during first-year follow-up. Procedures: Retrospective review of cases with pars plana vitrectomy for retinal detachment repair. Symptom duration, functional outcome, and redetachment rates were analyzed. Symptom duration was grouped (1-3, 4-7, 8-14, 15-30, >30 days) and correlated to outcome in the first year of follow-up. Results: 371 macula-off and 230 macula-on RRDs could be included. In macula-off RRDs, longer symptom duration was associated with higher redetachment rates (10-21%; p = 0.032). Patients presenting symptoms for less than 8 days showed significantly lower rates than those with a longer symptom duration (p = 0.046). In macula-on RRDs, symptom duration and outcome were not associated (p > 0.6). Conclusions: In macula-off RRD, early reattachment surgery is necessary to lower the risk for retinal redetachment. The aim in macula-on RRD is to prevent conversion to a macula-off situation.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Symptom Duration until Surgery on First-Year Outcome in Pseudophakic Primary Rhegmatogenous Retinal Detachment

et al. 2017

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“…1 Improvements in surgical techniques have resulted in an increased anatomical success rate; however, functional recovery is often compromised and some patients are not satisfied with the quality of life after surgery. 2,3 In macula-off RRD, visual distortion is a major complaint and postoperative metamorphopsia is a highly prevalent problem that occurs in around twothirds of patients. 4,5 M-Chart is a convenient and reliable method to evaluate metamorphopsia, and it has been used to assess the degree of visual distortion for macular pucker and macular holes in previous studies.…”

Section: Introductionmentioning

confidence: 99%

Vision-related quality of life, metamorphopsia, and stereopsis after successful surgery for rhegmatogenous retinal detachment

Lina

Xuemin

Qinmei

et al. 2015

Eye

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Purpose To determine the relationship between vision-related quality of life, metamorphopsia, and stereopsis after successful surgery to correct rhegmatogenous retinal detachment (RRD). Patients and methods Data were obtained from 30 patients with RRD who had scleral buckle surgery or vitrectomy. Age, gender, duration of blurred vision, the best-corrected visual acuity (BCVA), extent of detachment, and the location of retinal tears were measured before surgery. Approximately 1 year after surgery, stereopsis was measured with the Randot stereo test, visual acuity (VA) was measured using a Snell VA acuity measurement at a distance of 5 m and was presented as a linear LogMAR value, metamorphopsia was examined using an M-chart, and vision-related quality of life was determined using the 25-Item National Eye Institute Visual Function Questionnaire (VFQ-25). Results All of the patients achieved anatomical retinal reattachment. There was a significant difference between preoperative BCVA (0.78 ± 0.72) and BCVA 1 year postoperatively (0.25 ± 0.25) (Po0.05). Twenty-three patients had visual distortion postoperatively, including vertical metamorphopsia (0.53 ± 0.52°), and horizontal metamorphopsia (0.48 ± 0.53°). Twenty patients had no stereopsis. The composite score of VFQ-25 was 76.60 postoperatively. Significant differences in postoperative BCVA, metamorphopsia, and VFQ-25 were found between macula-on and macula-off groups (all Po0.05). There was a negative correlation between VFQ-25 composite score and metamorphopsia (Po0.005); there was no significant correlation between VFQ-25 composite score and BCVA or stereopsis. Conclusion Vision-related quality of life correlated with metamorphopsia, but did not correlate with VA or stereopsis.

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“…5 Persistent functional damage to the macula is observed in a proportion of eyes affected by macula-off RRD. [6][7][8][9][10][11] Factors reportedly associated with functional recovery following macula-off RRD include preoperative VA, 12 duration of macular detachment, 6,8 height of macular detachment, 13,14 and age. 12 Even among eyes predicted to have good postoperative vision due to good preoperative conditions and the absence of significant complications during surgery, some eyes continue to have poor VA.…”

mentioning

confidence: 99%

Association Between Photoreceptor Regeneration and Visual Acuity Following Surgery for Rhegmatogenous Retinal Detachment

Kobayashi

Iwase

Yamamoto

et al. 2016

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. The purpose of this study was to evaluate foveal regeneration and the association between retinal restoration and visual acuity following reattachment surgery for rhegmatogenous retinal detachment (RRD).METHODS. Twenty-nine eyes of 29 patients with successfully reattached macula-off RRD were retrospectively analyzed. We used spectral-domain optical coherence tomography to image macular regions and measure retinal thickness and Snellen chart visual acuity (VA) to evaluate best-corrected VA (BCVA) at 1, 2, 3, 6, 9, and 12 months after vitrectomy. Best-corrected visual acuity data were converted to the logarithm of the minimum angle of resolution scale. Opposite eyes were used as controls.RESULTS. The thicknesses of the external limiting membrane (ELM)-ellipsoid zone (EZ) and EZretinal pigment epithelium (RPE) were significantly thinner in involved eyes than in corresponding unaffected eyes at 1 month after surgery (P < 0.001 for both), and the thickness increased over time (P < 0.001 for both). Best-corrected visual acuity significantly improved over time (P < 0.001), and the improvement correlated with EZ-RPE thickness (r ¼ À0.45, P ¼ 0.021). Multiple regression analysis demonstrated the presence of a foveal bulge as the independent predictor of final BCVA (P < 0.001). Eyes with a foveal bulge had significantly better BCVA and greater EZ-RPE thickness than those without throughout the follow-up period. Significant restoration of the integrity of EZ and cone interdigitation zone (CIZ) was observed over time (P < 0.001 for both) in eyes with a foveal bulge.CONCLUSIONS. The thickness of EZ-RPE and cone density increased during foveal regeneration, as demonstrated by the continuous improvements in CIZ integrity over time, leading to the formation of foveal bulge and good vision following successful reattachment of macula-off RRD.

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Long-term visual acuity and the duration of macular detachment: findings from a prospective population-based study

Cited by 56 publications

References 13 publications

Effect of Symptom Duration until Surgery on First-Year Outcome in Pseudophakic Primary Rhegmatogenous Retinal Detachment

Effect of Symptom Duration until Surgery on First-Year Outcome in Pseudophakic Primary Rhegmatogenous Retinal Detachment

Vision-related quality of life, metamorphopsia, and stereopsis after successful surgery for rhegmatogenous retinal detachment

Association Between Photoreceptor Regeneration and Visual Acuity Following Surgery for Rhegmatogenous Retinal Detachment

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