Macular Ganglion Cell Layer Thickness after Macula-Off Rhegmatogenous Retinal Detachment Repair: Scleral Buckling versus Pars Plana Vitrectomy

Gharbiya, Magda; Albanese, Giuseppe Maria; Plateroti, Andrea Maria; Marcelli, Michela; Marenco, Marco; Lambìase, Alessandro

doi:10.3390/jcm9051411

Cited by 8 publications

(10 citation statements)

References 33 publications

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“…As part of a standardized protocol, the circumference of the 240 encircling band was shortened by 10 mm and transscleral cryotherapy was performed to the retinal break(s). A 287 circumferential silicone scleral explant was finally positioned to support the break(s) [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Long-term ocular biometric variations after scleral buckling surgery in macula-on rhegmatogenous retinal detachment

et al. 2021

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Background Myopic shift and biometric ocular changes have been previously observed after scleral buckling (SB) surgery in rhegmatogenous retinal detachment (RRD), but long term-term outcomes had not yet been explored. The purpose of present study is to evaluate long term ocular biometric changes in patients with primary macula-on RRD treated with SB. Methods In this retrospective, observational study, we reviewed the medical records of patients undergoing SB surgery for macula-on RRD. Ocular biometry was performed before and at the most recent visit after surgery. Axial length (AXL), anterior chamber depth (ACD), anterior corneal astigmatism and spherical equivalent in treated eyes were compared before and after surgery as well as with those of fellow eyes. Results Thirty-four eyes of 17 patients with a mean age of 57.0 ± 8.9 years were included. The mean follow-up duration was 50.9 ± 21.9 months (median 53.0; range 12 to 82 months). A significant postoperative AXL increase of 0.83 mm and a concomitant myopic shift of 1.35 diopters was observed in the operated eyes (p < 0.0001). The preoperative AXL was the only predictive factor of AXL change after surgery (B = 0.152, 95% CI 0.059 to 0.245, β = 0.668, P = 0.003). Compared to fellow eyes, a postoperative ACD shallowing of 0.1 mm was found in operated eyes (p < 0.05), while there were no long-term changes of anterior corneal astigmatism. Conclusions We show that the preoperative AXL is the only predictive factor of AXL increase after SB surgery. Scleral encircling induces a concomitant long-term shallowing of the AC, therefore fourth generation intraocular lens (IOL) power calculation formulae should be used for patients requiring cataract surgery after SB.

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Section: Methodsmentioning

confidence: 99%

Long-term ocular biometric variations after scleral buckling surgery in macula-on rhegmatogenous retinal detachment

et al. 2021

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“…4–12 Coppola et al reported that the main structural cross-sectional OCT findings after vitreoretinal surgery for RRD included 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. 13 Additionally, thinning of macular ganglion cell-inner plexiform layer has been observed in patients with RRD treated with PPV, 14 while thickening of peripapillary retinal nerve fiber layer in successfully operated RRD eyes using vitrectomy and silicone oil endotamponade has been also reported. 15…”

Section: Introductionmentioning

confidence: 99%

Evolution of macular microvasculature and retinal layers alterations in patients with macula off retinal detachment after vitrectomy

Chatziralli

Theodossiadis

Chatzirallis

et al. 2021

European Journal of Ophthalmology

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Purpose: To examine the changes in retinal microvasculature in association with retinal layers’ condition in patients with rhegmatogenous retinal detachment (RRD) treated with pars plana vitrectomy (PPV). Methods: Participants in this study were 89 patients with macula off RRD, who were successfully treated with PPV and gas tamponade without internal limiting membrane peeling, in two centers. All participants underwent best corrected visual acuity (BCVA) measurement, slit-lamp examination, fundoscopy, spectral domain-optical coherence tomography (SD-OCT) and optical coherence tomography angiography (OCTA) at week 5, month 3 and month 6 postoperatively. The fellow untreated eyes were also examined and served as control data. Results: A statistically significant enlargement in foveal avascular zone (FAZ) in both superficial capillary plexus (SCP) and deep capillary plexus (DCP), accompanied with a statistically significant thinning of inner retinal layers, was noticed 5 weeks postoperatively. These changes, namely FAZ enlargement and thinning of inner retinal layers, in the operated eyes compared to the fellow eyes, remained unchanged till month 6 postoperatively. BCVA improved significantly from week 5 to months 3 and 6 postoperatively. The improvement in BCVA was associated with the gradual ellipsoid zone (EZ) recovery from the first (week 5) till the last examination (month 6). Conclusions: The FAZ enlargement in the operated eyes was accompanied with a statistically significant thinning in the inner retinal layers. Inter-correlation of BCVA and EZ integrity was noticed.

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“…On the contrary, a retrospective cohort of 822 patients, the PPV group had a higher average proportion of surgical failures than the SB group [14]. In eyes with macula-off RRD treated with PPV, the macular ganglion cell layer-inner plexiform layer (GCL-IPL) was found to be significantly thinner compared to eyes undergoing scleral buckling surgery [15]. Furthermore, Znaor reported in a cocharne review of 10 Randomized controlled trials of 1307 eyes, found no difference between PPV and scleral buckling in terms of operation success and vision achieved and PPV can be linked to a lower risk of detachment recurrence.…”

Section: Discussionmentioning

confidence: 91%

Comparison of Two surgical treatments for Rhegmatogenous Retinal Detachment

Yahalomi¹,

Hecht²,

Lifshitz³

et al. 2022

Act Sci Oph

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Purpose:To compare the success rate of pars plana vitrectomy (PPV) and scleral buckling in terms of visual outcomes, repeated surgeries and postoperative complications for the treatment of rhegmatogenous retinal detachment. Methods:We collected data of all patients operated in one tertiary medical center in Israel during the year 2019. Patient over the age of 18 years with at least one year of follow-up were included. Retinal attachment rate, visual outcomes and postoperative complications were compared.Results: Included were 30 patients that underwent posterior vitrectomy and 36 that underwent scleral buckling. All patients were operated by the same surgeon. Success rate of retina re-attachment were almost the same in both groups (86.7% vs 86.1 for vitrectomy and scleral buckle respectively, p = 0.948). In both groups there was a significant improvement of the final visual acuity compared to the pre-operative visual acuity (0.146 ± 0.1 vs 0.149 ± 0.1 Log MAR improvement for vitrectomy and scleral buckle respectively, p = 0.411). A strong correlation existed between the number of operations to reattachments -any additional surgery drops the chance of reattachment by 2.4% (odds ratio: 0.024, 95% CI 0.003 -0.208, p ≤ 0.001).Conclusion: Among a modern cohort of patients with retinal detachment, no differences were seen in success rates or visual outcomes between patients treated with posterior vitrectomies compared to scleral buckling.

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Macular Ganglion Cell Layer Thickness after Macula-Off Rhegmatogenous Retinal Detachment Repair: Scleral Buckling versus Pars Plana Vitrectomy

Cited by 8 publications

References 33 publications

Long-term ocular biometric variations after scleral buckling surgery in macula-on rhegmatogenous retinal detachment

Long-term ocular biometric variations after scleral buckling surgery in macula-on rhegmatogenous retinal detachment

Evolution of macular microvasculature and retinal layers alterations in patients with macula off retinal detachment after vitrectomy

Comparison of Two surgical treatments for Rhegmatogenous Retinal Detachment

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