Optical Coherence Tomography: Role for Predicting Postoperat
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A Study was conducted to identify any prognostic associations between preoperative optical coherence tomography (OCT) findings and postoperative visual outcomes in patients with macula-off rhegmatogenous retinal detachment (RRD).

Retrospective, single-center study of patients diagnosed with macula-off RRD whom underwent surgical reattachment were included. OCT images were analyzed by two retina surgeons. Outcome measures included “good” final vision (best corrected visual acuity of 20/40 or better), “poor” final vision (best corrected visual acuity of 20/200 or worse) and change in vision (worsened, improved, improved more than 15 letters) at most recent follow-up. A total of 49 eyes were included.

Results:
--There was a significant difference in the mean preoperative central retinal thickness (CRT) between patients who had good final vision and patients who did not (96 um vs 161 um).

--In addition, a worse preoperative best corrected visual acuity and greater SRF height were associated with vision improvement.

--Those with persistent ellipsoid zone disruption postoperatively were less likely to have good final vision (OR = 0.217).

In conclusion, a lower mean preoperative CRT is related to a favorable visual outcome. After surgery, eyes with ellipsoid zone destruction were less likely to have clear final vision.

Source: https://journals.lww.com/retinajournal/Abstract/9000/Role_of_Optical_Coherence_Tomography_for.95534.aspx
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