A Study was conducted to assess the incidence of cystoid macular oedema (CME) diagnosed by spectral domain optical coherence tomography (SD-OCT) after primary rhegmatogenous retinal detachment (RRD) surgery.
150 eyes of 150 patients presenting with primary RRD were included consecutively in this prospective single-centre study. SD-OCT was conducted 3 and 6 weeks after surgery.
Results:
--128 of the 150 patients completed the study, of whom 107 showed successful retinal attachment during follow-up visits.
--The most frequent operation method was scleral buckling (54.2%), followed by vitrectomy (25.2%) and the combination of both techniques (20.6%).
--Postoperative SD-OCT revealed CME, neurosensory detachment and ERM in 18.7, 31.8 and 32.7% of all cases, respectively.
--The risk of postoperative CME was significantly elevated in patients with ERM (42.9 versus 6.9%).
--In addition, patients with initial detachment of the macula had more postoperative CME (26.5 versus 11.1%).
--BCVA improvement was significantly lower in patients with CME compared to patients without 6 weeks after surgery for macula-on RRD.
Conclusively, this prospective analysis demonstrated that CME is a common consequence after RRD and that ERM and macula-off RRD were found as possible risk factors. Since CME may delay visual recovery, SD-OCT should be included in post-operational follow-ups.
Source: https://onlinelibrary.wiley.com/doi/10.1111/aos.14940?af=R
150 eyes of 150 patients presenting with primary RRD were included consecutively in this prospective single-centre study. SD-OCT was conducted 3 and 6 weeks after surgery.
Results:
--128 of the 150 patients completed the study, of whom 107 showed successful retinal attachment during follow-up visits.
--The most frequent operation method was scleral buckling (54.2%), followed by vitrectomy (25.2%) and the combination of both techniques (20.6%).
--Postoperative SD-OCT revealed CME, neurosensory detachment and ERM in 18.7, 31.8 and 32.7% of all cases, respectively.
--The risk of postoperative CME was significantly elevated in patients with ERM (42.9 versus 6.9%).
--In addition, patients with initial detachment of the macula had more postoperative CME (26.5 versus 11.1%).
--BCVA improvement was significantly lower in patients with CME compared to patients without 6 weeks after surgery for macula-on RRD.
Conclusively, this prospective analysis demonstrated that CME is a common consequence after RRD and that ERM and macula-off RRD were found as possible risk factors. Since CME may delay visual recovery, SD-OCT should be included in post-operational follow-ups.
Source: https://onlinelibrary.wiley.com/doi/10.1111/aos.14940?af=R
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