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The contribution of the proximity of the retinal detachment to the fovea for postoperative metamorphopsia after 27-gauge pars plana vitrectomy for the primary rhegmatogenous retinal detachment.
- Source :
-
PloS one [PLoS One] 2021 Oct 28; Vol. 16 (10), pp. e0258775. Date of Electronic Publication: 2021 Oct 28 (Print Publication: 2021). - Publication Year :
- 2021
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Abstract
- Purpose: To investigate clinical factors contributing to metamorphopsia after 27-gauge pars plana vitrectomy (27GPPV) for primary rhegmatogenous retinal detachment (RRD) to reveal whether the proximity of the preoperative retinal detachment to the fovea is associated with postoperative metamorphopsia.<br />Methods: We retrospectively reviewed medical records of 77 eyes of 77 patients after 27GPPV for RRD. Patients were subdivided into three groups using optical coherence tomography findings: Group A, patients with RRD outside the vascular arcade; Group B, patients whose condition was present within the vascular arcade, but without foveal detachment; and Group C, patients with foveal detachment.<br />Results: The average metamorphopsia score (°) assessed with M-charts 12 months after surgery was 0.01 ± 0.04 in Group A (24 eyes), 0.08 ± 0.18 in Group B (20 eyes), and 0.49 ± 0.48 in Group C (33 eyes) (p<0.001). Logistic regression analysis revealed that metamorphopsia at 12 months after surgery significantly correlated with the proximity of the retinal detachment to the fovea (p = 0.007).<br />Conclusion: Metamorphopsia after 27GPPV for RRD correlated with the proximity of the preoperative retinal detachment to the fovea. Attention should be paid to the possibility of postoperative metamorphopsia development when retinal detachment is present within a vascular arcade even if the fovea is not involved.<br />Competing Interests: The authors have declared that no competing interests exist.
- Subjects :
- Female
Fovea Centralis surgery
Humans
Male
Middle Aged
Postoperative Complications etiology
Retinal Detachment pathology
Retrospective Studies
Tomography, Optical Coherence
Vision Disorders etiology
Visual Acuity
Fovea Centralis pathology
Postoperative Complications pathology
Retinal Detachment surgery
Vision Disorders pathology
Vitrectomy adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1932-6203
- Volume :
- 16
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- PloS one
- Publication Type :
- Academic Journal
- Accession number :
- 34710146
- Full Text :
- https://doi.org/10.1371/journal.pone.0258775