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Subfoveal Choroidal Thickness Change Following Segmental Scleral Buckling for Rhegmatogenous Retinal Detachment
- Source :
- American Journal of Ophthalmology. 154:893-900
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- Purpose To report the morphologic changes of the subfoveal choroidal thickness using spectral-domain optical coherence tomography following segmental scleral buckling. Design Retrospective, observational case series. Methods The study included 21 eyes of 20 patients who underwent segmental scleral buckling for the treatment of rhegmatogenous retinal detachment. All patients underwent the measurements of the subfoveal choroidal thickness preoperatively and 1 week, 1 month, and 3 months after the surgery. The changes in choroidal thickness, 4 mm from the fovea, before and 1 week after surgery were analyzed in the buckled and unbuckled side. Results The preoperative mean subfoveal choroidal thickness of operated eyes was 239.2 ± 91.0 μm. The postoperative mean subfoveal choroidal thicknesses of operated eyes at 1 week, 1 month, and 3 months were 267.6 ± 96.8 μm, 250.6 ± 95.8 μm, and 239.4 ± 95.6 μm, respectively. There were significant differences between preoperative subfoveal choroidal thickness and 1-week-postoperative and 1-month-postoperative subfoveal choroidal thicknesses ( P P = .03, ANOVA), and there was no significant difference between subfoveal choroidal thicknesses preoperatively and 3 months postoperatively ( P > .99, ANOVA). The changes in choroidal thickness of the buckled and unbuckled side preoperatively and 1 week postoperatively were not significantly different (n = 8, P = .589, 2-way ANOVA). Conclusion The subfoveal choroidal thickness may change temporarily following segmental scleral buckling surgery. This may be the result of reversible subclinical microcirculatory dysfunction of the choroid.
- Subjects :
- Adult
Male
Fovea Centralis
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Visual Acuity
Cryotherapy
Retinal detachment surgery
Young Adult
Ophthalmology
medicine
Humans
Aged
Retrospective Studies
Choroid
business.industry
Significant difference
Retinal Detachment
Fovea centralis
Retinal detachment
Organ Size
Middle Aged
medicine.disease
eye diseases
Scleral Buckling
medicine.anatomical_structure
Female
sense organs
business
Scleral buckling
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 00029394
- Volume :
- 154
- Database :
- OpenAIRE
- Journal :
- American Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....2ecdfaeb4c00d7d434629b4ef13fcc00