Abstract
BackgroundThe purpose of this study is to assess the absorption of subretinal fluid (SRF) after scleral buckling (SB) surgery for the treatment of rhegmatogenous retinal detachment (RRD). We also examined related factors that may affect the delayed absorption of SRF.MethodsThis retrospective study included patients who underwent successful SB surgery for the treatment of macula-off RRD and in which the retina was reattached after the surgery. The patients were categorized according to gender, duration, age, the number, and location of retinal breaks. Subfoveal choroidal thickness (SFCT), height of subretinal fluid (SRFH), and the choriocapillaris flow density (CCFD) within 3 × 3 mm macular fovea were included. Delayed absorption was determined by the SRF that remained unabsorbed for 3 months after the procedure. The endpoint was determined when the SRF could no longer be observed.ResultsA total of 62 patients (63 eyes) were enrolled. In 35 eyes (56.45%) SRF was completely absorbed and in 28 (43.55%) eyes delayed absorption of SRF in macular areas was observed at 3 months after surgery. A young age (< 35 years), inferior retinal breaks were associated with good outcomes by applying multivariable analysis on the rate of SRF absorption after SB instead of gender, the number of breaks, and duration (p < 0.05). CCFD was significantly different between the SRF group and the non-SRF group after SB (0.66 ± 0.04% vs 0.63 ± 0.05%, P < 0.05). SRFH showed a moderate positive correlation with SFCT (rs = 0.462, p = 0.000), however, using binary logistic regression analysis it was determined that SFCT was not related to the absorption of the SRF.ConclusionsThe absorption of SRF after SB may be correlated with choriocapillaris flow density. Age and location of breaks are significant factors affecting the absorption of SRF. The duration of disease is an uncertain factor due to several subjective reasons.
Highlights
The purpose of this study is to assess the absorption of subretinal fluid (SRF) after scleral buckling (SB) surgery for the treatment of rhegmatogenous retinal detachment (RRD)
The purpose of this study is to investigate the absorption of SRF after SB surgery for rhegmatogenous retinal detachment (RRD) and its affecting factors, including choroidal thickness
Inclusion criteria included: primary RRD; macula-off RRD confirmed by optical coherence tomography (OCT); underwent SB surgery; no other treatments, such as retinal photocoagulation, intravitreal injections, or intraocular gas filling performed during the follow-up period
Summary
The purpose of this study is to assess the absorption of subretinal fluid (SRF) after scleral buckling (SB) surgery for the treatment of rhegmatogenous retinal detachment (RRD). We examined related factors that may affect the delayed absorption of SRF. Scleral buckling (SB) is a traditionally effective surgery for the repair of uncomplicated retinal detachment (RD) and has a success rate of 85–95% [1]. As the PSF affects the recovery of postoperative visual function, the discussion of its related factors is helpful to provide theoretical guidance for the prevention, prediction, diagnosis, and treatment of SRF after SB surgery. The purpose of this study is to investigate the absorption of SRF after SB surgery for rhegmatogenous retinal detachment (RRD) and its affecting factors, including choroidal thickness. Choriocapillaris flow density, age, gender, duration, the number, and position of retinal breaks
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.