Postoperative recovery of visual function after macula-off rhegmatogenous retinal detachment

To determine which factors affect the recovery of visual function in macula off rhegmatogenous retinal detachment (RRD). In a prospective study of forty-five patients with a primary macula-off RRD of 24 hours to 6 weeks duration, the height of the macular detachment was determined by ultrasonography...

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Veröffentlicht in:PloS one 2014-06, Vol.9 (6), p.e99787-e99787
Hauptverfasser: van de Put, Mathijs A J, Croonen, Danna, Nolte, Ilja M, Japing, Wouter J, Hooymans, Johanna M M, Los, Leonoor I
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container_title PloS one
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creator van de Put, Mathijs A J
Croonen, Danna
Nolte, Ilja M
Japing, Wouter J
Hooymans, Johanna M M
Los, Leonoor I
description To determine which factors affect the recovery of visual function in macula off rhegmatogenous retinal detachment (RRD). In a prospective study of forty-five patients with a primary macula-off RRD of 24 hours to 6 weeks duration, the height of the macular detachment was determined by ultrasonography. At 12 months postoperatively, best corrected visual acuity (BCVA), contrast acuity, and color confusion indexes (CCI) were obtained. Macular detachment was present for 2-32 (median 7) days before repair. A shorter duration of macular detachment was correlated with a better CCI saturé (p = 0.0026) and lower LogMAR BCVA (better Snellen visual acuity) (p = 0.012). Also, a smaller height of macular detachment was correlated with a lower LogMAR BCVA (p = 0.0034). A younger age and lower pre-operative LogMAR BCVA at presentation were both correlated with better postoperative contrast acuity in the total group (age: p = 1.7×10(-4) and pre-operative LogMAR BCVA: p = 0.0034). Functional recovery after macula-off RRD is affected by the duration and the height of the macular detachment. Recovery of contrast acuity is also affected by age and BCVA at presentation. ARVO annual meeting 2013, May 7, Seattle, Washington, United States of America. trialregister.nl NTR839.
doi_str_mv 10.1371/journal.pone.0099787
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In a prospective study of forty-five patients with a primary macula-off RRD of 24 hours to 6 weeks duration, the height of the macular detachment was determined by ultrasonography. At 12 months postoperatively, best corrected visual acuity (BCVA), contrast acuity, and color confusion indexes (CCI) were obtained. Macular detachment was present for 2-32 (median 7) days before repair. A shorter duration of macular detachment was correlated with a better CCI saturé (p = 0.0026) and lower LogMAR BCVA (better Snellen visual acuity) (p = 0.012). Also, a smaller height of macular detachment was correlated with a lower LogMAR BCVA (p = 0.0034). A younger age and lower pre-operative LogMAR BCVA at presentation were both correlated with better postoperative contrast acuity in the total group (age: p = 1.7×10(-4) and pre-operative LogMAR BCVA: p = 0.0034). Functional recovery after macula-off RRD is affected by the duration and the height of the macular detachment. Recovery of contrast acuity is also affected by age and BCVA at presentation. 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Recovery of contrast acuity is also affected by age and BCVA at presentation. ARVO annual meeting 2013, May 7, Seattle, Washington, United States of America. trialregister.nl NTR839.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24927502</pmid><doi>10.1371/journal.pone.0099787</doi><oa>free_for_read</oa></addata></record>
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subjects Acuity
Age
Aged
Cataracts
Color vision
Correlation
Detaching
Eye Diseases, Hereditary - surgery
Female
Humans
Macula Lutea - surgery
Male
Medicine and Health Sciences
Middle Aged
Pathology
Photoreceptors
Postoperative Period
Prospective Studies
Recovery
Recovery (Medical)
Recovery of function
Recovery of Function - physiology
Retina
Retinal detachment
Retinal Detachment - surgery
Studies
Surgery
Ultrasound
Ultrasound imaging
Visual acuity
Visual Acuity - physiology
Visual perception
title Postoperative recovery of visual function after macula-off rhegmatogenous retinal detachment
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