OBJECTIVE: To define the incidence, pattern, duration, and clinical consequences of persistent localized submacular fluid after scleral buckle surgery for retinal detachment (RD). DESIGN: Prospective observational cohort series. PARTICIPANTS: Ninety-eight patients were identified and recruited to the study. METHODS: Patients aged > or =18 years undergoing scleral buckle surgery for uncomplicated primary RD over an 18-month period were recruited. All patients underwent clinical examination and optical coherence tomography (OCT) scan of the macula preoperatively and at 6 weeks postoperatively. Those patients who had an abnormality on OCT 6 weeks after surgery underwent follow-up with repeat of the study investigations at 3, 6, 9, 12, and 18 months after surgery until the abnormality resolved. If no abnormality was seen at the 6-week examination, no further investigation was undertaken. MAIN OUTCOME MEASURE: Presence of submacular fluid on OCT 6 weeks after surgery. Other outcome measures were duration of persistent fluid and associations with poor visual outcome, type, or duration of detachment. RESULTS: Of the 98 patients recruited into the study, 54 (55%) had subretinal fluid (SRF) on OCT 6 weeks after surgery. We identified 3 patterns of submacular fluid: confluent fluid, a single discrete bleb of fluid, and multiple blebs of fluid. Fluid was associated with delayed visual recovery. Of those with SRF, 78% had persistent fluid at 6 months; resolution of fluid took a median of 10 months and was associated with an improvement in vision. CONCLUSIONS: Optical coherence tomography is a useful noninvasive diagnostic method that can detect SRF not seen on clinical examination. Persistent SRF 6 weeks after scleral buckle surgery occurs in approximately half of patients, may persist for many months, and can cause delayed visual recovery.
OBJECTIVE: To define the incidence, pattern, duration, and clinical consequences of persistent localized submacular fluid after scleral buckle surgery for retinal detachment (RD). DESIGN: Prospective observational cohort series. PARTICIPANTS: Ninety-eight patients were identified and recruited to the study. METHODS:Patients aged > or =18 years undergoing scleral buckle surgery for uncomplicated primary RD over an 18-month period were recruited. All patients underwent clinical examination and optical coherence tomography (OCT) scan of the macula preoperatively and at 6 weeks postoperatively. Those patients who had an abnormality on OCT 6 weeks after surgery underwent follow-up with repeat of the study investigations at 3, 6, 9, 12, and 18 months after surgery until the abnormality resolved. If no abnormality was seen at the 6-week examination, no further investigation was undertaken. MAIN OUTCOME MEASURE: Presence of submacular fluid on OCT 6 weeks after surgery. Other outcome measures were duration of persistent fluid and associations with poor visual outcome, type, or duration of detachment. RESULTS: Of the 98 patients recruited into the study, 54 (55%) had subretinal fluid (SRF) on OCT 6 weeks after surgery. We identified 3 patterns of submacular fluid: confluent fluid, a single discrete bleb of fluid, and multiple blebs of fluid. Fluid was associated with delayed visual recovery. Of those with SRF, 78% had persistent fluid at 6 months; resolution of fluid took a median of 10 months and was associated with an improvement in vision. CONCLUSIONS: Optical coherence tomography is a useful noninvasive diagnostic method that can detect SRF not seen on clinical examination. Persistent SRF 6 weeks after scleral buckle surgery occurs in approximately half of patients, may persist for many months, and can cause delayed visual recovery.
Authors: Allison J Smith; David G Telander; Robert J Zawadzki; Stacey S Choi; Lawrence S Morse; John S Werner; Susanna S Park Journal: Ophthalmology Date: 2008-07-31 Impact factor: 12.079
Authors: Mushfig I Karimov; Elmar M Gasymov; Irada J Aliyeva; Lale A Akhundova; Gunay R Rustambayova; Khalid D Aliyev Journal: Eye (Lond) Date: 2018-05-23 Impact factor: 3.775
Authors: Igor Kovačević; Aleksandra Radosavljević; Bojan Kalezić; Jelena Potić; Goran Damjanović; Ivan Stefanović Journal: Bosn J Basic Med Sci Date: 2012-08 Impact factor: 3.363
Authors: Saadia Rashid; Suman Pilli; Eric K Chin; Robert J Zawadzki; John S Werner; Susanna S Park Journal: Retina Date: 2013 Nov-Dec Impact factor: 4.256