PURPOSE: Characterization of persistent diffuse subretinal fluid using optical coherence tomography (OCT) after successful encircling buckle surgery for inferior macula-off retinal detachment in young patients. METHODS: Institutional retrospective review of six young patients (mean age 31 +/- 6 years; five female, one male) with spontaneous inferior rhegmatogenous macula-off retinal detachment. All patients were treated with encircling buckle surgery and five out of six underwent additional external drainage of subretinal fluid. Mean follow-up was 37 +/- 25 months (range 17-75 months) and included complete ophthalmic and OCT examination. RESULTS: At 6 months, 100% of patients showed persistence of subretinal fluid on OCT. Four patients had diffuse fluid accumulation, whereas two patients showed a 'bleb-like' accumulation of fluid. This fluid was present independent of whether or not patients had been treated with external fluid drainage. Subretinal fluid only started to disappear on OCT between 6 and more than 12 months after surgery. CONCLUSION: Young patients with inferior macula-off retinal detachments and a marginally liquefied vitreous may show persisting postoperative subclinical fluid under the macula for longer periods of time than described previously.
PURPOSE: Characterization of persistent diffuse subretinal fluid using optical coherence tomography (OCT) after successful encircling buckle surgery for inferior macula-off retinal detachment in young patients. METHODS: Institutional retrospective review of six young patients (mean age 31 +/- 6 years; five female, one male) with spontaneous inferior rhegmatogenous macula-off retinal detachment. All patients were treated with encircling buckle surgery and five out of six underwent additional external drainage of subretinal fluid. Mean follow-up was 37 +/- 25 months (range 17-75 months) and included complete ophthalmic and OCT examination. RESULTS: At 6 months, 100% of patients showed persistence of subretinal fluid on OCT. Four patients had diffuse fluid accumulation, whereas two patients showed a 'bleb-like' accumulation of fluid. This fluid was present independent of whether or not patients had been treated with external fluid drainage. Subretinal fluid only started to disappear on OCT between 6 and more than 12 months after surgery. CONCLUSION: Young patients with inferior macula-off retinal detachments and a marginally liquefied vitreous may show persisting postoperative subclinical fluid under the macula for longer periods of time than described previously.
Authors: T Michael Nork; Christopher J Murphy; Charlene B Y Kim; James N Ver Hoeve; Carol A Rasmussen; Paul E Miller; Hugh D Wabers; Michael W Neider; Richard R Dubielzig; Ryan J McCulloh; Brian J Christian Journal: Arch Ophthalmol Date: 2011-09-12
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: M Veckeneer; L Derycke; E W Lindstedt; J van Meurs; M Cornelissen; M Bracke; E Van Aken Journal: Graefes Arch Clin Exp Ophthalmol Date: 2012-01-11 Impact factor: 3.117
Authors: María Moreno-López; Marta Pérez-López; Pilar Casas-Llera; Elena Jarrín; Francisco José Muñoz-Negrete Journal: Clin Ophthalmol Date: 2011-10-11