Literature DB >> 31773840

Vascular changes after vitrectomy for rhegmatogenous retinal detachment: optical coherence tomography angiography study.

Vincenza Bonfiglio1, Elina Ortisi1, Davide Scollo1, Michele Reibaldi1, Andrea Russo1, Alessandra Pizzo1, Giuseppe Faro1, Iacopo Macchi1, Matteo Fallico1, Mario D Toro1,2, Robert Rejdak2, Katarzyna Nowomiejska2, Lisa Toto3, Michele Rinaldi4, Salvatore Cillino5, Teresio Avitabile1, Antonio Longo1.   

Abstract

PURPOSE: To analyse the postoperative foveal avascular zone (FAZ) area, superficial vessel density (SVD) and deep vessel density (DVD) and their correlation with functional (best-corrected visual acuity, BCVA) and anatomical outcomes (foveal macular thickness, FMT) after surgery for rhegmatogenous retinal detachment (RRD) repair.
METHOD: Patients with RRD eyes, successfully treated with a single pars plana vitrectomy (PPV) with gas tamponade and a minimum 12 months follow-up, were re-examined. Foveal avascular zone (FAZ) area, SVD, DVD and FMT were evaluated by using optical coherence tomography angiography (OCTA) and compared to fellow eye.
RESULTS: Fifty-six patients with macula-on and 37 with macula-off RRD were included in the study. In both groups, no difference in FMT and FAZ area was found compared to fellow eyes. In macula-on RRD eyes, a lower parafoveal DVD (p = 0.001) was detected; FAZ area was related to FMT (p = 0.025), and the postoperative BCVA was correlated with parafoveal DVD (p = 0.010) and FAZ area (p = 0.003). In macula-off RRD eyes, lower parafoveal SDV (p = 0.012), and foveal and parafoveal DVD (p = 0.012 and p < 0.001, respectively) were observed. BCVA was related to FAZ area (p = 0.012), foveal SVD (p = 0.005) and parafoveal DVD (p = 0.010).
CONCLUSION: Rhegmatogenous retinal detachment eyes successfully treated with PPV had lower vessel density in the superficial and deep retinal plexus compared to fellow healthy eyes; BCVA was related to FAZ area and vessel density.
© 2019 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Entities:  

Keywords:  foveal avascular zone; rhegmatogenous retinal detachment; superficial and deep vessel density; vitrectomy

Year:  2019        PMID: 31773840     DOI: 10.1111/aos.14315

Source DB:  PubMed          Journal:  Acta Ophthalmol        ISSN: 1755-375X            Impact factor:   3.761


  16 in total

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Authors:  K Matthew McKay; Filippos Vingopoulos; Jay C Wang; Thanos D Papakostas; Rebecca F Silverman; Anna Marmalidou; Inês Lains; Dean Eliott; Demetrios G Vavvas; Leo A Kim; David M Wu; John B Miller
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10.  Smaller Foveal Avascular Zone in Deep Capillary Plexus Is Associated with Better Visual Acuity in Patients after Macula-off Retinal Detachment Surgery.

Authors:  Heijan Ng; Ellen C La Heij; Eleni-Rosalina Andrinopoulou; Jan C van Meurs; Koenraad A Vermeer
Journal:  Transl Vis Sci Technol       Date:  2020-09-24       Impact factor: 3.283

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