Original articleUnintentional Displacement of the Retina after Standard Vitrectomy for Rhegmatogenous Retinal Detachment
Section snippets
Patients
Forty-three eyes of 43 consecutive patients with RRD involving 1 or more quadrants underwent successful standard PPV with 20% sulfur hexafluoride gas injection at the Kagawa University Hospital between November 2006 and June 2008. The mean age of all patients (26 male, 17 female) was 60.0 years with a range of 39 to 77 years. No patients had binocular diplopia in their preoperative history. The eyes with reoperations, silicon oil tamponade, or proliferative vitreoretinopathy were excluded from
Results
On preoperative fundus examinations, 43 eyes had bullous RRD involving 1 or more quadrants. Of the 43 eyes, RRD involved 1 quadrant in 2 eyes, 2 quadrants in 31 eyes, 3 quadrants in 8 eyes, and 4 quadrants in 2 eyes on fundus examination. Retinal breaks were located in the superior region (19 eyes), the temporal region (13 eyes), the nasal region (5 eyes), the inferior region (1 eye), and multiple regions (5 eyes).
After complete reattachment of the retina, autofluorescence photography
Discussion
Fundus autofluorescence is a noninvasive test that provides discrete funduscopic images based on stimulated emission of light from lipofuscin. Lipofuscin is a cellular waste product containing lipid, protein, and fluorophores such as A2E. Visualization of the signal depends on the distribution pattern of the fluorophore-containing lipofuscin.10, 11, 12 FAF imaging allows topographic mapping of lipofuscin distribution in the RPE cell monolayer, as well as of other fluorophores that may occur
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Cited by (120)
Fundus Autofluorescence Underestimates Retinal Displacement
2023, Ophthalmology RetinaA Novel Method of Quantifying Retinal Displacement Using Ultra-Widefield Fundus Autofluorescence Imaging
2022, American Journal of OphthalmologyCitation Excerpt :Retinal displacement following rhegmatogenous retinal detachment (RRD) repair visualized with fundus autofluorescence (FAF) imaging was first described by Shiragami and associates in 2010.1
Comparison between standard and wide-field autofluorescence in detection of retinal displacement after rhegmatogenous retinal detachment surgery
2022, Advances in Ophthalmology Practice and ResearchA paradigm shift in retinal detachment repair: The concept of integrity
2022, Progress in Retinal and Eye ResearchCitation Excerpt :Several other anatomic abnormalities following RRD repair can be seen with multimodal imaging. Retinal displacement is detected with FAF (Shiragami et al., 2010) and outer retinal folds are detected with FAF and both cross-sectional and enface OCT (dell’Omo et al., 2012; Fukuyama et al., 2019; Lee et al., 2021a). Adaptive optics-assisted retinal imaging (AO) provides another imaging modality that can be used to assess photoreceptor density, spacing and regularity following RRD repair, and may provide other imaging biomarkers that can be assessed post-operatively (Saleh et al., 2014; Potic et al., 2020; Reumueller et al., 2020).
Manuscript no. 2009-186.
Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article.