Original articleMorphologic Changes in the Outer Layer of the Detached Retina in Rhegmatogenous Retinal Detachment and Central Serous Chorioretinopathy
Section snippets
Methods
Of 83 eyes (82 patients) with RRD and 50 eyes (50 patients) with CSC that were newly diagnosed between January 1, 2005 and December 31, 2005, 16 eyes (16 patients) with RRD and 15 eyes (15 patients) with acute CSC included the macular detachment within 1 month after subjective onset and observed by OCT-ophthalmoscope at the initial examination were studied. In the RRD group, we also excluded the patients in whom the height of the RD exceeded that measurable using OCT-C7. There were no such
Results
The patients' data in the RRD and CSC groups are provided in TABLE 1, TABLE 2. The mean BCVA levels at baseline were, respectively, 0.32 (0.49 logMAR) in the RRD group and 0.82 (0.09 logMAR) in the CSC group. The mean BCVA levels after reattachment at the final examination were, respectively, 0.75 (0.12 logMAR) in the RRD group and 1.2 (-0.08 logMAR) in the CSC group.
The mean extent of RD area in the RRD group was about a half of total retinal area including the macular area. The postoperative
Case 1
A 74-year-old man (Patient 12 in RRD group) with a history of cataract surgery about 1 year previously reported a 1-week loss of visual acuity (VA) in the left eye. The BCVA at the baseline was 0.01 (2.00 logMAR). A RRD that included the macular area resulting from the tear at the superior-temporal area was observed during clinical examinations (Figure 2, Top right). OCT-ophthalmoscope showed a macular-off detachment at the vertical scan (Figure 2, Top left) and the horizontal scan (Figure 2,
Discussion
The ONL thickened in the RRD group, and the structure of the detached sensory retina was preserved in the CSC group. Nevertheless, both groups had acute macular detachments. The morphologic changes in the detached retina in the CSC group were not correlated with the visual outcome at the resolution of the detachment. However, the height of the detachment and the ONL thickness at the initial examination in the RRD group were correlated with the visual outcome after reattachment. Although we
Ichiro Maruko, MD, graduated from the Fukushima Medical University School of Medicine, Fukushima, Japan in 1999. He worked at the College of Optometry, University of Houston, Houston, Texas, from 2002 to 2004. Dr Maruko is currently a Research Associate at the Department of Ophthalmology, Fukushima Medical University School of Medicine, Fukushima, Japan.
References (23)
- et al.
Optical coherence tomography of the neurosensory retina in rhegmatogenous retinal detachment
Am J Ophthalmol
(2000) - et al.
Evaluation of central serous chorioretinopathy with optical coherence tomography
Am J Ophthalmol
(2000) - et al.
The foveal photoreceptor layer and visual acuity loss in central serous chorioretinopathy
Am J Ophthalmol
(2005) - et al.
Potent retinal anterior traction as a possible cause of myopic foveoschisis
Am J Ophthalmol
(2005) - et al.
Morphologic features of group 2A idiopathic juxtafoveolar retinal telangiectasis in three-dimensional optical coherence tomography
Am J Ophthalmol
(2006) - et al.
Fluid dynamics in eyes with rhegmatogenous retinal detachments
Am J Ophthalmol
(1985) Experimental retinal detachment in the owl monkeyII. Histology of retina and pigment epithelium
Am J Ophthalmol
(1968)- et al.
Limiting photoreceptor death and deconstruction during experimental retinal detachment: the value of oxygen supplementation
Am J Ophthalmol
(1999) - et al.
Structural features of attached retina in rhegmatogenous retinal detachments
Retina
(2004) - et al.
Predictive visual outcome after macula-off retinal detachment surgery using optical coherence tomography
Retina
(2005)
Foveal thickness can predict visual outcome in patients with persistent central serous chorioretinopathy
Ophthalmologica
Cited by (37)
Macula analysis by spectral domain OCT in rhegmatogenous retinal detachment surgery
2015, Journal Francais d'OphtalmologieOptical Coherence Tomography
2012, Retina Fifth EditionPathogenesis of Serous Detachment of the Retina and Pigment Epithelium
2012, Retina Fifth EditionRetro-mode imaging for retinal pigment epithelium alterations in central serous chorioretinopathy
2012, American Journal of OphthalmologyAnatomical and functional macular changes after rhegmatogenous retinal detachment with macula off
2012, American Journal of OphthalmologyCitation Excerpt :However, with electron microscopy on human fixed tissue, outer segments were thinner, about 20 to 30 μm.38 In the present study, postoperative BCVA was not correlated to preoperative characteristics, SD-OCT lesions, and microperimetry results, unlike previous studies.13,14,39 Compared to similar studies with both macula-on and macula-off RRD, we report a relatively good postoperative BCVA, 0.25 logMAR, which could be considered suboptimal visual recovery after macular detachment.
Mean Ocular Perfusion Pressure Effect During Pars Plana Vitrectomy on the Foveal Avascular Zone: A Pilot Study
2024, Journal of VitreoRetinal Diseases
Ichiro Maruko, MD, graduated from the Fukushima Medical University School of Medicine, Fukushima, Japan in 1999. He worked at the College of Optometry, University of Houston, Houston, Texas, from 2002 to 2004. Dr Maruko is currently a Research Associate at the Department of Ophthalmology, Fukushima Medical University School of Medicine, Fukushima, Japan.