Multimodal imaging for detecting metamorphopsia after successful retinal detachment repair
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Updated: Jan 4, 2026
Multimodal Volumetric Retinal Imaging by Oblique Scanning Laser Ophthalmoscopy oSLO and Optical Coherence Tomography OCT
Published on: August 4, 2018
Megir Schawkat1, Christophe Valmaggia1, Corina Lang1
1Eye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, CH-9007, Sankt Gallen, Switzerland.
Purpose:
To investigate the etiologies of metamorphopsia after successful retinal detachment repair.
Methods:
In this retrospective study, we included patients who underwent pars plana vitrectomy (PPV) for macula-off rhegmatogenous retinal detachment (RRD). Patients were reviewed after 3 to 6 weeks. Best-corrected visual acuity (BCVA), fundus biomicroscopy, Amsler grid test, spectral-domain optical coherence tomography (SD-OCT), and fundus autofluorescence images (FAF) were obtained from all patients to visualize abnormalities in retinal layers and retinal rotation.
Results:
A total of 50 eyes from 49 consecutive patients were included, of whom 12 (24%) complained of postoperative metamorphopsia. The main cause of metamorphopsia was retinal shift after RRD repair (p < 0.001).
Conclusion:
Distorted vision after macula-off RRD is a common and retinal shift was found to be the main reason patients experience metamorphopsia after a successful macula-off RRD repair.
