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Microperimetry-Assessed Functional Alterations and OCT-Changes in Patients after Retinal Detachment Surgery Using
María D Díaz-Barreda1,2,3, Isabel Bartolomé-Sesé1,2,3, Ana Boned-Murillo1,2,3
1Department of Ophthalmology, Lozano Blesa University Hospital, 50009 Zaragoza, Spain.
Diagnostics (Basel, Switzerland)
|July 2, 2021
Summary
Rhegmatogenous retinal detachment (RRD) and surgery cause significant retinal functional and structural changes, particularly impacting vision in macula-off cases. Macular integrity assessment (MAIA) and optical coherence tomography (OCT) reveal these alterations.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Visual Function Assessment
Background:
- Investigating functional and structural retinal changes post-rhegmatogenous retinal detachment (RRD) surgery.
- Comparing healthy eyes with those undergoing pars plana vitrectomy (PPV) for RRD.
- Utilizing macular integrity assessment microperimetry (MAIA) and scanning swept-source optical coherence tomography (SS-OCT).
Purpose of the Study:
- To evaluate functional and structural retinal changes after RRD repair.
- To compare outcomes between healthy individuals and RRD patients.
- To assess the impact of macular detachment on visual function and retinal structure.
Main Methods:
- Cross-sectional study design.
- Measurement of Early Treatment Diabetic Retinopathy Study (ETDRS) grids using SS-OCT.
- Comparison of SS-OCT data with MAIA parameters.
Main Results:
- Reduced retinal sensitivity and average total threshold in the RRD group.
- Increased macular integrity index in RRD patients.
- Variations in macular thickness (total retina, GCL+, GCL++) across sectors, with some areas showing increased and others decreased thickness compared to controls.
Conclusions:
- Rhegmatogenous retinal detachment and subsequent surgery lead to notable functional and structural retinal alterations.
- Macular detachment significantly influences these changes.
- Findings highlight the importance of comprehensive assessment using MAIA and SS-OCT.
