Tomographic image and visual recovery of acute macula-off rhegmatogenous retinal detachment

Graefes Arch Clin Exp Ophthalmol. 2004 Jul;242(7):576-81. doi: 10.1007/s00417-004-0884-0. Epub 2004 Mar 2.


Purpose: To observe the macula of acute rhegmatogenous retinal detachment involving the macula with optical coherence tomography (OCT) after scleral buckling and to study the relation between pre- and postoperative visual acuity and the OCT image.

Methods: Prospective study of 15 eyes of 15 patients with macula-off rhegmatogenous retinal detachment. We selected cases with preoperative visual acuity worse than 0.5 to analyze the improvement in postoperative visual acuity. The time period between macula-off retinal detachment and surgery was less than 1 week.

Results: Indirect ophthalmoscopy indicated that all retinal detachments were reattached at 2 weeks postoperatively. Accumulation of subretinal fluid at the fovea was observed in nine (60%) cases with OCT. In four of these nine eyes, the accumulation of subretinal fluid persisted up to 6 months after the operation. The presence of residual subretinal fluid did not influence visual recovery during the 6 months' postsurgical follow-up.

Conclusions: OCT revealed postoperative residual subretinal fluid at the macula in some acute macula-off retinal detachment cases. Residual subretinal fluid did not influence the recovery of visual acuity for at least 6 months after surgery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Diagnostic Techniques, Ophthalmological
  • Female
  • Humans
  • Macula Lutea / physiopathology*
  • Macula Lutea / surgery
  • Male
  • Middle Aged
  • Ophthalmoscopy
  • Prospective Studies
  • Recovery of Function / physiology*
  • Retinal Detachment / physiopathology*
  • Retinal Detachment / surgery
  • Scleral Buckling
  • Tomography, Optical Coherence*
  • Visual Acuity / physiology*