Metamorphopsia after successful retinal detachment surgery: an optical coherence tomography study

Y Wang, SY Li, MD Zhu, SJ Chen, Y Liu, XH Men, M Gillies, Jörgen Larsson

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31 Citations (SciVal)

Abstract

Purpose: To investigate the findings in optical coherence tomography (OCT) in eyes with metamorphopsia after scleral buckling surgery for macula-off retinal detachment. Methods: A total of 46 patients (46 eyes) with macula-off retinal detachment were prospectively studied 2 months after successful scleral buckling surgery. Patients were examined with the Amsler grid, fundus biomicroscopy and OCT. Results: At the 2 month follow-up, 31/46 (67%) patients had metamorphopsia; 24/31 (77%) of these patients had an abnormal macular structure on OCT and 7/31 (23%) showed a normal macula. However, of the 15 patients in the nonmetamorphopsia group, 4/15 (27%) had an abnormal macula and 11/15 (73%) had a normal macula (p = 0.0015). The most common finding on OCT was neurosensory retinal detachment. Conclusions: Metamorphopsia after scleral buckling surgery in macula-off detachment is more common in patients in whom abnormal macular structure is seen on the OCT scan compared to those showing a normal macular structure. Neurosensory retinal detachment is the most common pathology in these patients.
Original languageEnglish
Pages (from-to)168-171
JournalActa Ophthalmologica Scandinavica
Volume83
Issue number2
DOIs
Publication statusPublished - 2005

Subject classification (UKÄ)

  • Ophthalmology

Keywords

  • optical coherence tomography (OCT)
  • scleral buckling
  • metamorphopsia
  • rhegmatogenous retinal detachment

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