Longitudinal quantitative evaluation of photoreceptor volume following repair of macula-off retinal detachment

Ramsudha Narala, Fabio Scarinci, Amr Shaarawy, Joseph M. Simonett, Christina J. Flaxel, Amani A. Fawzi*

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Purpose: To quantify photoreceptor volume changes after successful surgical repair of macula-off retinal detachment and to correlate these volumetric changes to postoperative best-corrected visual acuity (BCVA). Methods: Retrospective study of 15 eyes of 15 patients with macula-off retinal detachment who underwent successful surgical repair. A minimum of 4 optical coherence tomography scans that straddled the foveal center was used to quantify the central photoreceptor volume (central 1 μm). Results: Mean photoreceptor volume at the first postoperative visit was 0.451 μm3, increasing to 0.523 μm3 at the final postoperative visit (P = 0.004). Mean BCVA improved from 1.13 ± 0.59 logarithm of the minimum angle of resolution units (∼20/270) preoperatively to 0.52 ± 0.42 logarithm of the minimum angle of resolution units (∼20/66) at the final postoperative visit (P = 0.001). Mean photoreceptor volume at either the initial or final visit demonstrated significant correlations with final postoperative BCVA (r = -0.670, P = 0.017 and r = -0.753, P = 0.005, respectively). Shorter time interval from diagnosis to surgery was significantly associated with greater mean final postoperative photoreceptor volume (r = -0.588, P = 0.021) and better mean final postoperative BCVA (r = 0.709, P = 0.003). Conclusion: We observed a significant increase in photoreceptor volume after successful retinal detachment repair; photoreceptor volume was positively associated with BCVA and time to surgery. Our series emphasizes the importance of prompt surgical repair and shows that photoreceptor recovery and volumetric improvement correlate significantly with BCVA.

Original languageEnglish (US)
Pages (from-to)1432-1438
Number of pages7
JournalRetina
Volume36
Issue number8
DOIs
StatePublished - Jul 26 2016

Keywords

  • Retinal detachment
  • Spectral domain optical coherence tomography
  • Volume of photoreceptors

ASJC Scopus subject areas

  • Ophthalmology

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