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Alterations in Subfoveal Choroidal Thickness after Pars Plana Vitrectomy in Rhegmatogenous Retinal Detachment Associated with Choroidal Detachment |
Chao Feng, Yiqiao Xing |
Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, China |
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Abstract Objective:To observe the changes in subfoveal choroidal thickness after pars plana vitrectomy (PPV) in patients with rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD). Methods:This was a retrospective case control study. Thirty-five RRDCD patients whose retinas had been reset successfully after a single operation in the Eye Center, Renmin Hospital of Wuhan University from January 2016 to October 2017 were included in the study. The best corrected visual acuity (BCVA), intraocular pressure (IOP) and subfoveal choroidal thickness (SCT) were measured by optical coherence tomography (OCT) and recorded at 1 day, 1 week, 1 month and 3 months after the operation. Thirty-six patients with rhegmatogenous retinal detachment (RRD) whose retinas had been successfully reset served as the experimental control group and 40 patients from a normal population served as normal control group. Results:One day and 1 week after surgery, the SCTs in groups RRDCD and RRD were thicker than that of normal control group (1 day: t=9.220, P<0.001; t=6.826, P<0.001. 1 week: t=4.341, P=0.011; t=2.849, P=0.034), but there were no significant differences between the two groups overall. Three months after the operation, there was no significant difference in the SCT between the RRD group and the normal group (t=1.597, P=0.646), while the SCT in group RRDCD was thinner than that of both the normal and RRD groups (t=-3.144, P=0.028; t=-6.207, P=0.010). Correlation analysis showed that there was a positive correlation between SCT and BCVA in group RRDCD at 3 months after the operation (r=0.399, P=0.017). There was no significant correlation between SCT and BCVA in group RRD at 3 months after the operation (r=0.109, P=0.529). Conclusions:SCT become to be thin, and is related to BCVA can be used as a clinical indicator for evaluating the therapeutic effect of RRDCD.
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Received: 03 September 2018
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Corresponding Authors:
Yiqiao Xing, Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, China (Email: xing_yiqiao@aliyun.com)
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[1] |
段安丽. 脉络膜脱离型视网膜脱离. 国外医学(眼科学分册), 2005, 4(29): 279-283.
|
[2] |
Spaide RF, Koizumi H, Pozzoni MC.Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol, 2008, 146(4): 496-500. DOI: 10.1016/j.ajo.2008. 05.032.
|
[3] |
Kimura M, Nishimura A, Yokogawa H, et al.Subfoveal choroidal thickness change following segmental scleral buckling for rhegmatogenous retinal detachment. Am J Ophthalmol, 2012, 154(5): 893-900. DOI: 10.1016/j.ajo.2012.05.010.
|
[4] |
Sayman Muslubas I, Karacorlu M, Hocaoglu M, et al.Subfoveal choroidal thickness change after pars plana vitrectomy in recent onset rhegmatogenous retinal detachment. Retina (Philadelphia, Pa), 2016, 36(12): 2371-2376. DOI: 10.1097/IAE. 0000000000001096.
|
[5] |
Williams GA, Reeser F, O'brien WJ, et al. Prostacyclin and thromboxane A2 derivatives in rhegmatogenous subretinal fluid. Arch Ophthalmol, 1983, 101(3): 463-464.
|
[6] |
Ricker LJ, Kijlstra A, De Jager W, et al.Chemokine levels in subretinal fluid obtained during scleral buckling surgery after rhegmatogenous retinal detachment. Invest Ophthalmol Vis Sci, 2010, 51(8): 4143-4150. DOI: 10.1167/iovs.09-5057.
|
[7] |
Quintyn JC, Brasseur G.Subretinal fluid in primary rhegmatogenous retinal detachment: physiopathology and composition. Surv Ophthalmol, 2004, 49(1): 96-108.
|
[8] |
Alm A, Nilsson SF.Uveoscleral outflow--a review. Experiment Eye Res, 2009, 88(4): 760-768. DOI: 10.1016/j.exer.2008.12.012.
|
[9] |
Sheth JU, Giridhar A, Rajesh B, et al.Characterization of macular choroidal thickness in ischemic and nonischemic diabetic maculopathy. Retina, 2017, 37(3): 522-528. DOI: 10.1097/IAE.0000000000001172.
|
[10] |
Gama I, Proenca H, Goncalves A, et al.Macular choroidal thickness after vitreoretinal surgery: Long-term effect of pars plana vitrectomy with and without encircling scleral buckling surgery. Arch Soc Esp Oftalmol, 2017, 92(12): 577-584. DOI: 10.1016/j.oftal.2017.03.011.
|
[11] |
Odrobina D, Laudanska-Olszewska I, Gozdek P, et al.Influence of scleral buckling surgery with encircling band on subfoveal choroidal thickness in long-term observations. Biomed Res Int, 2013, 2013: 586894. DOI: 10.1155/2013/586894.
|
[12] |
Sugawara R, Nagaoka T, Kitaya N, et al.Choroidal blood flow in the foveal region in eyes with rhegmatogenous retinal detachment and scleral buckling procedures. Br J Ophthalmol, 2006, 90(11): 1363-1365. DOI: 10.1136/bjo.2006.097485.
|
[13] |
Akkoyun I, Yilmaz G.Choroidal thickness after scleral buckling surgery versus pars plana vitrectomy in macula-off rhegmatogenous retinal detachment. Klin Monbl Augenheilkd, 2014, 231(10): 1029-1033. DOI: 10.1055/s-0034-1368375.
|
[14] |
Odrobina D, Golebiewska J, Maroszynska I.Choroidal thickness changes after vitrectomy with silicone oil tamponade for proliferative vitreoretinopathy retinal detachment. Retina (Philadelphia, Pa), 2017, 37(11): 2124-2129. DOI: 10.1097/IAE.0000000000001437.
|
[15] |
Lee DH, Kim JT, Jung D, et al.The relationship between foveal ischemia and spectral-domain optical coherence tomography findings in ischemic diabetic macular edema. Invest Ophthalmol Vis Sci, 2013, 54(2): 1080-1085. DOI: 10.1167/iovs.12-10503.
|
[16] |
方海珍, 沈丽君. 21例视网膜脱离合并脉络膜脱离的超声检查分析. 中华眼视光与视觉科学杂志, 2002, 4(2): 71.
|
|
|
|