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Functional and anatomical outcomes after successful repair of macula‐off retinal detachment: a 12‐month follow‐up of the DOREFA study

Abstract : PURPOSE: To report visual and anatomical outcomes and determine predictors of good visual acuity (VA) recovery after macula-off rhegmatogenous retinal detachment (RD). METHODS: Prospective multicentre study including 115 eyes from 115 patients successfully operated on for RD, with assessment of VA and spectral-domain optical coherence tomography (SD-OCT) macular images at 1, 3, 6 and 12 months after surgery. RESULTS: Over the follow-up period, VA significantly improved from median [IQR] 62 [46; 72] ETDRS letters at 1 month to 75 [67; 80] ETDRS letters at 12 months (p < 0.001) with a concomitant decreased number of eyes with any SD-OCT lesions (p < 0.001). The presence of subretinal fluid (SRF) significantly decreased (p < 0.001), as did the number of photoreceptor (PR) layer lesions (p = 0.04). At 12 months, lesions in the PR layer and poor VA recovery were significantly associated with a longer time to surgery (p = 0.007 and p < 0.001, respectively). The rate of patients without PR lesions increased from 40.9% at 1 month to 60.0% at 6 months and 73.9% at 12 months (p < 0.001). The incidence of epiretinal membrane (ERM) significantly increased (p < 0.001), while cystoid macular oedema (CME) remained stable over time. Visual acuity (VA) at 3 months postoperatively was a good reflection of final VA recovery (p < 0.001). CONCLUSION: Visual acuity (VA) improved in parallel with the decreasing number of eyes with SD-OCT lesions after macula-off rhegmatogenous RD. A long time to surgery was the only preoperative factor associated with poor VA recovery after retinal detachment surgery.
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https://hal.inrae.fr/hal-03157812
Contributor : Sabine Julien <>
Submitted on : Wednesday, March 3, 2021 - 2:09:33 PM
Last modification on : Tuesday, August 10, 2021 - 2:45:47 PM

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Florian Baudin, Clémence Deschasse, Pierre‐henry Gabrielle, Jean Berrod, Yannick Le Mer, et al.. Functional and anatomical outcomes after successful repair of macula‐off retinal detachment: a 12‐month follow‐up of the DOREFA study. Acta Ophthalmologica Scandinavica -Supplement-, 2021, 11 (10), pp.14777. ⟨10.1111/aos.14777⟩. ⟨hal-03157812⟩

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