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Significance of outer retinal undulation on preoperative optical coherence tomography in rhegmatogenous retinal detachment

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Author(s)
Young Do Yeo Yu Cheol Kim
Keimyung Author(s)
Kim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
Scientific Reports
Issued Date
2020
Volume
10
Issue
1
Abstract
Rhegmatogenous retinal detachment (RRD) is a vision-threatening pathology. Optical coherence tomography (OCT) is useful for evaluating retinal damage and visual prognosis in patients with RRD. Outer retinal undulation (ORU) is often observed on preoperative OCT in RRD. Therefore, we evaluated the correlation between ORU seen on preoperative OCT and pre/post-operative factors in RRD. Patients with RRD (114 eyes) underwent reattachment surgery and ≥ 6 months of follow-up. According to the condition of the macula on preoperative OCT, cases were divided into macula-on RRD (65 eyes) or macula-off RRD (49 eyes). Patients were classified into acute (< 10 days), subacute (10-30 days), and chronic (> 30 days) symptom duration groups. Clinical findings, histories, and relationships with OCT findings, including ORU, were analyzed. Subacute symptom duration was significantly associated with ORU on preoperative OCT (p = 0.001) and had a higher prevalence of ORU (73.7%) than did acute (OR = 4.48) or chronic (OR = 7.467) durations. Ellipsoid zone (EZ) disruption was significantly associated with poorer best-corrected visual acuity (BCVA) than normal EZ integrity at 6 months postoperatively (p = 0.012). ORU on preoperative OCT suggests a 10-30 days morbidity duration in RRD. EZ integrity is useful for predicting postoperative BCVA in macula-off RRD.
Keimyung Author(s)(Kor)
김유철
Publisher
School of Medicine (의과대학)
Citation
Young Do Yeo and  Yu Cheol Kim. (2020). Significance of outer retinal undulation on preoperative optical coherence tomography in rhegmatogenous retinal detachment. Scientific Reports, 10(1), 15747. doi: 10.1038/s41598-020-72907-6
Type
Article
ISSN
2045-2322
Source
https://www.nature.com/articles/s41598-020-72907-6
DOI
10.1038/s41598-020-72907-6
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43304
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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