Abstract
Purpose: To investigate whether unintentional macular translocation after retinal detachment surgery influences the final visual result.
Methods: Case series with clinicopathological correlation.
Results: Poorer outcomes after retinal detachment repair may be due to macular oedema, incomplete reattachment, epiretinal membranes and proliferative vireoretinopathy. We report a series of cases of rhegmatogenous retinal detachment, in which the retina was full reattached and no abnormality was detected on routine clinical examination or investigation with optical coherence tomography (OCT). However, fundus autofluorescence imaging revealed that macular translocation had occurred in each case, with variability in the final visual acuity (range 6/6 to 6/18 on Snellen chart).
Conclusion: Postoperative macular translocation may be a significant contributor to the visual outcome after retinal detachment repair. We would emphasise the importance of head positioning in the immediate postoperative period to prevent this phenomenon.
Methods: Case series with clinicopathological correlation.
Results: Poorer outcomes after retinal detachment repair may be due to macular oedema, incomplete reattachment, epiretinal membranes and proliferative vireoretinopathy. We report a series of cases of rhegmatogenous retinal detachment, in which the retina was full reattached and no abnormality was detected on routine clinical examination or investigation with optical coherence tomography (OCT). However, fundus autofluorescence imaging revealed that macular translocation had occurred in each case, with variability in the final visual acuity (range 6/6 to 6/18 on Snellen chart).
Conclusion: Postoperative macular translocation may be a significant contributor to the visual outcome after retinal detachment repair. We would emphasise the importance of head positioning in the immediate postoperative period to prevent this phenomenon.
| Original language | English |
|---|---|
| Article number | 30 |
| Pages (from-to) | 73-73 |
| Number of pages | 1 |
| Journal | Clinical and Experimental Ophthalmology |
| Volume | 38 |
| Issue number | Supplement 2 |
| Publication status | Published - Nov 2010 |