多模态成像在成功修复视网膜脱离后检测变形性的应用。
Multimodal imaging for detecting metamorphopsia after successful retinal detachment repair.
机构信息
Eye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, CH-9007, Sankt Gallen, Switzerland.
Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2020 Jan;258(1):57-61. doi: 10.1007/s00417-019-04498-6. Epub 2019 Nov 5.
PURPOSE
To investigate the etiologies of metamorphopsia after successful retinal detachment repair.
METHODS
In this retrospective study, we included patients who underwent pars plana vitrectomy (PPV) for macula-off rhegmatogenous retinal detachment (RRD). Patients were reviewed after 3 to 6 weeks. Best-corrected visual acuity (BCVA), fundus biomicroscopy, Amsler grid test, spectral-domain optical coherence tomography (SD-OCT), and fundus autofluorescence images (FAF) were obtained from all patients to visualize abnormalities in retinal layers and retinal rotation.
RESULTS
A total of 50 eyes from 49 consecutive patients were included, of whom 12 (24%) complained of postoperative metamorphopsia. The main cause of metamorphopsia was retinal shift after RRD repair (p < 0.001).
CONCLUSION
Distorted vision after macula-off RRD is a common and retinal shift was found to be the main reason patients experience metamorphopsia after a successful macula-off RRD repair.
目的
探讨孔源性视网膜脱离（RRD）成功修复后出现的视物变形的病因。
方法
本回顾性研究纳入了接受巩膜扣带术（PPV）治疗黄斑脱离型 RRD 的患者。患者在术后 3 至 6 周进行复查。所有患者均行最佳矫正视力（BCVA）、眼底生物显微镜检查、阿姆斯勒（Amsler）网格测试、频域光学相干断层扫描（SD-OCT）和眼底自发荧光（FAF）检查，以观察视网膜层和视网膜旋转的异常。
结果
共纳入 49 例连续患者的 50 只眼，其中 12 只（24%）术后出现视物变形。视物变形的主要原因为 RRD 修复后的视网膜移位（p < 0.001）。
结论
黄斑脱离型 RRD 术后视力变形较为常见，视网膜移位是黄斑脱离型 RRD 成功修复后患者出现视物变形的主要原因。
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