Coppola Michele, Marchese Alessandro, Cicinelli Maria Vittoria, Rabiolo Alessandro, Giuffrè Chiara, Gomarasca Silvia, Querques Giuseppe, Bandello Francesco
Department of Ophthalmology, San Gerardo Hospital, Monza, Italy.
Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Eur J Ophthalmol. 2020 Jul;30(4):805-816. doi: 10.1177/1120672120911334. Epub 2020 Mar 15.
The primary aim of this study was to summarize and illustrate the main structural cross-sectional optical coherence tomography findings encountered after vitreoretinal surgery for rhegmatogenous retinal detachment. This was a non-systematic review of literature on structural cross-sectional optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment. Adequate illustrations of the main findings described were found after a retrospective analysis of imaging and charts of patients operated at the department where this study was performed. The main structural cross-sectional optical coherence tomography findings after vitreoretinal surgery for rhegmatogenous retinal detachment included persistent subretinal fluid, subretinal blebs, retinal folds, subretinal perfluorocarbon liquids, macular alterations related to silicone oil, epiretinal membranes, proliferative vitreoretinopathy, cystoid macular edema, macular holes, and recurrent retinal detachment. In conclusion, optical coherence tomography was a useful tool after vitreoretinal surgery for rhegmatogenous retinal detachment. Some optical coherence tomography findings may not be evident on fundus examination, and optical coherence tomography can reveal essential details for the clinical management and the visual prognosis. Other findings, despite being visible on funduscopic examination, may be better assessed with the aid of optical coherence tomography. All these elements contribute to support the importance of tomographic assessment in the follow-up of eyes treated for vitreoretinal conditions.
本研究的主要目的是总结并阐述孔源性视网膜脱离玻璃体视网膜手术后主要的结构性光学相干断层扫描（OCT）结果。这是一项关于孔源性视网膜脱离玻璃体视网膜手术后结构性OCT结果的非系统性文献综述。通过对本研究所在科室接受手术患者的影像学资料和病历进行回顾性分析，找到了对所描述主要结果的充分例证。孔源性视网膜脱离玻璃体视网膜手术后主要的结构性OCT结果包括持续性视网膜下液、视网膜下气泡、视网膜皱褶、视网膜下全氟碳液体、与硅油相关的黄斑改变、视网膜前膜、增殖性玻璃体视网膜病变、黄斑囊样水肿、黄斑裂孔和复发性视网膜脱离。总之，光学相干断层扫描是孔源性视网膜脱离玻璃体视网膜手术后的一种有用工具。一些OCT结果在眼底检查时可能不明显，而OCT可以揭示临床管理和视觉预后的关键细节。其他结果尽管在眼底检查时可见，但借助OCT可能会评估得更好。所有这些因素都有助于支持断层扫描评估在玻璃体视网膜疾病治疗后眼部随访中的重要性。
