Chung Gyu Chul, Lee Soo Jung, Pak Kang Yeun
Department of Ophthalmology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
Lee Eye Clinic, Busan, Korea.
Korean J Ophthalmol. 2024 Dec;38(6):489-495. doi: 10.3341/kjo.2024.0051. Epub 2024 Oct 22.
To analyze changes in choroidal thickness in patients with recurrent rhegmatogenous retinal detachment (RRD) before and after surgical intervention and to identify factors that influence changes in choroidal thickness.
A retrospective observational study was conducted on patients who underwent surgery for recurrent RRD from November 2019 to March 2023. Choroidal thickness was measured using optical coherence tomography at baseline and at 2 and 6 months postoperatively. The study analyzed the impact of various factors on choroidal thickness changes.
The study included 33 patients, demonstrating a significant decrease in choroidal thickness in the surgical eye compared to the fellow eye over a 6-month period. In the univariate analysis, changes in choroidal thickness were significantly correlated with changes in central retinal thickness (p = 0.048) from baseline to 2 months and with proliferative vitreoretinopathy (PVR) grade from 2 to 6 months (p = 0.009) and from baseline to 6 months (p = 0.020). In the multivariate analysis, an association was found between changes in choroidal thickness from 2 to 6 months and PVR grade (p = 0.030).
The findings indicate that surgical reattachment in eyes with recurrent RRD leads to a significant reduction in choroidal thickness. The extent of this reduction is influenced by the severity of PVR, highlighting the importance of considering PVR severity when evaluating surgical outcomes in patients with recurrent RRD.
分析复发性孔源性视网膜脱离（RRD）患者手术干预前后脉络膜厚度的变化，并确定影响脉络膜厚度变化的因素。
对2019年11月至2023年3月接受复发性RRD手术的患者进行回顾性观察研究。使用光学相干断层扫描在基线、术后2个月和6个月测量脉络膜厚度。该研究分析了各种因素对脉络膜厚度变化的影响。
该研究纳入了33例患者，结果显示手术眼的脉络膜厚度在6个月内与对侧眼相比显著降低。在单因素分析中，从基线到2个月，脉络膜厚度的变化与中央视网膜厚度的变化显著相关（p = 0.048），从2个月到6个月以及从基线到6个月，脉络膜厚度的变化与增殖性玻璃体视网膜病变（PVR）分级显著相关（p = 0.009和p = 0.020）。在多因素分析中，发现2个月到6个月脉络膜厚度的变化与PVR分级之间存在关联（p = 0.030）。
研究结果表明，复发性RRD眼的手术复位导致脉络膜厚度显著降低。这种降低的程度受PVR严重程度的影响，突出了在评估复发性RRD患者手术结果时考虑PVR严重程度的重要性。
