Posterior traction retinal detachment in highly myopic eyes: Clinical features and surgical outcome as evaluated by optical coherence tomography

Roberto Ratiglia, S. Osnaghi, A. Bindella, C. Pirondini

Research output: Contribution to journalArticle

Abstract

Purpose: To investigate the correlations between the clinical characteristics of macular detachment without holes or posterior breaks and functional outcomes as evaluated by means of optical coherence tomography (OCT) in patients with highly myopic eyes after pars plana vitrectomy. Methods: This retrospective study describes the preoperative and postoperative visual acuity, and OCT and FAG images of seven highly myopic eyes (range: -10 to -24 diopters [D]) with a symptomatic decrease in visual acuity that were surgically treated by means of pars plana vitrectomy. Results: The intraoperative observations confirmed the OCT findings. The macula was reattached after surgery in 85.7% of cases; visual acuity improved in six eyes and worsened in one. The only postoperative complication recorded was nuclear sclerosis (60% of the cases). Conclusions: OCT should be considered mandatory in the diagnosis and follow-up of posterior traction retinal detachment without a macular hole or posterior break in highly myopic eyes. A posteriorly detached retina can be reattached surgically, but visual improvement may be limited by the presence of other chorioretinal myopic lesions and persistent cystoid macular changes.

Original languageEnglish
Pages (from-to)473-478
Number of pages6
JournalRetina
Volume25
Issue number4
DOIs
Publication statusPublished - Jun 2005

Fingerprint

Optical Coherence Tomography
Traction
Retinal Detachment
Visual Acuity
Temazepam
Vitrectomy
Retinal Perforations
Sclerosis
Retina
Retrospective Studies

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Posterior traction retinal detachment in highly myopic eyes : Clinical features and surgical outcome as evaluated by optical coherence tomography. / Ratiglia, Roberto; Osnaghi, S.; Bindella, A.; Pirondini, C.

In: Retina, Vol. 25, No. 4, 06.2005, p. 473-478.

Research output: Contribution to journalArticle

@article{e0de9fee5f58499bb7132e8c5b7f735b,
title = "Posterior traction retinal detachment in highly myopic eyes: Clinical features and surgical outcome as evaluated by optical coherence tomography",
abstract = "Purpose: To investigate the correlations between the clinical characteristics of macular detachment without holes or posterior breaks and functional outcomes as evaluated by means of optical coherence tomography (OCT) in patients with highly myopic eyes after pars plana vitrectomy. Methods: This retrospective study describes the preoperative and postoperative visual acuity, and OCT and FAG images of seven highly myopic eyes (range: -10 to -24 diopters [D]) with a symptomatic decrease in visual acuity that were surgically treated by means of pars plana vitrectomy. Results: The intraoperative observations confirmed the OCT findings. The macula was reattached after surgery in 85.7{\%} of cases; visual acuity improved in six eyes and worsened in one. The only postoperative complication recorded was nuclear sclerosis (60{\%} of the cases). Conclusions: OCT should be considered mandatory in the diagnosis and follow-up of posterior traction retinal detachment without a macular hole or posterior break in highly myopic eyes. A posteriorly detached retina can be reattached surgically, but visual improvement may be limited by the presence of other chorioretinal myopic lesions and persistent cystoid macular changes.",
author = "Roberto Ratiglia and S. Osnaghi and A. Bindella and C. Pirondini",
year = "2005",
month = "6",
doi = "10.1097/00006982-200506000-00013",
language = "English",
volume = "25",
pages = "473--478",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Posterior traction retinal detachment in highly myopic eyes

T2 - Clinical features and surgical outcome as evaluated by optical coherence tomography

AU - Ratiglia, Roberto

AU - Osnaghi, S.

AU - Bindella, A.

AU - Pirondini, C.

PY - 2005/6

Y1 - 2005/6

N2 - Purpose: To investigate the correlations between the clinical characteristics of macular detachment without holes or posterior breaks and functional outcomes as evaluated by means of optical coherence tomography (OCT) in patients with highly myopic eyes after pars plana vitrectomy. Methods: This retrospective study describes the preoperative and postoperative visual acuity, and OCT and FAG images of seven highly myopic eyes (range: -10 to -24 diopters [D]) with a symptomatic decrease in visual acuity that were surgically treated by means of pars plana vitrectomy. Results: The intraoperative observations confirmed the OCT findings. The macula was reattached after surgery in 85.7% of cases; visual acuity improved in six eyes and worsened in one. The only postoperative complication recorded was nuclear sclerosis (60% of the cases). Conclusions: OCT should be considered mandatory in the diagnosis and follow-up of posterior traction retinal detachment without a macular hole or posterior break in highly myopic eyes. A posteriorly detached retina can be reattached surgically, but visual improvement may be limited by the presence of other chorioretinal myopic lesions and persistent cystoid macular changes.

AB - Purpose: To investigate the correlations between the clinical characteristics of macular detachment without holes or posterior breaks and functional outcomes as evaluated by means of optical coherence tomography (OCT) in patients with highly myopic eyes after pars plana vitrectomy. Methods: This retrospective study describes the preoperative and postoperative visual acuity, and OCT and FAG images of seven highly myopic eyes (range: -10 to -24 diopters [D]) with a symptomatic decrease in visual acuity that were surgically treated by means of pars plana vitrectomy. Results: The intraoperative observations confirmed the OCT findings. The macula was reattached after surgery in 85.7% of cases; visual acuity improved in six eyes and worsened in one. The only postoperative complication recorded was nuclear sclerosis (60% of the cases). Conclusions: OCT should be considered mandatory in the diagnosis and follow-up of posterior traction retinal detachment without a macular hole or posterior break in highly myopic eyes. A posteriorly detached retina can be reattached surgically, but visual improvement may be limited by the presence of other chorioretinal myopic lesions and persistent cystoid macular changes.

UR - http://www.scopus.com/inward/record.url?scp=20344394100&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20344394100&partnerID=8YFLogxK

U2 - 10.1097/00006982-200506000-00013

DO - 10.1097/00006982-200506000-00013

M3 - Article

C2 - 15933595

AN - SCOPUS:20344394100

VL - 25

SP - 473

EP - 478

JO - Retina

JF - Retina

SN - 0275-004X

IS - 4

ER -