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The long-term visual recovery after scleral buckling macula-off retinal detachment |
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| The long-term visual recovery after scleral buckling macula-off retinal detachment |
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作者：Fang Liu… 文章来源：Department of Ophthalmology, Philipps-University Marburg, Germany 35037 点击数：1590 更新时间：2005/6/28 10:14:35 
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| Background and Purpose: This study aimed to investigate retrospectively the best postoperative long-term visual recovery after scleral buckling macula-off retinal detachment, and to explore the effect of variable factors on the final visual recovery. Methods: Retrospectivly reviewed 47 eyes of 47 patients with macula-off rhegmatogenous retinal detachment, at 5-year follow-up. The duration of macular detachment were divided into less than 7 days and more than 7 days. Optical coherence tomography was used to evaluate the incomplete visual acuity recovery after macula-off retinal detachment at 5-year follow-up, although the retina seem attached by funduscopy. Results: All patients (47/47) showed retina anatomically reattached with indirect ophthalmoscopy. 10 patients of them were randomly selected to do optical coherence tomography. 8 (8/10) patients’ visual acuities were not improved at 3 months postoperative, 5 of 8 patients made visual progress at 5 years follow-up. Residual subretinal fluids were detected in 2 of 10 cases by optical coherence tomography. Improvement of postoperative visual acuity was found to statistically correlate with duration of macular detachment and pre-operative visual acuity. Conclusion: Duration of macular detachment and pre-operative visual acuity were the important factors, which significant affect visual recovery from macula-off retinal detachment. Visual function of reattachment may continue to improve over the long period.
Key Words: ，Duration of Macular Detachment， Visual Acuity，Optical Coherence Tomography
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