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dc.rights.licenseopenen_US
dc.contributor.authorBAUDIN, Florian
dc.contributor.authorDESCHASSE, Clemence
dc.contributor.authorGABRIELLE, Pierre-Henry
dc.contributor.authorBERROD, Jean P.
dc.contributor.authorLE MER, Yannick
dc.contributor.authorARNDT, Carl
dc.contributor.authorTADAYONI, Ramin
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDELYFER, Marie-Noelle
dc.contributor.authorWEBER, Michel
dc.contributor.authorGAUCHER, David
dc.contributor.authorSALEH, Maher
dc.contributor.authorCHIQUET, Christophe
dc.contributor.authorCREUZOT-GARCHER, Catherine
dc.date.accessioned2021-04-01T13:45:11Z
dc.date.available2021-04-01T13:45:11Z
dc.date.issued2021-02-11
dc.identifier.issn1755-375xen_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/26849
dc.description.abstractEnPURPOSE: To report visual and anatomical outcomes and determine predictors of good visual acuity (VA) recovery after macula-off rhegmatogenous retinal detachment (RD). METHODS: Prospective multicentre study including 115 eyes from 115 patients successfully operated on for RD, with assessment of VA and spectral-domain optical coherence tomography (SD-OCT) macular images at 1, 3, 6 and 12 months after surgery. RESULTS: Over the follow-up period, VA significantly improved from median [IQR] 62 [46; 72] ETDRS letters at 1 month to 75 [67; 80] ETDRS letters at 12 months (p \textbackslashtextless 0.001) with a concomitant decreased number of eyes with any SD-OCT lesions (p \textbackslashtextless 0.001). The presence of subretinal fluid (SRF) significantly decreased (p \textbackslashtextless 0.001), as did the number of photoreceptor (PR) layer lesions (p = 0.04). At 12 months, lesions in the PR layer and poor VA recovery were significantly associated with a longer time to surgery (p = 0.007 and p \textbackslashtextless 0.001, respectively). The rate of patients without PR lesions increased from 40.9% at 1 month to 60.0% at 6 months and 73.9% at 12 months (p \textbackslashtextless 0.001). The incidence of epiretinal membrane (ERM) significantly increased (p \textbackslashtextless 0.001), while cystoid macular oedema (CME) remained stable over time. Visual acuity (VA) at 3 months postoperatively was a good reflection of final VA recovery (p \textbackslashtextless 0.001). CONCLUSION: Visual acuity (VA) improved in parallel with the decreasing number of eyes with SD-OCT lesions after macula-off rhegmatogenous RD. A long time to surgery was the only preoperative factor associated with poor VA recovery after retinal detachment surgery.
dc.language.isoENen_US
dc.subject.enRhegmatogenous retinal detachment
dc.subject.enVitreoretinal surgery
dc.subject.enSpectral‐domain optical coherence tomography
dc.subject.enSubretinal fluid
dc.subject.enPhotoreceptor layer
dc.subject.enExternal limiting membrane
dc.subject.enCystoid macular oedema
dc.title.enFunctional and anatomical outcomes after successful repair of macula-off retinal detachment: a 12-month follow-up of the DOREFA study
dc.title.alternativeActa Ophthalmolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1111/aos.14777en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed33576133en_US
bordeaux.journalActa Ophtalmologicaen_US
bordeaux.volume11en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue10en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamLEHA_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDMinistère des Solidarités et de la Santéen_US
hal.audienceInternationale
hal.exportfalse
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