Functional and anatomical outcomes after successful repair of macula-off retinal detachment: a 12-month follow-up of the DOREFA study
| dc.rights.license | open | en_US |
| dc.contributor.author | BAUDIN, Florian | |
| dc.contributor.author | DESCHASSE, Clemence | |
| dc.contributor.author | GABRIELLE, Pierre-Henry | |
| dc.contributor.author | BERROD, Jean P. | |
| dc.contributor.author | LE MER, Yannick | |
| dc.contributor.author | ARNDT, Carl | |
| dc.contributor.author | TADAYONI, Ramin | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | DELYFER, Marie-Noelle | |
| dc.contributor.author | WEBER, Michel | |
| dc.contributor.author | GAUCHER, David | |
| dc.contributor.author | SALEH, Maher | |
| dc.contributor.author | CHIQUET, Christophe | |
| dc.contributor.author | CREUZOT-GARCHER, Catherine | |
| dc.date.accessioned | 2021-04-01T13:45:11Z | |
| dc.date.available | 2021-04-01T13:45:11Z | |
| dc.date.issued | 2021-02-11 | |
| dc.identifier.issn | 1755-375x | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/26849 | |
| dc.description.abstractEn | PURPOSE: 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.iso | EN | en_US |
| dc.subject.en | Rhegmatogenous retinal detachment | |
| dc.subject.en | Vitreoretinal surgery | |
| dc.subject.en | Spectral‐domain optical coherence tomography | |
| dc.subject.en | Subretinal fluid | |
| dc.subject.en | Photoreceptor layer | |
| dc.subject.en | External limiting membrane | |
| dc.subject.en | Cystoid macular oedema | |
| dc.title.en | Functional and anatomical outcomes after successful repair of macula-off retinal detachment: a 12-month follow-up of the DOREFA study | |
| dc.title.alternative | Acta Ophthalmol | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1111/aos.14777 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 33576133 | en_US |
| bordeaux.journal | Acta Ophtalmologica | en_US |
| bordeaux.volume | 11 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - U1219 | en_US |
| bordeaux.issue | 10 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.team | LEHA_BPH | |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.identifier.funderID | Ministère des Solidarités et de la Santé | en_US |
| hal.audience | Internationale | |
| hal.export | false | |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Acta%20Ophtalmologica&rft.date=2021-02-11&rft.volume=11&rft.issue=10&rft.eissn=1755-375x&rft.issn=1755-375x&rft.au=BAUDIN,%20Florian&DESCHASSE,%20Clemence&GABRIELLE,%20Pierre-Henry&BERROD,%20Jean%20P.&LE%20MER,%20Yannick&rft.genre=article |
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