OCT Angiography Findings in Macula-ON and Macula-OFF Rhegmatogenous Retinal Detachment: A Prospective Study

Tomaso Caporossi, Stanislao Rizzo, Alfonso Savastano, Francesco Barca, Daniela Bacherini, Francesco Dragotto, Ruggero Tartaro, Chiara Lenzetti, Lucia Finocchio, Gianni Virgili, Fabrizio Giansanti

Research output: Contribution to journalArticle

Abstract

Background: The aim of the study was to evaluate pre-operative and post-operative retinal vasculature using optical coherence tomography angiography (OCTA) in patients who underwent rhegmatogenous retinal detachment (RRD) surgery repair. Materials and Methods: A total of 33 eyes were included in this prospective consecutive observational study: 15 affected by macula-ON and 18 by macula-OFF RRD. Superficial (SCP), deep capillary plexus (DCP), and foveal avascular zone (FAZ) area variations were evaluated by OCTA and correlated with visual acuity (VA) during a six-month follow-up. Results: In the macula-ON group, the preoperative vascular density (VD) of the whole SCP (wSCP) on affected eyes was lower than that of the fellow eyes (p < 0.05); this difference disappeared at 6 months after surgery (p = 0.88). The wSCP VD and the parafoveal SCP (pfSCP) VD increased during follow-up (p < 0.05); moreover, the higher the preoperative wSCP and pfSCP VD, the better the baseline VA (p < 0.05). In the macula-OFF group, at the first and sixth months after surgery, the larger the FAZ, the lower the VA (p < 0.05). Conclusions: Macula-ON SCP VD affected preoperative VA, and it was lower than the fellow eye, but recovered over time. In the macula-OFF group, a larger FAZ area was related to a worse VA, as is the case in diabetes and in retinal vein occlusion (RVO).
Original languageEnglish
Pages (from-to)3982-3997
Number of pages16
JournalJournal of Clinical Medicine
Volume9
DOIs
Publication statusPublished - 2020

Keywords

  • optical coherence tomography
  • optical coherence tomography angiography
  • retinal detachment
  • rhegmatogenous retinal detachment
  • scleral buckle
  • vitrectomy

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