ABSTRACT
Objective: To determine the optical coherence tomography [OCT] macular findings after successful scleral buckling in eyes with compromised visual status. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Department of Clinical Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences, Postgraduate Medical Institute, Hayatabad Medical Complex, Peshawar, Pakistan, from February 2015 to November 2016
Methodology: Patients with postoperative best corrected visual acuity [BCVA] less than 6/6, successful scleral buckling, and flat macula clinically, aged 18-70 years, were included. OCT scan [OCT-Spectralis, Heidelberg Engineering, GmbH 69121] of central 30 degrees around fovea was performed three months postoperatively. Foveal detachment, epimacular membrane [EMM] and cystoid macular edema [CME], were studied on OCT after successful buckling surgery in eyes with compromised visual status
Results: A total of 164 eyes of 164 patients [92 males 72 females] were assessed with OCT. Foveal detachment [FD] was present in 54 cases [32.9%], cystoid macular edema [CME] in 30 [18.3%], and epimacular membrane [EMM] in 11 cases [6.7%]; while no abnormality was detected in 69 [42.1%] cases on OCT
Conclusion: OCT is very helpful in identifying the cause of limited visual recovery after successful retinal detachment [RD] surgery