Clinical Results of Vitrectomy in Macular Hemorrhage From a Ruptured Retinal Artery Macroaneurysm
Journal of the Korean Ophthalmological Society
;
: 961-966, 2010.
Artículo
en Coreano
| WPRIM
| ID: wpr-46006
ABSTRACT
PURPOSE:
To evaluate the relationship between postoperative optical coherence tomography (OCT) findings and visual acuity in patients who underwent vitrectomy for macular hemorrhage related to the rupture of a retinal artery macroaneurysm.METHODS:
A retrospective case review was conducted for patients who underwent vitrectomy for macular hemorrhage caused by a retinal arterial macroaneurysm. The relationship between postoperative OCT findings and visual acuity was analyzed.RESULTS:
This study included 12 patients whose preoperative mean best corrected visual acuity (BCVA) (logMAR) was 1.7+/-0.8 and whose mean final BCVA was 0.6+/-0.5. These values were statistically different (p=0.004). Mean foveal thickness by OCT was 437.5+/-161.5 micrometer at the preoperative period and 252.8+/-84.9 micrometer three months postoperative, and this difference was statistically significant (p=0.017). As the foveal thickness decreased after removal of the remnant organized retinal hemorrhage in the postoperative period, BCVA improved at the final follow-up (p=0.048). According to the postoperative OCT, the photoreceptor disruption group presented a lower BCVA than that of the photoreceptor preservation group at the final follow-up (logMAR 1.4+/-0.4 vs. 0.3+/-0.2, p=0.009).CONCLUSIONS:
Photoreceptor preservation as observed by OCT was significantly associated with better visual outcome after vitrectomy in patients with macular hemorrhage caused by rupture of a retinal arterial macroaneurysm.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Periodo Posoperatorio
/
Arteria Retiniana
/
Retinaldehído
/
Rotura
/
Vitrectomía
/
Hemorragia Retiniana
/
Agudeza Visual
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Tomografía de Coherencia Óptica
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2010
Tipo del documento:
Artículo
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