Evaluation of S-cone sensitivity in reattached macula following macula-off retinal detachment surgery.
OBJECTIVE
To investigate the recovery of short-wavelength sensitivity in patients who had undergone successful reattachment of a rhegmatogenous retinal detachment with macular involvement.


METHODS
Postoperative assessment of the visual acuity and the visual fields by standard achromatic automated perimetry (SAP), and short-wavelength automated perimetry (SWAP, Humphrey visual field analyzer; macula test pattern) was performed on 12 patients after the macula was reattached. The follow-up period was up to 12 months.


RESULTS
The visual acuity and SAP sensitivity recovered rapidly after reattachment, with further moderate improvements up to 6 months after reattachment. The improvements stabilized by 9 to 12 months. The SWAP sensitivities improved more slowly than the visual acuity or SAP sensitivities, but they continued to improve even when visual acuity or SAP sensitivities had stabilized.


CONCLUSIONS
We conclude that measurement of the sensitivities of the short-wavelength-sensitive cones (S-cones) with SWAP may be a sensitive method to evaluate the visual recovery of the reattached macula following macula-off retinal detachment.
Sakai
Tsutomu
T
Department of Ophthalmology, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, Japan. tstmski@jikei.ac.jp
Iida
Kazuyuki
K
Tanaka
Yuichiro
Y
Kohzaki
Kenichi
K
Kitahara
Kenji
K
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D017949:Retinal Cone Photoreceptor Cells / Q000503:physiopathology*; D012163:Retinal Detachment / Q000503:physiopathology* / Q000601:surgery*; D017299:Rod Opsins / Q000502:physiology*; D012591:Scleral Buckling; D012677:Sensation / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology
D017299:Rod Opsins; C095853:short-wavelength opsin