title: Predicting visual outcomes for macula-off rhegmatogenous retinal detachment with optical coherence tomography.
abstract: Purpose. We evaluated the ability of novel optical coherence tomography (OCT) parameters to predict postoperative best-corrected visual acuity (BCVA) in macula-off rhegmatogenous retinal detachment (RRD) eyes. Methods. We reviewed the medical records of 56 consecutive eyes with macula-off RRD. Clinical findings were analyzed including the relationship between preoperative OCT findings and 6-month postoperative BCVA. Results. Six-month postoperative BCVA was significantly correlated with preoperative findings including retinal height at the fovea, total and inner layer cross-sectional macular area within 2 mm of the fovea, and preoperative BCVA (P < 0.001, P < 0.001, P = 0.001, and P < 0.001, resp.). Multiple regression analysis revealed that the duration of macular detachment and total cross-sectional macular area were independent factors predicting 6-month postoperative BCVA (P = 0.024 and P = 0.041, resp.). Conclusions. Measuring preoperative total cross-sectional area of the macular layer within 2 mm of the fovea with OCT is a useful and objective way to predict postoperative visual outcome in eyes with macula-off RRD.
authors.affiliation: Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Suzuki
authors.affiliation: Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan ; Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan.
authors.forename: Hiroshi
authors.identifier: 0000-0003-0642-793X
authors.initials: H
authors.lastname: Kunikata
authors.affiliation: Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Aizawa
authors.affiliation: Division of Clinical Cell Therapy, Tohoku University Graduate School of Medicine, Sendai 980-8575, Japan.
authors.forename: Toshiaki
authors.identifier: 0000-0003-4666-5078
authors.initials: T
authors.lastname: Abe
authors.affiliation: Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan ; Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan ; Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Nakazawa