Long-Term Follow-Up of Macular Perfusion Evaluated by Optical Coherence Tomography Angiography after Rhegmatogenous Retinal Detachment Surgery

The goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after successful rhegmatogenous retinal detachment (RRD) surgery. We performed a cross-section study including RRD treated by pars plana vitrectomy (PPV) with or...

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Published in:	Journal of clinical medicine Vol. 11; no. 22; p. 6725
Main Authors:	Bartolomé-Sesé, Isabel, Díaz-Barreda, María D, Orduna-Hospital, Elvira, Boned-Murillo, Ana, Ascaso, Francisco J, Pinilla, Isabel
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 14-11-2022 MDPI
Subjects:	Biomedical research Clinical medicine Demographics Diabetes Diabetic retinopathy Edema Medical imaging Personal information Photoreceptors Retinal detachment Surgery Surgical techniques Tomography Japan Spain microvascular changes pars plana vitrectomy deep capillary plexus rhegmatogenous retinal detachment foveal avascular zone optical coherence tomography angiography choriocapillaris superficial capillary plexus vessel density
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Abstract	The goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after successful rhegmatogenous retinal detachment (RRD) surgery. We performed a cross-section study including RRD treated by pars plana vitrectomy (PPV) with or without scleral buckling and SF6 tamponade. After 12 months, DRI-Triton SS-OCTA was performed. Superficial and deep retinal capillary plexuses (SCP and DCP), choriocapillaris (CC) vessel density (VD), and foveal avascular zone (FAZ) morphology were analyzed. Results were compared with the unaffected contralateral eye. Sixty eyes were included. We observed an increase in VD in the central area of both the SCP and DCP in macula-off eyes treated with PPV + SB and in the SCP of macula-off eyes treated with PPV. Macula-off eyes had a diminished VD for both plexuses in the superior quadrant and in the SCP inferior quadrant in those treated with PPV + SB. The CC flow was diminished in the temporal quadrant of macular-off eyes treated with PPV + SB. Healthy eyes presented higher diameter values than macula-off eyes treated with PPV + SB. FAZ horizontal and vertical diameters were smaller in patients with macula-off RRD vs. macula-on RRD and control groups. Macular vascularity remains almost unchanged one year after successful RRD surgery, irrespective of the surgical technique or prior macular status.
AbstractList	Background: The goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after successful rhegmatogenous retinal detachment (RRD) surgery. Methods: We performed a cross-section study including RRD treated by pars plana vitrectomy (PPV) with or without scleral buckling and SF6 tamponade. After 12 months, DRI-Triton SS-OCTA was performed. Superficial and deep retinal capillary plexuses (SCP and DCP), choriocapillaris (CC) vessel density (VD), and foveal avascular zone (FAZ) morphology were analyzed. Results were compared with the unaffected contralateral eye. Results: Sixty eyes were included. We observed an increase in VD in the central area of both the SCP and DCP in macula-off eyes treated with PPV + SB and in the SCP of macula-off eyes treated with PPV. Macula-off eyes had a diminished VD for both plexuses in the superior quadrant and in the SCP inferior quadrant in those treated with PPV + SB. The CC flow was diminished in the temporal quadrant of macular-off eyes treated with PPV + SB. Healthy eyes presented higher diameter values than macula-off eyes treated with PPV + SB. FAZ horizontal and vertical diameters were smaller in patients with macula-off RRD vs. macula-on RRD and control groups. Conclusion: Macular vascularity remains almost unchanged one year after successful RRD surgery, irrespective of the surgical technique or prior macular status. BACKGROUNDThe goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after successful rhegmatogenous retinal detachment (RRD) surgery. METHODSWe performed a cross-section study including RRD treated by pars plana vitrectomy (PPV) with or without scleral buckling and SF6 tamponade. After 12 months, DRI-Triton SS-OCTA was performed. Superficial and deep retinal capillary plexuses (SCP and DCP), choriocapillaris (CC) vessel density (VD), and foveal avascular zone (FAZ) morphology were analyzed. Results were compared with the unaffected contralateral eye. RESULTSSixty eyes were included. We observed an increase in VD in the central area of both the SCP and DCP in macula-off eyes treated with PPV + SB and in the SCP of macula-off eyes treated with PPV. Macula-off eyes had a diminished VD for both plexuses in the superior quadrant and in the SCP inferior quadrant in those treated with PPV + SB. The CC flow was diminished in the temporal quadrant of macular-off eyes treated with PPV + SB. Healthy eyes presented higher diameter values than macula-off eyes treated with PPV + SB. FAZ horizontal and vertical diameters were smaller in patients with macula-off RRD vs. macula-on RRD and control groups. CONCLUSIONMacular vascularity remains almost unchanged one year after successful RRD surgery, irrespective of the surgical technique or prior macular status. The goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after successful rhegmatogenous retinal detachment (RRD) surgery. We performed a cross-section study including RRD treated by pars plana vitrectomy (PPV) with or without scleral buckling and SF6 tamponade. After 12 months, DRI-Triton SS-OCTA was performed. Superficial and deep retinal capillary plexuses (SCP and DCP), choriocapillaris (CC) vessel density (VD), and foveal avascular zone (FAZ) morphology were analyzed. Results were compared with the unaffected contralateral eye. Sixty eyes were included. We observed an increase in VD in the central area of both the SCP and DCP in macula-off eyes treated with PPV + SB and in the SCP of macula-off eyes treated with PPV. Macula-off eyes had a diminished VD for both plexuses in the superior quadrant and in the SCP inferior quadrant in those treated with PPV + SB. The CC flow was diminished in the temporal quadrant of macular-off eyes treated with PPV + SB. Healthy eyes presented higher diameter values than macula-off eyes treated with PPV + SB. FAZ horizontal and vertical diameters were smaller in patients with macula-off RRD vs. macula-on RRD and control groups. Macular vascularity remains almost unchanged one year after successful RRD surgery, irrespective of the surgical technique or prior macular status.
Author	Díaz-Barreda, María D Orduna-Hospital, Elvira Boned-Murillo, Ana Ascaso, Francisco J Pinilla, Isabel Bartolomé-Sesé, Isabel
AuthorAffiliation	3 Department of Applied Physics, University of Zaragoza, 50009 Zaragoza, Spain 1 Department of Ophthalmology, Lozano Blesa University Hospital, 50009 Zaragoza, Spain 4 Department of Surgery, University of Zaragoza, 50009 Zaragoza, Spain 2 Aragón Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
AuthorAffiliation_xml	– name: 1 Department of Ophthalmology, Lozano Blesa University Hospital, 50009 Zaragoza, Spain – name: 2 Aragón Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain – name: 3 Department of Applied Physics, University of Zaragoza, 50009 Zaragoza, Spain – name: 4 Department of Surgery, University of Zaragoza, 50009 Zaragoza, Spain
Author_xml	– sequence: 1 givenname: Isabel surname: Bartolomé-Sesé fullname: Bartolomé-Sesé, Isabel organization: Aragón Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain – sequence: 2 givenname: María D orcidid: 0000-0002-6134-0629 surname: Díaz-Barreda fullname: Díaz-Barreda, María D organization: Aragón Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain – sequence: 3 givenname: Elvira orcidid: 0000-0003-2710-1875 surname: Orduna-Hospital fullname: Orduna-Hospital, Elvira organization: Department of Applied Physics, University of Zaragoza, 50009 Zaragoza, Spain – sequence: 4 givenname: Ana orcidid: 0000-0002-0798-5565 surname: Boned-Murillo fullname: Boned-Murillo, Ana organization: Aragón Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain – sequence: 5 givenname: Francisco J orcidid: 0000-0002-4804-2555 surname: Ascaso fullname: Ascaso, Francisco J organization: Department of Surgery, University of Zaragoza, 50009 Zaragoza, Spain – sequence: 6 givenname: Isabel orcidid: 0000-0003-0349-9997 surname: Pinilla fullname: Pinilla, Isabel organization: Department of Surgery, University of Zaragoza, 50009 Zaragoza, Spain
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Copyright	2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2022 by the authors. 2022
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Keywords	microvascular changes pars plana vitrectomy deep capillary plexus rhegmatogenous retinal detachment foveal avascular zone optical coherence tomography angiography choriocapillaris superficial capillary plexus vessel density
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Snippet	The goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after successful... Background: The goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after... BACKGROUNDThe goal of this study was to investigate macular microvascular changes using optical coherence tomography angiography (OCTA) at one year after...
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SubjectTerms	Biomedical research Clinical medicine Demographics Diabetes Diabetic retinopathy Edema Medical imaging Personal information Photoreceptors Retinal detachment Surgery Surgical techniques Tomography
Title	Long-Term Follow-Up of Macular Perfusion Evaluated by Optical Coherence Tomography Angiography after Rhegmatogenous Retinal Detachment Surgery
URI	https://www.ncbi.nlm.nih.gov/pubmed/36431202 https://www.proquest.com/docview/2739438583 https://search.proquest.com/docview/2740507498 https://pubmed.ncbi.nlm.nih.gov/PMC9692971
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