Retina-Vitreous
2009 , Vol 17 , Num 3
Effect of Duration of Macular Detachment on Early Visual Acuity Results in Macula of Rhegmatogenous Retinal Detachments
1Selçuk Üniversitesi Meram Tıp Fakültesi, Göz Hastalıkları A.D., Konya, Yrd. Doç. Dr.2Selçuk Üniversitesi Meram Tıp Fakültesi, Göz Hastalıkları A.D., Konya, Asist. Dr.
3Selçuk Üniversitesi Meram Tıp Fakültesi, Göz Hastalıkları A.D., Konya, Prof. Dr. Purpose: To evaluate the effect of the duration of macular detachment on best corrected visual acuity in eyes with rhegmatogenous retinal detachment treated with pneumatic retinopexy.
Materials and Methods: The charts of patients with rhegmatogenous retinal detachment who had macular detachment within 2 weeks period and treated succesfully with pneumatic retinopexy between May 2006 and May 2009 in our clinic were reviewed retrospectively. 47 eyes were grouped according to their duration of macular detachment as eyes treated within 1-5 days (21 eyes), 6-10 days (14 eyes) and 11-14 days (12 eyes) and also grouped as eyes treated within first week (26 eyes) and second week (21 eyes) and the best corrected visual acuity 3 months after the operation was compared among the groups.
Results: There was a significant difference between visual acuities of the 3 groups divided as 1-5, 6-10 and 11- 14 days according to duration of macular detachment (p<0.001, Kruskal Wallis test). The difference between visual acuities of eyes treated within first week (0.56±0.19) and second week (0.32±0.13) was also significant (p<0.001, Mann-Whitney test).
Conclusion: Postoperative visual acuity decreases while the duration of macular detachment increases in eyes treated with pneumatic retinopexy assessed in 3 and 2 time periods. Duration of macular detachment is an important prognostic factor for the prediction of postoperative visual acuity. Keywords : Duration of macular detachment, macula off retinal detachment, pneumatic retinopexy