Purpose: Severe visual sequelae can be frequently observed in patients with diabetic tractional retinal detachment (TRD) involving the macula. We analyzed the postoperative structural spectral-domain (SD)-OCT and optical coherent tomography angiography (OCT angiography) findings in four selected eyes that were enrolled after successful anatomical diabetic macular detachment repair. These diabetic macular tractional detachments were evolved within 16 weeks. We also correlated the postoperative mean best-corrected visual acuity with the postoperative SD-OCT and OCT angiographic findings. Methods: This case series included 4 selected eyes of 4 patients with a mean diabetes evolution period of 18.4±4.8 years SD. Vitrectomy techniques were successfully used for TRD involving the macula. Postoperative SD-OCT, and final postoperative functional evaluations, including BCVA and OCT angiographic evaluation were performed at the final postoperative follow-up visit. Results: The mean difference between the preoperative (0.87±0.15) and final postoperative (0.35±0.21) BCVA was significant (p<0.05). The mean duration of vision loss before surgery was 11.6±2.3 weeks. The mean time for postoperative macular detachment resolution was 3.6±1.7 weeks SD. A mean follow-up evaluation of 13.1±2.7 SD months. Final postoperative imaging tests demonstrated multiple abnormalities of the foveal avascular zone and different areas of non-perfused macula on OCT angiography. The presence of disorganization of the retinal inner layers (DRIL) and chronic ischemic macular edema changes in 3 eyes (75.0%) as well as the OCT angiography abnormal findings in 3 (75.0%) were analized and correlated. Conclusion: In successfully reattached macula, postoperative microcirculatory abnormalities consistent with superficial and deep plexuses deficiencies and vessel densities alterations were detected as well as persistent DRIL, EZ and ELM line abnormalities.
| Published in | International Journal of Ophthalmology & Visual Science (Volume 6, Issue 4) |
| DOI | 10.11648/j.ijovs.20210604.12 |
| Page(s) | 187-198 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Disorganization of the Retinal Inner Layers, Ellipsoid Zone, External Limiting Membrane, Optical Coherent Tomography Angiography, Proliferative Diabetic Retinopathy, Tractional Retinal Detachment
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APA Style
Miguel Angel Quiroz-Reyes, Erick Andres Quiroz-Gonzalez, Felipe Esparza-Correa, Jennifer Hyuna Kim-Lee, Alejandra Nieto-Jordan, et al. (2021). Structural and Perfusional Study of Successfully Repaired Diabetic Tractional Retinal Detachment Involving the Macula. International Journal of Ophthalmology & Visual Science, 6(4), 187-198. https://doi.org/10.11648/j.ijovs.20210604.12
ACS Style
Miguel Angel Quiroz-Reyes; Erick Andres Quiroz-Gonzalez; Felipe Esparza-Correa; Jennifer Hyuna Kim-Lee; Alejandra Nieto-Jordan, et al. Structural and Perfusional Study of Successfully Repaired Diabetic Tractional Retinal Detachment Involving the Macula. Int. J. Ophthalmol. Vis. Sci. 2021, 6(4), 187-198. doi: 10.11648/j.ijovs.20210604.12
AMA Style
Miguel Angel Quiroz-Reyes, Erick Andres Quiroz-Gonzalez, Felipe Esparza-Correa, Jennifer Hyuna Kim-Lee, Alejandra Nieto-Jordan, et al. Structural and Perfusional Study of Successfully Repaired Diabetic Tractional Retinal Detachment Involving the Macula. Int J Ophthalmol Vis Sci. 2021;6(4):187-198. doi: 10.11648/j.ijovs.20210604.12
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Download@article{10.11648/j.ijovs.20210604.12,
author = {Miguel Angel Quiroz-Reyes and Erick Andres Quiroz-Gonzalez and Felipe Esparza-Correa and Jennifer Hyuna Kim-Lee and Alejandra Nieto-Jordan and Boris Moreno-Andrade and Jorge Morales-Navarro and Federico Graue-Wiechers},
title = {Structural and Perfusional Study of Successfully Repaired Diabetic Tractional Retinal Detachment Involving the Macula},
journal = {International Journal of Ophthalmology & Visual Science},
volume = {6},
number = {4},
pages = {187-198},
doi = {10.11648/j.ijovs.20210604.12},
url = {https://doi.org/10.11648/j.ijovs.20210604.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210604.12},
abstract = {Purpose: Severe visual sequelae can be frequently observed in patients with diabetic tractional retinal detachment (TRD) involving the macula. We analyzed the postoperative structural spectral-domain (SD)-OCT and optical coherent tomography angiography (OCT angiography) findings in four selected eyes that were enrolled after successful anatomical diabetic macular detachment repair. These diabetic macular tractional detachments were evolved within 16 weeks. We also correlated the postoperative mean best-corrected visual acuity with the postoperative SD-OCT and OCT angiographic findings. Methods: This case series included 4 selected eyes of 4 patients with a mean diabetes evolution period of 18.4±4.8 years SD. Vitrectomy techniques were successfully used for TRD involving the macula. Postoperative SD-OCT, and final postoperative functional evaluations, including BCVA and OCT angiographic evaluation were performed at the final postoperative follow-up visit. Results: The mean difference between the preoperative (0.87±0.15) and final postoperative (0.35±0.21) BCVA was significant (pConclusion: In successfully reattached macula, postoperative microcirculatory abnormalities consistent with superficial and deep plexuses deficiencies and vessel densities alterations were detected as well as persistent DRIL, EZ and ELM line abnormalities.},
year = {2021}
}
TY - JOUR T1 - Structural and Perfusional Study of Successfully Repaired Diabetic Tractional Retinal Detachment Involving the Macula AU - Miguel Angel Quiroz-Reyes AU - Erick Andres Quiroz-Gonzalez AU - Felipe Esparza-Correa AU - Jennifer Hyuna Kim-Lee AU - Alejandra Nieto-Jordan AU - Boris Moreno-Andrade AU - Jorge Morales-Navarro AU - Federico Graue-Wiechers Y1 - 2021/10/15 PY - 2021 N1 - https://doi.org/10.11648/j.ijovs.20210604.12 DO - 10.11648/j.ijovs.20210604.12 T2 - International Journal of Ophthalmology & Visual Science JF - International Journal of Ophthalmology & Visual Science JO - International Journal of Ophthalmology & Visual Science SP - 187 EP - 198 PB - Science Publishing Group SN - 2637-3858 UR - https://doi.org/10.11648/j.ijovs.20210604.12 AB - Purpose: Severe visual sequelae can be frequently observed in patients with diabetic tractional retinal detachment (TRD) involving the macula. We analyzed the postoperative structural spectral-domain (SD)-OCT and optical coherent tomography angiography (OCT angiography) findings in four selected eyes that were enrolled after successful anatomical diabetic macular detachment repair. These diabetic macular tractional detachments were evolved within 16 weeks. We also correlated the postoperative mean best-corrected visual acuity with the postoperative SD-OCT and OCT angiographic findings. Methods: This case series included 4 selected eyes of 4 patients with a mean diabetes evolution period of 18.4±4.8 years SD. Vitrectomy techniques were successfully used for TRD involving the macula. Postoperative SD-OCT, and final postoperative functional evaluations, including BCVA and OCT angiographic evaluation were performed at the final postoperative follow-up visit. Results: The mean difference between the preoperative (0.87±0.15) and final postoperative (0.35±0.21) BCVA was significant (pConclusion: In successfully reattached macula, postoperative microcirculatory abnormalities consistent with superficial and deep plexuses deficiencies and vessel densities alterations were detected as well as persistent DRIL, EZ and ELM line abnormalities. VL - 6 IS - 4 ER -
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