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. 2019 Dec;8(4):519-525.
doi: 10.1007/s40123-019-0204-8. Epub 2019 Aug 8.

Influence of Postoperative Posture on Macular Slippage after Macula-Off Retinal Detachment: A Randomized Controlled Trial

Megir Schawkat  1 , Christophe Valmaggia  1 , Corina Lang  1 , Hendrik P N Scholl  2   3   4 , Steven Harsum  5 , Ivo Guber  6 , Josef Guber  7   8
Affiliations

Influence of Postoperative Posture on Macular Slippage after Macula-Off Retinal Detachment: A Randomized Controlled Trial

Megir Schawkat et al. Ophthalmol Ther. 2019 Dec.

Erratum in

Abstract

Introduction: To evaluate the effect of postoperative posture on the retinal shift after retinal detachment repair.

Methods: Patients who underwent pars plana vitrectomy (PPV) for macula-off rhegmatogenous retinal detachment (RRD) were included prospectively in the current study. Patients were randomized into two groups: group A included patients who did a log roll postoperatively, and group B included patients who had to lie flat on their backs for 6 h postoperatively before moving into the end position. Patients in group A and patients in group B were reviewed after 3 weeks and after 6 weeks, respectively, and fundus autofluorescence images (FAF) were obtained to visualize the retinal rotation.

Results: The sample included 50 eyes from 49 patients. Retinal shift occurred after RRD repair in 17 patients (34%). There was no statistically significant difference between the two groups (p = 0.94). Postoperative macular shift occurred significantly less often (p = 0.049) in participants in whom heavy fluid was used in the procedure. Metamorphopsia was reported postoperatively by 10 of 17 patients with retinal shift (p < 0.001).

Conclusion: In our study, postoperative posture did not significantly influence postoperative macular slippage after RRD repair. The use of intraoperative heavy liquid appears to be associated with a lower occurrence of retinal shift.

Keywords: Macular shift; Pars plana vitrectomy; Posture; Retinal detachment.

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Conflict of interest statement

Josef Guber, Megir Schawkat, Christophe Valmaggia, Corina Lang, Hendrik Scholl, Steven Harsum, and Ivo Guber have nothing to declare.

Figures

Fig. 1
Fig. 1
FAF 3 weeks after surgery (left) and 8 weeks after surgery (right). The preoperative position of the retinal vessel is illustrated by the white arrows pointing to hyperfluorescent lines. The hyperfluorescent lines were still visible and did not change position in the 6 weeks following surgery
See this image and copyright information in PMC

References

    1. Heimann H, Bartz-Schmidt KU, Bornfeld N, Weiss C, Hilgers R-D, Foerster MH. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology. 2007;114(12):2142–2154. doi: 10.1016/j.ophtha.2007.09.013. - DOI - PubMed
    1. de la Rua ER, Pastor JC, Fernandez I, Sanabria MR, Garcia-Arumi J, Martinez-Castillo V, et al. Non-complicated retinal detachment management: variations in 4 years. Retina 1 project; report 1. Br J Ophthalmol. 2008;92(4):523–525. doi: 10.1136/bjo.2007.127688. - DOI - PubMed
    1. Falkner-Radler CI, Myung JS, Moussa S, Chan RVP, Smretschnig E, Kiss S, et al. Trends in primary retinal detachment surgery: results of a bicenter study. Retina. 2011;31(5):928–36. - PubMed
    1. Lee E, Williamson TH, Hysi P, Shunmugam M, Dogramaci M, Wong R, et al. Macular displacement following rhegmatogenous retinal detachment repair. Br J Ophthalmol. 2013;97(10):1297–1302. doi: 10.1136/bjophthalmol-2013-303637. - DOI - PubMed
    1. Shiragami C, Shiraga F, Yamaji H, Fukuda K, Takagishi M, Morita M, et al. Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology. 2010;117(1):86–92. doi: 10.1016/j.ophtha.2009.06.025. - DOI - PubMed

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