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Comparative Study
. 2021 Nov 1;41(11):2296-2300.
doi: 10.1097/IAE.0000000000003209.

UTILIZATION OF SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY TO IDENTIFY POSTERIOR VITREOUS DETACHMENT IN PATIENTS WITH RETINAL DETACHMENT

Sushant Wagley  1 , Peter J Belin, Edwin H Ryan
Affiliations
Comparative Study

UTILIZATION OF SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY TO IDENTIFY POSTERIOR VITREOUS DETACHMENT IN PATIENTS WITH RETINAL DETACHMENT

Sushant Wagley et al. Retina. .

Abstract

Purpose: To compare posterior vitreous detachment (PVD) identification rate between clinical examination versus spectral domain optical coherence tomography in patients with retinal detachment (RD).

Methods: Data from the Primary Retinal Detachment Outcomes Study were used for this retrospective cross-sectional study of 506 patients. Spectral domain optical coherence tomography scans were reviewed to detect the separation of the posterior hyaloid face from the retina and the optic nerve on all 31 raster cuts of a 30 × 30 scan. Statistical analysis was performed to compare spectral domain optical coherence tomography-identified PVD with PVD identified on slit-lamp biomicroscopy.

Results: There was a significant difference in the rate of PVD identification by clinical examination versus spectral domain optical coherence tomography in patients with RD. Clinical examination identified 51.58% of patients with PVD, whereas spectral domain optical coherence tomography identified 78.42% of patients with PVD. In patients with macula-on RD, 61.68% were found to have PVD on clinical examination versus 83.90% by imaging. Spectral domain optical coherence tomography identified larger number of PVD in patients with macula-off RD compared with clinical examination, 46.28% versus 75.43%, respectively. There was low agreement between the two methods (kappa score = 0.137). There was a significant difference in surgical procedure type chosen in those with versus without PVD.

Conclusion: Knowledge about the posterior hyaloid anatomy is important before undergoing RD repair. Spectral domain optical coherence tomography can better identify PVD than clinical examination in patients with RD.

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Comment in

  • Correspondence.
    Gui W, Sebag J. Gui W, et al. Retina. 2022 Jan 1;42(1):e5-e7. doi: 10.1097/IAE.0000000000003334. Retina. 2022. PMID: 34723903 No abstract available.
  • Reply.
    Wagley S, Ryan EH. Wagley S, et al. Retina. 2022 Jan 1;42(1):e7-e8. doi: 10.1097/IAE.0000000000003335. Retina. 2022. PMID: 34723905 No abstract available.

References

    1. Le Goff MM, Bishop PN. Adult vitreous structure and postnatal changes. Eye 2008;22:1214–1222.
    1. Uchino E, Uemura A, Ohba N. Initial stages of posterior vitreous detachment in healthy eyes of older persons evaluated by optical coherence tomography. Arch Ophthalmol 2001;119:1475–1479.
    1. Noori J, Bilonick RA, Eller AW. Scleral buckle surgery for primary retinal detachment without posterior vitreous detachment. Retina 2016;36:2066–2071.
    1. Rezende FA, Kapusta MA, Costa RA, Scott IU. Preoperative B-scan ultrasonography of the vitreoretinal interface in phakic patients undergoing rhegmatogenous retinal detachment repair and its prognostic significance. Graefes Archive Clin Exp Ophthalmol 2007;245:1295–1301.
    1. Park SW, Lee JJ, Lee JE. Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives. Clin Ophthalmol 2018;12:1605.

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