Factores asociados a recuperación visual deficiente después de cirugía exitosa para desprendimiento de retina regmatógeno

Abstract

Introduction: Several features can affect the visual prognosis after surgically resolve of retinal detachment. There unobservable characteristics by human eye alone but by optical coherence tomography that relate to visual recovery. Objective: To describe clinical and tomographic characteristics in pre and post-operative periods of eyes that have suffered macula off rhegmatogenous retinal detachment and its relationship to the quality of visual recovery after successful surgery considered. Materials and Methods: A descriptive prospective study which compares some perioperative characteristics into three diferents times, one before and two after surgery (3 and 6 months) of 24 eyes with macula off rhegmatogenous retinal detachment operated by scleral buckling combined with pars plana vitrectomy . Results: Visual recovery better than or equal to 0.397 logMAR (20/50) was given in 41.7% of eyes and 16.7% reached 0.301 logMAR visual acuity (20/40). Five patients did not achieve greater gain than five lines of sight. Absent submacular fluid was observed in the most of eyes that recovered more than five lines as those with preserved ellipsoid. Neuroepitelium regularity and edema in the postoperative period showed no clear behavior regarding visual recovery as the height of the macular detachment, and the number of hit quadrants. Better visual recovery was more frequent in those with less than five weeks of retinal detachment. Conclusions: Shortr delay to 5 weeks in the resolution of retinal abruption, conservation of the ellipsoid and the absence of submacular fluid in the postoperative period was observed more frequently in eyes with better visual recovery.