Correlation of Fundus Autofluorescence of the Macula with Visual Outcome after Successful Repair of Rhegmatogenous Retinal  Detachment

SHERIF SHETA, M.D., MARIAM R. FADEL, M.Sc.;; ; HATEM A. SAEED, M.D., ALI M. TAHA, M.D.;; AHMED E. HABIB, M.D., NAHLA B. ABOU HUSSEIN, M.D.;

doi:10.21608/mjcu.2018.55375

Correlation of Fundus Autofluorescence of the Macula with Visual Outcome after Successful Repair of Rhegmatogenous Retinal Detachment

Document Type : Original Article

Authors

The Department of Ophthalmology, Faculty of Medicine, Cairo University

10.21608/mjcu.2018.55375

Abstract

Abstract
Background: Successful reattachment of the macula after
RD is often associated with incomplete visual recovery. Even
with a normal-appearing macula on examination, patients
often experience visual impairment. Fundus autfluorescence
has been used to investigate the morphological and functional changes occurring after RD repair following vitrectomy.
Aim of the Work: To investigate the structure-function
relationship of the macula, by correlating fundus autofluorescence and visual acuity following successful repair of rhegmatogenous retinal detachment.
Material and Methods: Forty-five eyes underwent surgical
repair of RRD followed by FAF imaging one and three months post-operative. FAF findings were correlated with postoperative BCVA.
Results: Forty-five eyes achieved complete post-operative
reattachment with 95.6% SOSR. Mean preoperative logMAR
visual acuity showed significant difference with mean postoperative logMAR BCVA (p 0.001). The values of BCVA
showed significant difference between eyes showing hyperautofluorescence on FAF imaging and eyes not showing hyperautofluorescence (p=0.015).
Conclusion: Fundus autofluorescence is a recent noninvasive imaging modality that evaluates the function and
health of the photoreceptor and the RPE layers showing great
advantage in analyzing the macular function abnormality.

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