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Perfusion Findings in Surgically Resolved Myopic Foveoretinal Detachment

Received: 16 November 2021     Accepted: 3 December 2021     Published: 10 December 2021
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Abstract

Purpose: Published data on long-term macular perfusional findings and qualitative vessel density (VD) evaluation of myopic foveoretinal detachment (FRD) are limited. This study aimed to evaluate the OCT angiographic findings after uncomplicated successful macular surgery in fully surgically resolved myopic FRD. Methods: Between October 2016 and April 2020, an interventional, single-surgeon case series was conducted involving three structurally fully resolved highly myopic eyes with FRD. Long-term postoperative spectral domain-optical coherence tomography (SD-OCT) and functional and follow-up perfusion evaluations with SD-OCT and OCT angiography were performed. The main outcome was long-term structural and macular perfusion status after successful surgical resolution of myopic FRD. Results: The mean evolution time of myopic FRD was 7.33 ± 3.68 months. The mean follow-up time was 59.3 ±12.20 months and the mean time for resolution of myopic FRD was 4.6 ± 1.98 weeks. Using a paired-samples permutation test, we observed that surgery was associated with a significant improvement in visual acuity: best-corrected visual acuity decreased from logMAR 0.88 ± 0.15 pre-surgery to 0.36 ± 0.20 post-surgery (P<0.0001). Qualitative VD evaluation patterns were lower in eyes post-surgery than in normal emmetropic and highly myopic eyes. The observed foveal avascular zone (FAZ) area was large and irregular in fully resolved myopic FRD. A lack of SD-OCT structural postoperative findings and better qualitative perfusion findings were associated with better final visual results. Conclusion: The results revealed postoperative microstructural abnormalities on SD-OCT with VD qualitative deficiencies in the superficial vascular complex of the macula with FAZ abnormalities in the three eyes.

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 4)
DOI 10.11648/j.ijovs.20210604.21
Page(s) 252-262
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

Keywords

Deep Vascular Plexus, Foveoretinal Detachment, High Myopia, Myopic Foveoschisis, Foveal Avascular Zone, Perfusion Macular Status, Vessel Density, Superficial Vascular Plexus

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Cite This Article
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    Miguel Angel Quiroz-Reyes, Erick Andres Quiroz-Gonzalez, Jorge Morales-Navarro, Boris Moreno-Andrade, Alejandra Nieto-Jordan, et al. (2021). Perfusion Findings in Surgically Resolved Myopic Foveoretinal Detachment. International Journal of Ophthalmology & Visual Science, 6(4), 252-262. https://doi.org/10.11648/j.ijovs.20210604.21

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    ACS Style

    Miguel Angel Quiroz-Reyes; Erick Andres Quiroz-Gonzalez; Jorge Morales-Navarro; Boris Moreno-Andrade; Alejandra Nieto-Jordan, et al. Perfusion Findings in Surgically Resolved Myopic Foveoretinal Detachment. Int. J. Ophthalmol. Vis. Sci. 2021, 6(4), 252-262. doi: 10.11648/j.ijovs.20210604.21

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    AMA Style

    Miguel Angel Quiroz-Reyes, Erick Andres Quiroz-Gonzalez, Jorge Morales-Navarro, Boris Moreno-Andrade, Alejandra Nieto-Jordan, et al. Perfusion Findings in Surgically Resolved Myopic Foveoretinal Detachment. Int J Ophthalmol Vis Sci. 2021;6(4):252-262. doi: 10.11648/j.ijovs.20210604.21

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  • @article{10.11648/j.ijovs.20210604.21,
      author = {Miguel Angel Quiroz-Reyes and Erick Andres Quiroz-Gonzalez and Jorge Morales-Navarro and Boris Moreno-Andrade and Alejandra Nieto-Jordan and Federico Graue-Wiechers},
      title = {Perfusion Findings in Surgically Resolved Myopic Foveoretinal Detachment},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {6},
      number = {4},
      pages = {252-262},
      doi = {10.11648/j.ijovs.20210604.21},
      url = {https://doi.org/10.11648/j.ijovs.20210604.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210604.21},
      abstract = {Purpose: Published data on long-term macular perfusional findings and qualitative vessel density (VD) evaluation of myopic foveoretinal detachment (FRD) are limited. This study aimed to evaluate the OCT angiographic findings after uncomplicated successful macular surgery in fully surgically resolved myopic FRD. Methods: Between October 2016 and April 2020, an interventional, single-surgeon case series was conducted involving three structurally fully resolved highly myopic eyes with FRD. Long-term postoperative spectral domain-optical coherence tomography (SD-OCT) and functional and follow-up perfusion evaluations with SD-OCT and OCT angiography were performed. The main outcome was long-term structural and macular perfusion status after successful surgical resolution of myopic FRD. Results: The mean evolution time of myopic FRD was 7.33 ± 3.68 months. The mean follow-up time was 59.3 ±12.20 months and the mean time for resolution of myopic FRD was 4.6 ± 1.98 weeks. Using a paired-samples permutation test, we observed that surgery was associated with a significant improvement in visual acuity: best-corrected visual acuity decreased from logMAR 0.88 ± 0.15 pre-surgery to 0.36 ± 0.20 post-surgery (PConclusion: The results revealed postoperative microstructural abnormalities on SD-OCT with VD qualitative deficiencies in the superficial vascular complex of the macula with FAZ abnormalities in the three eyes.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Perfusion Findings in Surgically Resolved Myopic Foveoretinal Detachment
    AU  - Miguel Angel Quiroz-Reyes
    AU  - Erick Andres Quiroz-Gonzalez
    AU  - Jorge Morales-Navarro
    AU  - Boris Moreno-Andrade
    AU  - Alejandra Nieto-Jordan
    AU  - Federico Graue-Wiechers
    Y1  - 2021/12/10
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijovs.20210604.21
    DO  - 10.11648/j.ijovs.20210604.21
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 252
    EP  - 262
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20210604.21
    AB  - Purpose: Published data on long-term macular perfusional findings and qualitative vessel density (VD) evaluation of myopic foveoretinal detachment (FRD) are limited. This study aimed to evaluate the OCT angiographic findings after uncomplicated successful macular surgery in fully surgically resolved myopic FRD. Methods: Between October 2016 and April 2020, an interventional, single-surgeon case series was conducted involving three structurally fully resolved highly myopic eyes with FRD. Long-term postoperative spectral domain-optical coherence tomography (SD-OCT) and functional and follow-up perfusion evaluations with SD-OCT and OCT angiography were performed. The main outcome was long-term structural and macular perfusion status after successful surgical resolution of myopic FRD. Results: The mean evolution time of myopic FRD was 7.33 ± 3.68 months. The mean follow-up time was 59.3 ±12.20 months and the mean time for resolution of myopic FRD was 4.6 ± 1.98 weeks. Using a paired-samples permutation test, we observed that surgery was associated with a significant improvement in visual acuity: best-corrected visual acuity decreased from logMAR 0.88 ± 0.15 pre-surgery to 0.36 ± 0.20 post-surgery (PConclusion: The results revealed postoperative microstructural abnormalities on SD-OCT with VD qualitative deficiencies in the superficial vascular complex of the macula with FAZ abnormalities in the three eyes.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Department of Ophthalmology, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Department of Ophthalmology, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

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