Our Summary

This study looked at the different types of things that can be seen on a special type of eye scan, called an optical coherence tomography (OCT), after a particular type of eye surgery. The surgery, known as vitreoretinal surgery, is used to treat a condition where the retina, which is the light-sensitive layer at the back of the eye, detaches from the rest of the eye.

The researchers looked at previous studies and also analyzed images and medical records of patients who had this type of surgery. They found that the OCT scans were able to show a variety of changes in the eye after surgery. These included fluid under the retina, small bubbles or folds in the retina, changes to the macula (an area of the retina that is important for sharp, central vision), and recurring detachment of the retina.

The authors concluded that OCT scans are very useful after this type of surgery because they can show important details that can help doctors decide how to best manage the patient’s condition and predict how their vision might be affected. Even if some changes can be seen during a normal eye exam, the OCT can give a more detailed view. This makes OCT scans an important part of the follow-up care for patients who have had surgery for retinal detachment.

FAQs

  1. What are the main findings discovered through optical coherence tomography after vitreoretinal surgery for rhegmatogenous retinal detachment?
  2. How does optical coherence tomography contribute to the clinical management and visual prognosis after vitreoretinal surgery for rhegmatogenous retinal detachment?
  3. Can all post-surgery conditions be detected through fundus examination or is optical coherence tomography more effective in some cases?

Doctor’s Tip

A helpful tip a doctor might tell a patient about retinal detachment surgery is to follow post-operative instructions carefully, including taking prescribed medications and attending follow-up appointments. It is important to report any changes in vision or any new symptoms to your doctor immediately. It is also important to protect the eye from trauma and avoid activities that may increase intraocular pressure. By following these recommendations, patients can help ensure a successful recovery and optimal visual outcomes after retinal detachment surgery.

Suitable For

Patients who are typically recommended retinal detachment surgery are those with rhegmatogenous retinal detachment, which is a type of retinal detachment caused by a tear or hole in the retina. Other factors that may indicate the need for surgery include the size and location of the detachment, the presence of symptoms such as floaters or flashes of light, and the overall health and visual acuity of the patient. Additionally, patients with a history of retinal detachment in the other eye are often recommended surgery to prevent detachment in the affected eye.

Timeline

Before retinal detachment surgery, a patient may experience symptoms such as sudden flashes of light, a sudden increase in floaters, or a curtain or shadow over their field of vision. They may undergo a comprehensive eye examination, including a dilated eye exam and optical coherence tomography (OCT) imaging to diagnose the retinal detachment.

After retinal detachment surgery, a patient may experience some discomfort or mild pain, which can be managed with pain medication. They may also be required to wear an eye patch for a period of time and use eye drops to prevent infection and reduce inflammation. Follow-up appointments will be scheduled to monitor the healing process and evaluate the success of the surgery. OCT imaging may be used to assess the structural changes in the retina post-surgery, such as persistent subretinal fluid, retinal folds, or epiretinal membranes. Visual acuity may improve gradually over time, but the final visual outcome will depend on various factors such as the extent of the detachment and any complications that may have occurred during surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about retinal detachment surgery may include:

  1. What is the success rate of the surgery for retinal detachment?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the recovery process like after retinal detachment surgery?
  4. How long will it take for my vision to improve after the surgery?
  5. Will I need to wear an eye patch or take any medications after the surgery?
  6. How often will I need to follow up with you after the surgery?
  7. Are there any restrictions on activities or lifestyle changes I should make after the surgery?
  8. What are the signs and symptoms of any potential complications that I should watch out for?
  9. Will I need any additional treatments or procedures after the surgery?
  10. What is the long-term outlook for my vision after retinal detachment surgery?

Reference

Authors: Coppola M, Marchese A, Cicinelli MV, Rabiolo A, Giuffrè C, Gomarasca S, Querques G, Bandello F. Journal: Eur J Ophthalmol. 2020 Jul;30(4):805-816. doi: 10.1177/1120672120911334. Epub 2020 Mar 15. PMID: 32174150