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العنوان
Factors affecting anatomical macular recovery in recent rhegmatogenous retinal detachment cases/
المؤلف
Elmaatyobiah, Mona Elerakeyabd-Elgwadabo.
هيئة الاعداد
باحث / منى العراقى عبد الجواد ابو المعاطى عبيه
مشرف / خالد سامح نبوى
مشرف / ايهاب فاروق مسلم
مشرف / محمود علاء الدين أبو حسين
الموضوع
Ophthalmology.
تاريخ النشر
2012.
عدد الصفحات
P74. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب العيون
تاريخ الإجازة
12/7/2012
مكان الإجازة
جامعة الاسكندريه - كلية الطب - العيون
الفهرس
Only 14 pages are availabe for public view

from 106

from 106

Abstract

• The anatomical results following scleral buckling for RRD are impressive. A reattachment 94.7% is achieved. Unfortunately, the visual results after buckling do not parallel the anatomical results. Usually this is caused by postoperative macular changes, such as macular edema and persistent submacular fluid.The introduction of OCT has resulted in the identification of pathologies that cannot be seen on clinical examinations
• Persistent SRF has been described on OCT in patients who have undergone successful surgery for RD. this fluid often cannot be seen on slit lamp examination and associated.
• Our study was conducted prospectively on 54 eyes of 54 Consecutive patients; sixteen cases were lost for follow up, two cases were excluded for persistent RD, making an overall Primary reattachment rate of 94.7% (34/36).
• Two patterns of SRF collection were identified, namely, the diffuse (confluent) and the focal (discrete single or 2 blebs of submacular fluid) patterns.The pumping effect of RPE to any SRF to the choroidal circulation is a well-known mechanism to dry out the subretinal space
• The possible relation of the duration of RD before surgical intervention and its effect on the viability of RPE and the consequent presence of SRF was looked at in our study.
• No statistically significant difference between the group of no subretinal fluid (I) and the other group with presence SRF (II) when the duration of RD was addressed.
• Age, eye involved did not show any association with presence of SRF.Also, that did not seem to affect the amount of SRF in group (II) cases.
• The type of retinal breaks or their number or site of tear(s)not affect presence of SRF nor affect the amount of SRF in group (II) cases.
• Injection of air / gas did not show statistically significant difference in SRF recovery at the one mo