الفهرس 
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Abstract
To assess the postoperative macular reattachment through OCT in eyes treated due to macula-off rhegmatogenous retinal detachment, as well as to verify if there is a statistically relevant relation between the persistence of a subfoveal detachment and poor post-operative functional recovery.
Forty eyes of 40 patients were enrolled and examined in a prospective study. Exclusion criteria were the following: History of detachment longer than 7 days, Re-detachment, Tractional retinal detachment, Strabismus, Glaucoma, Amblyopia, Preexisting macular disease, Vitreous hemorrhages, Vascular occlusion, Uveitis.
After surgery, despite the macular reattachment assessed ophthalmoscopically, the OCT examination showed macular subretinal fluid persistence in 15/40 of cases(37.5%),disrupted ellipsoid zone in 7̸40 of cases(17.5%) and macular cysts in 4̸40 of cases(10%). There was improvement in visual acuity with decrease of SRF amount. Persistent SRF was not the only detectable cause for bad vision prognosis. Patients with integrity of the ellipsoid zone were associated with significant visual improvement postoperatively compared with the cases with disruption of the ellipsoid zone.
Delayed or incomplete visual recovery after uncomplicated surgery for macula-off retinal detachment may be related not only to persistent subretinal fluid, but also to other pathological changes as foveal photoreceptor layer disruption, Cystic macular changes, epiretinal membrane over the fovea and foveal atrophy.