@article{Baudin2021-hj,

title = {Functional and anatomical outcomes after successful repair of 

 macula-off retinal detachment: a 12-month follow-up of the 

 DOREFA study},

author = {Florian Baudin and Clémence Deschasse and Pierre-Henry Gabrielle and Jean P Berrod and Yannick Le Mer and Carl Arndt and Ramin Tadayoni and Marie N Delyfer and Michel Weber and David Gaucher and Maher Saleh and Christophe Chiquet and Catherine Creuzot-Garcher},

year  = {2021},

date = {2021-11-01},

journal = {Acta Ophthalmol.},

volume = {99},

number = {7},

pages = {e1190–e1197},

publisher = {Wiley},

abstract = {PURPOSE: To report visual and anatomical outcomes and determine 

 predictors of good visual acuity (VA) recovery after macula-off 

 rhegmatogenous retinal detachment (RD). METHODS: Prospective 

 multicentre study including 115 eyes from 115 patients 

 successfully operated on for RD, with assessment of VA and 

 spectral-domain optical coherence tomography (SD-OCT) macular 

 images at 1, 3, 6 and 12 months after surgery. RESULTS: Over the 

 follow-up period, VA significantly improved from median [IQR] 62 

 [46; 72] ETDRS letters at 1 month to 75 [67; 80] ETDRS letters 

 at 12 months (p < 0.001) with a concomitant decreased number of 

 eyes with any SD-OCT lesions (p < 0.001). The presence of 

 subretinal fluid (SRF) significantly decreased (p < 0.001), as did the number of photoreceptor (PR) layer lesions (p = 0.04). 

 At 12 months, lesions in the PR layer and poor VA recovery were significantly associated with a longer time to surgery (p = 

 0.007 and p < 0.001, respectively). The rate of patients without 

 PR lesions increased from 40.9% at 1 month to 60.0% at 6 

 months and 73.9% at 12 months (p < 0.001). The incidence of 

 epiretinal membrane (ERM) significantly increased (p < 0.001), 

 while cystoid macular oedema (CME) remained stable over time. 

 Visual acuity (VA) at 3 months postoperatively was a good 

 reflection of final VA recovery (p < 0.001). CONCLUSION: Visual 

 acuity (VA) improved in parallel with the decreasing number of 

 eyes with SD-OCT lesions after macula-off rhegmatogenous RD. A 

 long time to surgery was the only preoperative factor associated 

 with poor VA recovery after retinal detachment surgery.},

keywords = {cystoid macular oedema; external limiting membrane;   photoreceptor layer; rhegmatogenous retinal detachment;   spectral-domain optical coherence tomography; subretinal fluid;   vitreoretinal surgery},

pubstate = {published},

tppubtype = {article}

}