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Journal of Ophthalmology
Volume 2014, Article ID 269837, 7 pages
http://dx.doi.org/10.1155/2014/269837
Clinical Study

Predicting Visual Outcomes for Macula-Off Rhegmatogenous Retinal Detachment with Optical Coherence Tomography

1Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan
2Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan
3Division of Clinical Cell Therapy, Tohoku University Graduate School of Medicine, Sendai 980-8575, Japan
4Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan

Received 11 September 2014; Revised 2 November 2014; Accepted 3 November 2014; Published 11 December 2014

Academic Editor: Wai T. Wong

Copyright © 2014 Noriyuki Suzuki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. We evaluated the ability of novel optical coherence tomography (OCT) parameters to predict postoperative best-corrected visual acuity (BCVA) in macula-off rhegmatogenous retinal detachment (RRD) eyes. Methods. We reviewed the medical records of 56 consecutive eyes with macula-off RRD. Clinical findings were analyzed including the relationship between preoperative OCT findings and 6-month postoperative BCVA. Results. Six-month postoperative BCVA was significantly correlated with preoperative findings including retinal height at the fovea, total and inner layer cross-sectional macular area within 2 mm of the fovea, and preoperative BCVA (, and , resp.). Multiple regression analysis revealed that the duration of macular detachment and total cross-sectional macular area were independent factors predicting 6-month postoperative BCVA ( and , resp.). Conclusions. Measuring preoperative total cross-sectional area of the macular layer within 2 mm of the fovea with OCT is a useful and objective way to predict postoperative visual outcome in eyes with macula-off RRD.