Characteristics of macular optical coherence tomography changes before and after silicone oil removal in patients with rhegmatogenous retinal detachment involving the macular area_Chinese Journal of Ocular Fundus Diseases

Authors：

 GuanYubo , ChenWei , XieShiyong

Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, The Ophthalmic College of Tianjin Medical University, Tianjin 300020, China;

Corresponding author：

GuanYubo, Email: ybg1965@163.com

Keywords：

Retinal detachment/surgery; Macula lutea/pathology; Tomography, optical coherence

DOI：

10.3760/cma.j.issn.1005-1015.2016.03.015

Video：

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Objective To observe the characteristics of macular optical coherence tomography (OCT) changes before and after silicone oil removal in patients who had undergone pars plana vitrectomy with silicone oil tamponade for macula-off rhegmatogenous retinal detachment (RRD). Methods Thirty-nine eyes that underwent silicone oil removal were enrolled in this retrospective study. The patients included 24 males and 15 females, with an average age of (53.05±4.03) years, the duration of silicone oil tamponade ranged from 3 to 7 months. Best-corrected visual acuity, intraocular pressure, slit lamp microscope and pre-lens, indirect ophthalmoscopy and fourier domain OCT were measured for all patients before and at months 1, 3 and 6 after silicone oil removal. The macular microstructure were observed before and after silicone oil removal. Results Submacular fluid was detected in 6 eyes (15.38%), at the last time of follow-up, submacular fluid resolved completely in 2 eyes with disrupted ellipsoid zone, and resolved partly in 2 eyes. Disrupted ellipsoid zone were observed before silicone oil removal in 16 eyes (41.02%), 6 eyes showed simultaneous disrupted ellipsoid zone and disrupted external limiting membrane, and there were 2 eyes that external limiting membrane was not identified, at the last time of follow-up, disrupted ellipsoid zone restored in 2 eyes and the extent of disrupted ellipsoid zone became reduced in 4 eyes. Cystoids macular edema were found in 2 eyes (5.12%), it resolved completely in 1 eye and resolved partly in 1 eye at the last time of follow-up. Macular epiretinal membrane was detected in 10 eyes (25.64%), and macular epiretinal membrane was found before silicone oil removal in 5 eyes, at the last time of follow-up, the membrane became thickened in 2 eye; 5 eyes developed macular epiretinal membrane after silicone oil removal, at the last time of follow-up, the membrane became thickened in 1 eye. Secondary macular hole were noted in 2 eyes. Microcystic macular changes were observed in 9 eyes (23.07%), it was observed in 7 eyes before silicone oil removal, and was observed in 2 eyes after silicone oil removal, at the last time of follow-up, the cysts reduced in 1 eye. Conclusion Submacular fluid, disrupted ellipsoid zone and microcystic macular are the main macular ultrastructural changes that developed in patients with RRD before and after silicone oil removal.

Citation： GuanYubo, ChenWei, XieShiyong. Characteristics of macular optical coherence tomography changes before and after silicone oil removal in patients with rhegmatogenous retinal detachment involving the macular area. Chinese Journal of Ocular Fundus Diseases, 2016, 32(3): 291-295. doi: 10.3760/cma.j.issn.1005-1015.2016.03.015 Copy

1.	惠延年.关注视网膜脱离手术后的视功能恢复[J].中华眼视光学与视觉科学杂志, 2012, 14(7):385-387.DOI:10.3760/cma.j.issn.1674-845X.2012.07.001.Hui YN.The importance of considering visual recovery after reattachment of the detached retina[J].Chin J Ophthalmol Vis Sci, 2012, 14(7):385-387.DOI:10.3760/cma.j.issn.1674-845X.2012.07.001.
2.	郝玉华, 杨娜, 陈鹏飞, 等.累及黄斑的孔源性视网膜脱离患眼巩膜扣带手术前后黄斑微结构改变及其与视力预后的相关性[J].中华眼底病杂志, 2014, 30(4):343-347.DOI:10.3760/cma.j.issn.1005-1015.2014.04.003.Hao YH, Yang N, Chen PF, et al.Correlation between macular microstructure changes and visual outcome before and after scleral buckling for macular-off primary rhegmatogenous retinal detachment[J].Chin J Ocul Fundus Dis, 2014, 30(4):343-347.DOI:10.3760/cma.j.issn.1005-1015.2014.04.003.
3.	Gharbiya M, Grandinetti FF, Scavella V, et al. Correlation between spectral-domain optical coherence tomography findings and visual outcome after primary rhegmatogenous retinal detachment repair[J].Retina, 2012, 32(1):43-53.DOI:10.1097/IAE.0b013e3182180114.
4.	Bae SH, Hwang JS, Yu HJ. Comparative analysis of macular microstructure by spectral-domain optical coherence tomography before and after silicone oil removal[J].Retina, 2012, 32(9):1874-1883. DOI:10.1097/IAE.0b013e318246907c.
5.	Odrobina D, Laudańska-Olszewska I. Analysis of the time and location of the silicone oil emulsification by spectral-domain optical coherence tomography after silicone oil tamponade[J/OL]. Biomed Res Int, 2014, 2014:372045[2014-05-19]. http://dx.doi.org/10.1155/2014/372045.DOI:10.1155/2014/372045.
6.	Errera MH, Liyanage SE, Elgohary M, et al.Using spectral-domain optical coherence tomography imaging to identify the presence of retinal silicone oil emulsification after silicone oil tamponade[J].Retina, 2013, 33(8):1567-1573. DOI:10.1097/IAE.0b013e318287d9ea.
7.	惠延年.值得重视的眼底病研究热点和难点:原发性视网膜脱离的治疗和手术后视力恢复[J].中华眼底病杂志, 2013, 29(2):117-120.DOI:10.3760/cma.j.issn.1005-1015.2013.02.001.Hui YN. Appreciable hotspots and problems of research for ocular fundus diseases:treatment and visual recovery after surgery of primary retinal detachment[J]. Chin J Ocul Fundus Dis, 2013, 29(2):117-120.DOI:10.3760/cma.j.issn.1005-1015.2013.02.001.
8.	Delome MP, Dugas B, Nicot F, et al. Anatomical and functional macular changes after rhegmatogenous retinal detachment with macular off[J].Am J Ophthalmol, 2012, 153(1):128-136.DOI:10.1016/j.ajo.2011.06.010.
9.	侯慧媛, 惠延年.视网膜脱离复位手术后视功能恢复及其影响因素[J].国际眼科纵览, 2011, 35(4):271-276.DOI:10.3760/cma.j.issn.1673-5803.2011.04.011.Hou HY, Hui YN. Visual recovery after retinal detachment repair and relevant factors[J].Int Rev Ophthalmol, 2011, 35(4):271-276.DOI:10.3760/cma.j.issn.1673-5803.2011.04.011.
10.	Rashid S, Pilli S, Chin EK, et al. Five-year follow-up of macular morphologic changes after rhegmatogenous retinal detachment repair Fourier Domain OCT findings[J]. Retina, 2013, 33(10):2049-2058.DOI:10.1097/IAE.0b013e3182891e81.
11.	孟自军, 高永峰, 王艳婷.孔源性视网膜脱离手术后持续性黄斑下积液的相干光断层扫描观察与分析[J].中华眼科杂志, 2013, 49(12):1075-1080.DOI:10.3760/cma.j.issn.0412-4081.2013.12.005.Meng ZJ, Gao YF, Wang YT.Clinical survey and analysis of persistent submacular fluid on optical coherence tomography after surgery for rhegmatogenous retinal detachment[J].Chin J Ophthalmol, 2013, 49(12):1075-1080. DOI:10.3760/cma.j.issn.0412-4081.2013.12.005.
12.	Kim YK, Woo SJ, Park KH, et al.Comparison of persistent submacular fluid in vitrectomy and scleral buckle surgery for macula-involving retinal detachment[J].Am J Ophthalmol, 2010, 149(4):623-629.DOI:10.1016/j.ajo.2009.11.018.
13.	罗晓红, 麦小婷, 陈浩宇.孔源性视网膜脱离复位手术后持续性视网膜下积液的研究进展[J].中华眼底病杂志, 2014, 30(4):419-421.DOI:10.3760/cma.j.issn.1005-1015.2014.04.026.Lou XH, Mai XT, Chen HY. Research progress on the clinical characteristics of persistent subretina fluid after surgery for rhegmatogenous retinal detachment[J]. Chin J Ocul Fundus Dis, 2014, 30(4):419-421.DOI:10.3760/cma.j.issn.1005-1015.2014.04.026.
14.	魏文斌, 邵蕾.重视对脉络膜厚度及结构的研究[J].中华眼科杂志, 2014, 50(6):401-405.DOI:10.3760/cma.j.issn.0412-4081.2014.06.001.Wei WB, Shao L.Attach importance to choroidal research with enhanced depth imaging spectral-domain optical coherence tomography[J].Chin J Ophthalmol, 2014, 50(6):401-405.DOI:10.3760/cma.j.issn.0412-4081.2014.06.001.
15.	Ricker L, Noordzij L, Goezinne F, et al. Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macular-off retinal detachment repair[J]. Retina, 2011, 31(8):1505-1512.DOI:10.1097/IAE.0b013e31820a6910.
16.	禹海, 高明宏, 李颖.累及黄斑的孔源性视网膜脱离手术后黄斑下积液眼黄斑形态变化与视力预后的关系及其影响因素分析[J].中华眼底病杂志, 2013, 29(2):136-141.DOI:10.3760/cma.j.issn.1005-1015.2013.02.005.Yu H, Gao MH, Li Y.Relationship between morphologic macular changes and visual outcome in eyes with persistent submacular fluid after surgery for macula-off rhegmatogenous retinal detachment and relevant factors of persistent submacular fluid[J].Chin J Ocul Fundus Dis, 2013, 29(2):136-141.DOI:10.3760/cma.j.issn.1005-1015.2013.02.005.
17.	Martinez-castillo V, Boixadera A, Distefano L, et al. Epiretinal membrane after pars plana vitrectomy for primary pseudophakic or aphakic rhegmatogenous retinal detachment incidence and outcomes[J]. Retina, 2012, 32(7):1350-1355. DOI:10.1097/IAE.0b013e318242b965.
18.	Nam KY, Kim JY. Effect of internal limiting membrane peeling on the development of epiretinal membrane after pars plana vitrectomy for primary rhegmatogenous retinal detachment[J].Retina, 2015, 35(5):880-885.DOI:10.1097/IAE.0000000000000421.
19.	Lee SH, Park KH, Kim JH, et al. Secondary macular hole formation after vitrectomy[J]. Retina, 2010, 30(7):1072-1077. DOI:10.1097/IAE.0b013e3181cd4819.
20.	Shalchui Z, Mahroo OA, Shunmugam M, et al. Spectral domain optical coherence tomography findings in long-term silicone oil-related visual loss[J]. Retina, 2015, 35(3):555-563. DOI:10.1097/IAE.0000000000000325.
21.	Bae SH, Hwang JS, Yu HJ. Comparative analysis of macular microstructure by spectral-domain optical coherence tomography before and after silicone oil removal[J].Retina, 2012, 32(9):1874-1883.
22.	Wolff B, Basdekidou C, Vasseur V, et al. Retinal inner nuclear layer microcystic changes in optic nerve atrophy:a novel spectral-domain OCT finding[J]. Retina, 2013, 33(10):2133-2138.DOI:10.1097/IAE.0b013e31828e68d0.

1. 惠延年.关注视网膜脱离手术后的视功能恢复[J].中华眼视光学与视觉科学杂志, 2012, 14(7):385-387.DOI:10.3760/cma.j.issn.1674-845X.2012.07.001.Hui YN.The importance of considering visual recovery after reattachment of the detached retina[J].Chin J Ophthalmol Vis Sci, 2012, 14(7):385-387.DOI:10.3760/cma.j.issn.1674-845X.2012.07.001.
2. 郝玉华, 杨娜, 陈鹏飞, 等.累及黄斑的孔源性视网膜脱离患眼巩膜扣带手术前后黄斑微结构改变及其与视力预后的相关性[J].中华眼底病杂志, 2014, 30(4):343-347.DOI:10.3760/cma.j.issn.1005-1015.2014.04.003.Hao YH, Yang N, Chen PF, et al.Correlation between macular microstructure changes and visual outcome before and after scleral buckling for macular-off primary rhegmatogenous retinal detachment[J].Chin J Ocul Fundus Dis, 2014, 30(4):343-347.DOI:10.3760/cma.j.issn.1005-1015.2014.04.003.
3. Gharbiya M, Grandinetti FF, Scavella V, et al. Correlation between spectral-domain optical coherence tomography findings and visual outcome after primary rhegmatogenous retinal detachment repair[J].Retina, 2012, 32(1):43-53.DOI:10.1097/IAE.0b013e3182180114.
4. Bae SH, Hwang JS, Yu HJ. Comparative analysis of macular microstructure by spectral-domain optical coherence tomography before and after silicone oil removal[J].Retina, 2012, 32(9):1874-1883. DOI:10.1097/IAE.0b013e318246907c.
5. Odrobina D, Laudańska-Olszewska I. Analysis of the time and location of the silicone oil emulsification by spectral-domain optical coherence tomography after silicone oil tamponade[J/OL]. Biomed Res Int, 2014, 2014:372045[2014-05-19]. http://dx.doi.org/10.1155/2014/372045.DOI:10.1155/2014/372045.
6. Errera MH, Liyanage SE, Elgohary M, et al.Using spectral-domain optical coherence tomography imaging to identify the presence of retinal silicone oil emulsification after silicone oil tamponade[J].Retina, 2013, 33(8):1567-1573. DOI:10.1097/IAE.0b013e318287d9ea.
7. 惠延年.值得重视的眼底病研究热点和难点:原发性视网膜脱离的治疗和手术后视力恢复[J].中华眼底病杂志, 2013, 29(2):117-120.DOI:10.3760/cma.j.issn.1005-1015.2013.02.001.Hui YN. Appreciable hotspots and problems of research for ocular fundus diseases:treatment and visual recovery after surgery of primary retinal detachment[J]. Chin J Ocul Fundus Dis, 2013, 29(2):117-120.DOI:10.3760/cma.j.issn.1005-1015.2013.02.001.
8. Delome MP, Dugas B, Nicot F, et al. Anatomical and functional macular changes after rhegmatogenous retinal detachment with macular off[J].Am J Ophthalmol, 2012, 153(1):128-136.DOI:10.1016/j.ajo.2011.06.010.
9. 侯慧媛, 惠延年.视网膜脱离复位手术后视功能恢复及其影响因素[J].国际眼科纵览, 2011, 35(4):271-276.DOI:10.3760/cma.j.issn.1673-5803.2011.04.011.Hou HY, Hui YN. Visual recovery after retinal detachment repair and relevant factors[J].Int Rev Ophthalmol, 2011, 35(4):271-276.DOI:10.3760/cma.j.issn.1673-5803.2011.04.011.
10. Rashid S, Pilli S, Chin EK, et al. Five-year follow-up of macular morphologic changes after rhegmatogenous retinal detachment repair Fourier Domain OCT findings[J]. Retina, 2013, 33(10):2049-2058.DOI:10.1097/IAE.0b013e3182891e81.
11. 孟自军, 高永峰, 王艳婷.孔源性视网膜脱离手术后持续性黄斑下积液的相干光断层扫描观察与分析[J].中华眼科杂志, 2013, 49(12):1075-1080.DOI:10.3760/cma.j.issn.0412-4081.2013.12.005.Meng ZJ, Gao YF, Wang YT.Clinical survey and analysis of persistent submacular fluid on optical coherence tomography after surgery for rhegmatogenous retinal detachment[J].Chin J Ophthalmol, 2013, 49(12):1075-1080. DOI:10.3760/cma.j.issn.0412-4081.2013.12.005.
12. Kim YK, Woo SJ, Park KH, et al.Comparison of persistent submacular fluid in vitrectomy and scleral buckle surgery for macula-involving retinal detachment[J].Am J Ophthalmol, 2010, 149(4):623-629.DOI:10.1016/j.ajo.2009.11.018.
13. 罗晓红, 麦小婷, 陈浩宇.孔源性视网膜脱离复位手术后持续性视网膜下积液的研究进展[J].中华眼底病杂志, 2014, 30(4):419-421.DOI:10.3760/cma.j.issn.1005-1015.2014.04.026.Lou XH, Mai XT, Chen HY. Research progress on the clinical characteristics of persistent subretina fluid after surgery for rhegmatogenous retinal detachment[J]. Chin J Ocul Fundus Dis, 2014, 30(4):419-421.DOI:10.3760/cma.j.issn.1005-1015.2014.04.026.
14. 魏文斌, 邵蕾.重视对脉络膜厚度及结构的研究[J].中华眼科杂志, 2014, 50(6):401-405.DOI:10.3760/cma.j.issn.0412-4081.2014.06.001.Wei WB, Shao L.Attach importance to choroidal research with enhanced depth imaging spectral-domain optical coherence tomography[J].Chin J Ophthalmol, 2014, 50(6):401-405.DOI:10.3760/cma.j.issn.0412-4081.2014.06.001.
15. Ricker L, Noordzij L, Goezinne F, et al. Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macular-off retinal detachment repair[J]. Retina, 2011, 31(8):1505-1512.DOI:10.1097/IAE.0b013e31820a6910.
16. 禹海, 高明宏, 李颖.累及黄斑的孔源性视网膜脱离手术后黄斑下积液眼黄斑形态变化与视力预后的关系及其影响因素分析[J].中华眼底病杂志, 2013, 29(2):136-141.DOI:10.3760/cma.j.issn.1005-1015.2013.02.005.Yu H, Gao MH, Li Y.Relationship between morphologic macular changes and visual outcome in eyes with persistent submacular fluid after surgery for macula-off rhegmatogenous retinal detachment and relevant factors of persistent submacular fluid[J].Chin J Ocul Fundus Dis, 2013, 29(2):136-141.DOI:10.3760/cma.j.issn.1005-1015.2013.02.005.
17. Martinez-castillo V, Boixadera A, Distefano L, et al. Epiretinal membrane after pars plana vitrectomy for primary pseudophakic or aphakic rhegmatogenous retinal detachment incidence and outcomes[J]. Retina, 2012, 32(7):1350-1355. DOI:10.1097/IAE.0b013e318242b965.
18. Nam KY, Kim JY. Effect of internal limiting membrane peeling on the development of epiretinal membrane after pars plana vitrectomy for primary rhegmatogenous retinal detachment[J].Retina, 2015, 35(5):880-885.DOI:10.1097/IAE.0000000000000421.
19. Lee SH, Park KH, Kim JH, et al. Secondary macular hole formation after vitrectomy[J]. Retina, 2010, 30(7):1072-1077. DOI:10.1097/IAE.0b013e3181cd4819.
20. Shalchui Z, Mahroo OA, Shunmugam M, et al. Spectral domain optical coherence tomography findings in long-term silicone oil-related visual loss[J]. Retina, 2015, 35(3):555-563. DOI:10.1097/IAE.0000000000000325.
21. Bae SH, Hwang JS, Yu HJ. Comparative analysis of macular microstructure by spectral-domain optical coherence tomography before and after silicone oil removal[J].Retina, 2012, 32(9):1874-1883.
22. Wolff B, Basdekidou C, Vasseur V, et al. Retinal inner nuclear layer microcystic changes in optic nerve atrophy:a novel spectral-domain OCT finding[J]. Retina, 2013, 33(10):2133-2138.DOI:10.1097/IAE.0b013e31828e68d0.

Chinese Journal of Ocular Fundus Diseases

Characteristics of macular optical coherence tomography changes before and after silicone oil removal in patients with rhegmatogenous retinal detachment involving the macular area

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