Stereopsis After Successful Surgery for Rhegmatogenous Retinal Detachment

Overview

Journal Graefes Arch Clin Exp Ophthalmol

Specialty Ophthalmology

Date 2014 Jan 28

PMID 24464513

Citations 13

Authors

Hiroki Watanabe

Fumiki Okamoto

Yoshimi Sugiura

Sujin Hoshi

Yoshifumi Okamoto

Takahiro Hiraoka

Tetsuro Oshika

Affiliations

Soon will be listed here.

Abstract

Background: To evaluate stereopsis after successful surgery for unilateral rhegmatogenous retinal detachment (RD), and to investigate the relationship between stereopsis and clinical factors.

Methods: In 75 patients after RD surgery and 28 age-matched normal subjects, stereopsis was measured using the Titmus Stereo Test (TST) and TNO stereotest. Clinical data were collected, including age, gender, circumferential dimension of retinal tears, area and duration of RD, macular status, surgical procedures, postoperative spherical equivalent, and logarithm of the minimum angle of resolution best-corrected visual acuity (logMAR BCVA), low-contrast visual acuity, postoperative lens status (phakia/pseudophakia), and presence of postoperative epiretinal membrane (ERM), to determine the factors related to stereopsis.

Results: Stereopsis in patients after surgery was significantly worse than normal subjects (p < 0.0001). Stereopsis in TST was significantly correlated with the area of RD (p < 0.005), difference of postoperative spherical equivalent between two eyes (p < 0.05), postoperative logMAR BCVA (p < 0.005), difference of postoperative logMAR BCVA between two eyes (p < 0.01), and low-contrast visual acuity (p < 0.05). Stereopsis in TNO stereotest showed significant association with postoperative logMAR BCVA (p < 0.05). Stereopsis in both stereotests were significantly worse in patients with macula-off RD than macula-on RD (p < 0.005, p < 0.01 respectively). No significant relationship was found between stereopsis and other factors. Multiple regression analysis revealed that macular status (on/off) had a significant correlation with both stereopsis in TST and TNO stereotest (p = 0.028, p = 0.019 respectively), whereas other clinical parameters were not relevant.

Conclusions: Stereopsis is significantly deteriorated in patients after RD surgery than in normal subjects. Stereopsis was associated with the difference in refraction between two eyes, postoperative visual acuity and contrast sensitivity, and preoperative macular status.

Citing Articles

Evaluation of post-operative foveal location and microstructural changes after pars plana vitrectomy for rhegmatogenous retinal detachment using enhanced-depth imaging optical coherence tomography.

Azaizy M, Khalil H, Leila M, Akl N, Mohammed S Int J Retina Vitreous. 2024; 10(1):88.

PMID: 39574210 PMC: 11580562. DOI: 10.1186/s40942-024-00609-6.

Optical coherence tomography parameters as prognostic factors for stereopsis after vitrectomy for unilateral epiretinal membrane: a cohort study.

Shen S, Jin S, Li F, Zhao J Sci Rep. 2024; 14(1):6715.

PMID: 38509172 PMC: 10954640. DOI: 10.1038/s41598-024-57203-x.

Okamoto F, Murakami T, Morikawa S, Sugiura Y, Hiraoka T, Oshika T J Clin Med. 2023; 12(4).

PMID: 36836062 PMC: 9964886. DOI: 10.3390/jcm12041527.

Relationship between stereopsis and vision-related quality of life in patients with branch retinal vein occlusion.

Morikawa S, Okamoto F, Murakami T, Sugiura Y, Hiraoka T, Okamoto Y BMJ Open Ophthalmol. 2022; 7(1):e000925.

PMID: 35321212 PMC: 8896036. DOI: 10.1136/bmjophth-2021-000925.

The contribution of the proximity of the retinal detachment to the fovea for postoperative metamorphopsia after 27-gauge pars plana vitrectomy for the primary rhegmatogenous retinal detachment.

Yamada H, Imai H, Tetsumoto A, Hayashida M, Otsuka K, Miki A PLoS One. 2021; 16(10):e0258775.

PMID: 34710146 PMC: 8553140. DOI: 10.1371/journal.pone.0258775.

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