Abstract
Purpose
The incidence of retinal displacement after rhegmatogenous retinal detachment (RRD) surgery is variable and its clinical consequences are unclear. The aim of this study was to assess the incidence and clinical features of retinal displacement after RRD surgery by using ultra-widefield (UWF) imaging.
Methods
Retrospective observational study including all consecutive patients who underwent RRD surgery at the Rothschild Foundation Hospital. Postoperative data included the visual acuity and symptoms of visual impairment. Macular retinal displacement occurrence and its features were assessed and measured by using the autofluorescence images.
Results
A total of 123 eyes were included. UWF fundus autofluorescence revealed the presence of macular retinal displacement in 14 (11%) eyes. All displacements were inferior, with a mean angle of 3.8°. Patients with and without macular displacement did not differ in postoperative visual acuity. The retinal detachment extent and preoperative macular involvement were not significantly associated with the occurrence of retinal displacement.
Conclusion
In this representative cohort of eyes that underwent RRD surgery with systematic screening for postoperative retinal displacement by UWF fundus autofluorescence, 11% of eyes experienced an inferior retinal shift. As in other cohorts, the presence of metamorphopsia was not associated with the occurrence of retinal shift.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Mason RH, Minaker SA, Marafon SB et al (2022) Retinal displacement following rhegmatogenous retinal detachment: a systematic review and meta-analysis. Surv Ophthalmol 67:950–964. https://doi.org/10.1016/j.survophthal.2022.01.002
Dell’Omo R, Mura M, Lesnik Oberstein SY et al (2012) Early simultaneous fundus autofluorescence and optical coherence tomography features after pars plana vitrectomy for primary rhegmatogenous retinal detachment. Retina 32:719–728. https://doi.org/10.1097/IAE.0b013e31822c293e
Schawkat M, Valmaggia C, Lang C et al (2019) Influence of postoperative posture on macular slippage after macula-off retinal detachment: a randomized controlled trial. Ophthalmol Ther 8:519–525. https://doi.org/10.1007/s40123-019-0204-8
Shiragami C, Shiraga F, Yamaji H et al (2010) Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology 117:86-92.e1. https://doi.org/10.1016/j.ophtha.2009.06.025
Brosh K, Roditi E, Muni RH (2022) Retinal vessel printings on fundus autofluorescence imaging represent retinal displacement: proof of prior hypothesis. Am J Ophthalmol 238:e3–e4. https://doi.org/10.1016/j.ajo.2022.01.024
Nitta E, Shiraga F, Shiragami C et al (2013) Displacement of the retina and its recovery after vitrectomy in idiopathic epiretinal membrane. Am J Ophthalmol 155:1014-1020.e1. https://doi.org/10.1016/j.ajo.2013.01.021
Pandya VB, Ho I-V, Hunyor AP (2012) Does unintentional macular translocation after retinal detachment repair influence visual outcome? Clin Exp Ophthalmol 40:88–92. https://doi.org/10.1111/j.1442-9071.2011.02666.x
Roditi E, Bansal A, Potter MJ et al (2023) Fundus autofluorescence underestimates retinal displacement. Ophthalmol Retina 7:368–371. https://doi.org/10.1016/j.oret.2022.12.010
Zhou C, Lin Q, Chen F (2017) Prevalence and predictors of metamorphopsia after successful rhegmatogenous retinal detachment surgery: a cross-sectional, comparative study. Br J Ophthalmol 101:725–729. https://doi.org/10.1136/bjophthalmol-2016-309097
Lee E, Williamson TH, Hysi P et al (2013) Macular displacement following rhegmatogenous retinal detachment repair. Br J Ophthalmol 97:1297–1302. https://doi.org/10.1136/bjophthalmol-2013-303637
Dell’Omo R, Scupola A, Viggiano D et al (2017) Incidence and factors influencing retinal displacement in eyes treated for rhegmatogenous retinal detachment with vitrectomy and gas or silicone oil. Invest Ophthalmol Vis Sci 58:BIO191–BIO199. https://doi.org/10.1167/iovs.17-21466
Codenotti M, Fogliato G, Iuliano L et al (2013) Influence of intraocular tamponade on unintentional retinal displacement after vitrectomy for rhegmatogenous retinal detachment. Retina 33:349–355. https://doi.org/10.1097/IAE.0b013e318263d180
Brosh K, Francisconi CLM, Qian J et al (2020) Retinal displacement following pneumatic retinopexy vs pars plana vitrectomy for rhegmatogenous retinal detachment. JAMA Ophthalmol 138:652–659. https://doi.org/10.1001/jamaophthalmol.2020.1046
Placeres Daban J, Artieda García D, Yaluff Portilla S, Belda Sanchís JI (2021) A novel technique to avoid intraoperative giant tear slippage: the bimanual double aspiration technique. Int J Retina Vitreous 7:42. https://doi.org/10.1186/s40942-021-00309-5
Rofail M, Lee LR (2005) Perfluoro-n-octane as a postoperative vitreoretinal tamponade in the management of giant retinal tears. Retina 25:897–901. https://doi.org/10.1097/00006982-200510000-00013
Mathis A, Pagot V, Gazagne C, Malecaze F (1992) Giant retinal tears. Surgical techniques and results using perfluorodecalin and silicone oil tamponade. Retina 12:S7-10. https://doi.org/10.1097/00006982-199212031-00003
Cobos E, Rubio MJ, Arias L et al (2016) Incidence and relation with anatomical and functional variables of postoperative macular displacement in rhegmatogenous retinal detachment. Retina 36:957–961. https://doi.org/10.1097/IAE.0000000000000807
Funding
The authors declare that no funds, grants or other support were received during the preparation of this manuscript.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by GSS, SS, RL and SB. The first draft of the manuscript was written by GSS and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no relevant financial or nonfinancial interests to disclose.
Ethical approval
The study adhered to the tenets of the Declaration of Helsinki. The research was approved by the Rothschild Foundation Hospital review board (IRB 00012801) (study no. CE_20210126_2_YLR).
Human and animal rights
The authors affirm that human research participants provided informed consent for publication of the images in Figures.
Consent to participate
Patients signed informed consent regarding publishing their data and photographs.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
de Saint Sauveur, G., Sayadi, S., Lejoyeux, R. et al. Incidence of macular displacement after rhegmatogenous retinal detachment surgery using ultra-widefield fundus autofluorescence. Int Ophthalmol 44, 66 (2024). https://doi.org/10.1007/s10792-024-03018-8
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10792-024-03018-8