Conflict/competing interest: None declared.
Does unintentional macular translocation after retinal detachment repair influence visual outcome?
Version of Record online: 15 NOV 2011
© 2011 The Authors. Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists
Clinical & Experimental Ophthalmology
Volume 40, Issue 1, pages 88–92, January/February 2012
How to Cite
Pandya, V. B., Ho, I.-V. and Hunyor, A. P. (2012), Does unintentional macular translocation after retinal detachment repair influence visual outcome?. Clinical & Experimental Ophthalmology, 40: 88–92. doi: 10.1111/j.1442-9071.2011.02666.x
Funding sources: None declared.
- Issue online: 5 FEB 2012
- Version of Record online: 15 NOV 2011
- Accepted manuscript online: 22 AUG 2011 09:31PM EST
- Received 3 March 2011; accepted 12 July 2011.
- fundus autofluorescence;
- macular translocation;
- retinal detachment
Background: To document the occurrence of postoperative macular translocation after retinal detachment repair and discuss its influence on visual outcome.
Design: Retrospective case series in a tertiary care setting.
Participants: Five eyes of five patients presenting to our clinic with macula-off rhegmatogenous retinal detachment.
Methods: All patients underwent surgical repair of the retinal detachment, with regular postoperative follow-up, including macular optical coherence tomography and fundus autofluorescence.
Main Outcome Measures: Visual acuity and subjective visual symptoms in patients with anatomically successful retinal detachment repair, in whom inadvertent macular translocation was noted.
Results: Our series demonstrates the presence of unintentional macular translocation after retinal detachment repair, detected by fundus autofluorescence imaging. In contrast to previous reports, we document inadvertent macular translocation in one patient after scleral buckling surgery. In each case, the retina was fully reattached postoperatively and no other complications were identified. There was variability in the symptoms and objective visual outcomes after surgery.
Conclusions: Inadvertent macular translocation can occur following repair of macula-off retinal detachment, and may be a significant contributor to poorer visual outcome after retinal detachment, despite objective surgical success.