Predicting visual outcomes for macula-off rhegmatogenous retinal detachment with optical coherence tomography

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 (p<0.001,p<0.001,p=0.001,and p<0.001,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 (p=0.024 and p=0.041,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. © 2014 noriyuki suzuki et al.