Purpose: 

To evaluate the visual outcomes and the affect of timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments.

Method: 

A retrospective, consecutive cohort from multiple surgeons at a single center. Fovea status (fovea-on, fovea-splitting, or fovea-off) was classified by preoperative optical coherence tomography. The primary outcome measure was the visual acuity at the last follow-up that was further correlated with the timing of surgical repair.

Results: 

One hundred and ninety-five eyes were included with 62 fovea-on, 65 fovea-splitting, and 68 fovea-off detachments. The mean preoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups was 0.16 ± 0.21, 0.70 ± 0.56, and 1.67 ± 0.87, respectively (P = <0.001). Mean postoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups were 0.07 ± 0.13, 0.10 ± 0.15, and 0.20 ± 0.22, respectively (P = <0.001). A statistically significant difference in mean postoperative logMAR visual acuity was found between fovea-off and fovea-on groups (P = 0.003) and between fovea-off and fovea-splitting groups (P = 0.013), however not between fovea-on and fovea-splitting groups (P = 0.827). Visual acuity improved when repair was performed earlier after presentation for fovea-on (R = 0.378, P = 0.002) and fovea-off groups (R = 0.277, P = 0.022), but not for the fovea-splitting group (R = 0.089, P = 0.481).

Conclusion: 

We described the favorable visual outcomes of surgery for fovea-splitting rhegmatogenous retinal detachment and correlated these with the timing of surgical repair, which may help guide the management of this urgent, vision-threatening condition.

中文翻译：

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中央凹裂孔性视网膜脱离的长期视力结果和手术修复时机

目的： 

评估视觉结果和手术修复视网膜中央凹裂孔性视网膜脱离时机的影响。

方法： 

来自单个中心的多名外科医生的回顾性连续队列。通过术前光学相干断层扫描对中央凹状态（中央凹打开、中央凹分裂或中央凹关闭）进行分类。主要结果指标是最后一次随访时的视力，这与手术修复的时间进一步相关。

结果： 

包括 195 只眼睛，其中 62 只位于中央凹、65 只位于中央凹、68 只位于中央凹。中央凹开启组、中央凹分裂组和中央凹关闭组术前最小分辨视力的平均对数分别为 0.16 ± 0.21、0.70 ± 0.56 和 1.67 ± 0.87（P = <0.001 ）。中央凹开启组、中央凹分裂组和中央凹关闭组术后最小分辨视力的平均对数分别为 0.07 ± 0.13、0.10 ± 0.15 和 0.20 ± 0.22（P = <0.001 ）。术后平均 logMAR 视力在中央凹关闭组和中央凹开启组之间（P = 0.003）以及中央凹关闭组和中央凹分裂组之间（P = 0.013）存在统计学显着差异，但在中央凹开启和中央凹之间没有显着差异- 分组（P = 0.827）。中央凹开启组（R = 0.378，P = 0.002）和中央凹关闭组（R = 0.277，P = 0.022）在就诊后较早进行修复时，视力有所提高，但中央凹分裂组（R = 0.089）则没有改善。 ，P = 0.481）。

结论： 

我们描述了中央凹裂孔源性视网膜脱离手术的良好视觉结果，并将这些结果与手术修复的时机相关联，这可能有助于指导这种紧急的、威胁视力的疾病的治疗。