Menghesha, Leonie ORCID: 0000-0003-0936-2414, Schoeneberger, Verena, Gerlach, Stefanie, Lemke, Julia, Krohne, Tim U. ORCID: 0000-0003-2280-925X, Feltgen, Nicolas and Schaub, Friederike (2023). Association between laser flare photometry and symptom duration in primary rhegmatogenous retinal detachment. Int. Ophthalmol., 43 (4). S. 1345 - 1352. DORDRECHT: SPRINGER. ISSN 1573-2630

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Abstract

Purpose The purpose of this study was to investigate preoperative blood-ocular barrier disruption via laser flare photometry (LFP) in patients diagnosed with rhegmatogenous retinal detachment (RRD), and to analyse possible associations with symptom duration and anatomical parameters. Methods We retrospectively analysed consecutive patients presenting with RRD at a single centre between January 2016 and March 2020. LFP was performed in both eyes after pupillary dilatation prior to RRD surgery. Symptom duration, extent of retinal detachment, and lens status were assessed. For statistical analysis, we carried out the unequal variances t test and Welch's analysis of variance (ANOVA). Results We included 373 eyes of 373 patients (mean age 63.96 years +/- 10.29; female:male ratio 1:1.8). LFP values quantified in photon count per millisecond (pc/ms) increased with longer symptom duration when comparing patients with a symptom duration of 0-3 days (n = 158; 9.25 +/- 6.21 pc/ms) and >= 4 days (n = 215; 11.97 +/- 11.58 pc/ms; p = 0.004). LFP values also rose with the number of retinal quadrants affected by RRD (1 quadrant, 6.82 +/- 4.08 pc/ms; 2 quadrants, 10.08 +/- 7.28 pc/ms; 3 quadrants, 12.79 +/- 7.9 pc/ms; 4 quadrants, 31.57 +/- 21.27 pc/ms; p < 0.001), macula off status (macula on, 8.89 +/- 6.75 pc/ms; macula off, 12.65 +/- 11.66 pc/ms; p < 0.001), and pseudophakic lens status (pseudophakia, 12.86 +/- 9.52 pc/ms; phakia: 9.31 +/- 9.67 pc/ms; p < 0.001). Conclusion In RRD patients, blood-ocular barrier disruption quantified by LFP is associated with the duration of symptoms and the disease's anatomical extent. These results warrant further investigation of the potential clinical use of LFP in RRD.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Menghesha, LeonieUNSPECIFIEDorcid.org/0000-0003-0936-2414UNSPECIFIED
Schoeneberger, VerenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerlach, StefanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lemke, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krohne, Tim U.UNSPECIFIEDorcid.org/0000-0003-2280-925XUNSPECIFIED
Feltgen, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaub, FriederikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-672519
DOI: 10.1007/s10792-022-02532-x
Journal or Publication Title: Int. Ophthalmol.
Volume: 43
Number: 4
Page Range: S. 1345 - 1352
Date: 2023
Publisher: SPRINGER
Place of Publication: DORDRECHT
ISSN: 1573-2630
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
AQUEOUS-HUMOR FLARE; PROLIFERATIVE VITREORETINOPATHY; INFLAMMATION; CYTOKINES; BARRIERMultiple languages
OphthalmologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/67251

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