Evolution of Subfoveal Detachments Secondary to Idiopathic XXXX after Surgery.

@entity1 @entity1713 @entity6654 @entity854 @entity751
PURPOSE: To study the characteristics of @entity854 secondary to @entity6654 (ERM) using improved-resolution spectral-domain optical coherence tomography ( @entity1713 OCT) and their evolution after surgery. DESIGN: Retrospective, observational cohort study. @entity1 : The files of 344 @entity1 operated on consecutively for ERM over a 2-year period in a single tertiary ophthalmologic center were reviewed. @entity1 with @entity751 , secondary ERM, or both were excluded. METHODS: In all, 293 eyes with idiopathic ERM were included in the final analysis. Fundus photographs were reviewed to assess the presence of a yellow foveal spot, and @entity1713 OCT analysis was performed. MAIN OUTCOME MEASURES: Presence or absence of a @entity854 and its @entity1713 OCT characteristics before and after surgery at 1 month, 3 months, and at final visit; best-corrected visual acuity (BCVA) and central macular thickness at baseline, 1 month, 3 months, and at the final visit. RESULTS: Before surgery, a @entity1713 ( @entity1713 ) corresponding to the yellow deposit was present in 59 of 293 eyes (20%). No difference was found for the postoperative BCVA between the 59 eyes with @entity1713 before surgery and the 234 eyes without @entity1713 (0.253    0.14 logarithm of the minimum angle of resolution [logMAR] vs. 0.262    0.24 logMAR, respectively; P  = 0.6). Sixty-eight percent (n  = 40/59) of @entity1713 disappeared after surgery during a mean follow-up of 4.8    3.2 months, most of them (62%) before month 3. Among eyes with preoperative @entity1713 , no difference was found for the postoperative BCVA between eyes with disappeared @entity1713 and those with persistent @entity1713 . CONCLUSIONS: @entity1713 secondary to idiopathic ERM were observed in 20% of these eyes. They disappeared after surgery in more than two thirds of cases, usually early during postoperative course. @entity1713 do not affect visual outcome and should not interfere with surgical decision making.
