Abstract：
OBJECTIVE: To describe visual function, macular integrity, and fixation stability using MAIA microperimetry (macular integrity assessment) after retinal detachment surgery. Evaluate if there are statistically significant differences between surgical approaches.
METHODS: A prospective, comparative, interventional study was conducted, recruiting a total of 21 patients with rhegmatogenous retinal detachment and macula-off. Eleven patients underwent surgery using pars plana vitrectomy (PPV), and 10 patients underwent scleral buckle surgery. Clinical examinations and optical coherence tomography (OCT) were performed post-surgery. MAIA microperimetry was conducted at 6 months.
RESULTS: Best-corrected visual acuity (BCVA) and the number of letters read improved over time in the operated eye but did not reach the level of the control eye (p = 0.001). No significant differences were found between the two surgical approaches in BCVA (p = 0.230) or the number of letters read (p = 0.608). Macular integrity in the operated eye did not match that of the control eye in both procedures (p = 0.05). No differences were detected between the two surgeries, either in macular integrity (p = 0.512) or fixation stability (p = 0.835).
CONCLUSIONS: Following retinal detachment surgery, a decrease in BCVA and the number of letters read occurs, which does not reach the level of the control eye. No significant differences were observed between the two surgical approaches. Macular integrity in the operated eye does not match that of the control eye.
METHODS: A prospective, comparative, interventional study was conducted, recruiting a total of 21 patients with rhegmatogenous retinal detachment and macula-off. Eleven patients underwent surgery using pars plana vitrectomy (PPV), and 10 patients underwent scleral buckle surgery. Clinical examinations and optical coherence tomography (OCT) were performed post-surgery. MAIA microperimetry was conducted at 6 months.
RESULTS: Best-corrected visual acuity (BCVA) and the number of letters read improved over time in the operated eye but did not reach the level of the control eye (p = 0.001). No significant differences were found between the two surgical approaches in BCVA (p = 0.230) or the number of letters read (p = 0.608). Macular integrity in the operated eye did not match that of the control eye in both procedures (p = 0.05). No differences were detected between the two surgeries, either in macular integrity (p = 0.512) or fixation stability (p = 0.835).
CONCLUSIONS: Following retinal detachment surgery, a decrease in BCVA and the number of letters read occurs, which does not reach the level of the control eye. No significant differences were observed between the two surgical approaches. Macular integrity in the operated eye does not match that of the control eye.
摘要：
目的：描述视觉功能，黄斑完整性,视网膜脱离手术后使用MAIA微视野法（黄斑完整性评估）和固定稳定性。评估手术方法之间是否存在统计学上的显着差异。
方法：前瞻性，比较,进行了介入研究，共招募21例孔源性视网膜脱离和黄斑脱落患者。11例患者接受了平坦部玻璃体切除术（PPV），10例患者行巩膜扣手术。术后进行临床检查和光学相干断层扫描（OCT）。在6个月时进行MAIA显微视野测定。
结果：手术眼的最佳矫正视力（BCVA）和字母阅读数随着时间的推移而改善，但未达到对照眼的水平（p=0.001）。在BCVA（p=0.230）或字母阅读数（p=0.608）的两种手术入路之间没有发现显着差异。在两种手术中，手术眼的黄斑完整性均与对照眼的黄斑完整性不匹配（p=0.05）。两次手术之间没有发现差异，无论是在黄斑完整性（p=0.512）或固定稳定性（p=0.835）。
结论：视网膜脱离手术后，BCVA和读取的字母数量减少，没有达到对照眼的水平。两种手术方法之间没有观察到显着差异。手术眼的黄斑完整性与对照眼的黄斑完整性不匹配。
方法：前瞻性，比较,进行了介入研究，共招募21例孔源性视网膜脱离和黄斑脱落患者。11例患者接受了平坦部玻璃体切除术（PPV），10例患者行巩膜扣手术。术后进行临床检查和光学相干断层扫描（OCT）。在6个月时进行MAIA显微视野测定。
结果：手术眼的最佳矫正视力（BCVA）和字母阅读数随着时间的推移而改善，但未达到对照眼的水平（p=0.001）。在BCVA（p=0.230）或字母阅读数（p=0.608）的两种手术入路之间没有发现显着差异。在两种手术中，手术眼的黄斑完整性均与对照眼的黄斑完整性不匹配（p=0.05）。两次手术之间没有发现差异，无论是在黄斑完整性（p=0.512）或固定稳定性（p=0.835）。
结论：视网膜脱离手术后，BCVA和读取的字母数量减少，没有达到对照眼的水平。两种手术方法之间没有观察到显着差异。手术眼的黄斑完整性与对照眼的黄斑完整性不匹配。
