J Korean Ophthalmol Soc > Volume 51(4); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(4):552-557.
DOI: https://doi.org/10.3341/jkos.2010.51.4.552    Published online April 15, 2010.
An Analysis of Metamorphopsia Using Preferential Hyperacuity Perimeter Following Macular-off RRD Surgical Repair.
Hyun Jun Park, Seung Wook Lee, Kyung Ho Kim, Jung Hyun Lee, Ji Eun Lee, Boo Sup Oum
1Department of Ophthalmology, Pusan National University College of Medicine, Busan, Korea. jlee@pusan.ac.kr
2Medical Research Institute, Pusan National University, Busan, Korea.
황반박리가 동반된 열공망막박리 수술 후 선택적초시력시야계를 이용한 변형시의 분석
박현준1ㆍ이승욱1ㆍ김경호1ㆍ이정현1ㆍ이지은1,2ㆍ엄부섭1,2
Department of Ophthalmology, Pusan National University College of Medicine1, Busan, Korea Medical Research Institute, Pusan National University2, Busan, Korea
Abstract
PURPOSE
To determine the efficacy of using the preferential hyperacuity perimeter (PHP) for the analysis of metamorphopsia following macular-off rhegmatogenous retinal detachment (RRD) surgical repair. METHODS: PHP examination was performed in those who complained of metamorphopsia after successful surgical reattachment of RRD. The subjective symptoms were evaluated based on a scale, ranging from 0 to 10, and were compared with the results of PHP examination. Patients age, duration of retinal detachment, pre and post-operative visual acuity, postoperative presence of subretinal fluid (SRF), surgical methods, presence of epiretinal membrane, and time from operation to PHP test were analyzed to find the correlation with the PHP results. RESULTS: Of the 19 eyes included in this study, nine eyes were found to have a hyperacuity defect upon PHP examination. In this group, the subjective level of metamorphopsia was significantly worse (p<0.01), the age was significantly higher (p=0.02), and SRF persisted in the macula more frequently at two months postoperatively (p=0.04), as compared to those without the defect. There were no significant differences in the other factors. CONCLUSIONS: Subjectively severe metamorphopsia after surgery for RRD could be confirmed objectively using PHP. In the case of older patients and persistent submacular fluid, metamorphopsia would develop more frequently due to displacement of the photoreceptors in the process of reattachment.
Key Words: Metamorphopsia;Preferential hyperacuity perimeter;Rhegmatogenous retinal detachment


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2024 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next