Macula-off retinal detachment: struggle for best visual acuity. Part 2

The second part of the review discusses the factors affecting best corrected visual acuity in patients with macula-off rhegmatogenous retinal detachment as determined using optical coherence tomography, and the role of optical coherence tomography angiography in assessing the parameters of the foveal avascular zone and quantifying vessel density and macular capillary perfusion density. It highlights the important problem of complications after anatomically successful surgery of macula-off rhegmatogenous retinal detachment, which directly impact visual acuity. The review analyzes the effect of a tamponade agent for vitrectomy on best corrected visual acuity, provides Russian studies of new hyaluronic acid-based tamponade agents, and discusses postoperative conservative therapy and its future prospects. A total of 48 publications from the Pubmed database from 1937 to 2021 were reviewed. Comprehensive pre- and postoperative examination and follow-up of patients with macula-off rhegmatogenous retinal detachment allowed achieving higher best corrected visual acuity and greater patient satisfaction with surgery outcomes.