The Effect of Compliance With Preoperative Posturing Advice and Head Movements on the Progression of Macula-On Retinal Detachment

Jan Hendrik de Jong, Koen de Koning, Tom den Ouden, Johan Casper van Meurs, Koenraad Arndt Vermeer

Onderzoeksoutput: Bijdrage aan tijdschriftArtikelOnderzoekpeer review

Samenvatting

Purpose: The aim of this study was to explore the relationship between compliance with preoperative posturing advice and progression of macula-on retinal detachment (RD) and to evaluate whether head positioning or head motility contributes most to RD progression.

Methods: Sixteen patients with macula-on RD were enrolled, admitted to the ward, and instructed to posture preoperatively. The primary outcome parameter was compliance, which was defined as the average head orientation deviation from advised positioning. Secondary outcome parameters included the average rotational and linear head acceleration. The head orientation and acceleration were measured with a head-mounted inertial measurement unit (IMU). Optical coherence tomography (OCT) imaging was performed at baseline and during natural interruptions of posturing for meals and toilet visits to measure RD progression toward the fovea.

Results: The Spearman correlation coefficient with RD progression was 0.37 (P = 0.001, rs2 = 0.13) for compliance, 0.52 (P < 0.001, rs2 = 0.27) for rotational acceleration, and 0.49 (P < 0.001, rs2 = 0.24) for linear acceleration. The correlation coefficient between RD progression and rotational acceleration was statistically significantly higher than the correlation coefficient between RD progression and compliance (P = 0.034).

Conclusion: The strength of the correlation between RD progression and compliance was moderate. However, the correlation between RD progression and rotational and linear acceleration was much stronger. Preoperative posturing is effective by reducing head movements rather than enforcing head positioning.

Translational Relevance: Monitoring the efficacy of preoperative posturing in macula-on RD using OCT and IMU measurements shows that a new and combined application of these technologies leads to clinically relevant insights.

Originele taal-2Engels
Pagina's (van-tot)4
TijdschriftTranslational vision science & technology
Volume8
Nummer van het tijdschrift2
DOI's
StatusGepubliceerd - mrt 2019

Vingerafdruk Duik in de onderzoeksthema's van 'The Effect of Compliance With Preoperative Posturing Advice and Head Movements on the Progression of Macula-On Retinal Detachment'. Samen vormen ze een unieke vingerafdruk.

  • Citeer dit