TY - JOUR
T1 - Wide-field laser ophthalmoscopy for imaging of gas-filled eyes after macular hole surgery
AU - Nakao, Shintaro
AU - Arita, Ryoichi
AU - Sato, Yuki
AU - Enaida, Hiroshi
AU - Ueno, Akifumi
AU - Matsui, Takaaki
AU - Salehi-Had, Hani
AU - Ishibashi, Tatsuro
AU - Sonoda, Koh Hei
N1 - Funding Information:
We thank Chuo Sango Co. for the technical support. We also thank Masanori Miyazaki, Yuji Oshima, Yasuhiro Ikeda, and Shigeo Yoshida for helpful suggestions. This study is supported by grants from Japan Society for the Promotion of Science KAKENHI, Grant-in-Aid for Young Scientists (A) number 25713057 (SN).
Publisher Copyright:
© 2016 Nakao et al.
PY - 2016/8/24
Y1 - 2016/8/24
N2 - Background and objective: Existing ophthalmoscopy methods are unable to obtain clear fundus autofluorescence (FAF) images in gas-filled eyes. The purpose of this study was to evaluate the capability of wide-field laser ophthalmoscopy (Optos) in obtaining FAF images in gas-filled eyes for the assessment of macular hole (MH) closure after surgery. Methods: This was an interventional case series. Eighteen consecutive patients with unilateral MH underwent vitrectomy with internal limiting membrane peeling and 20% sulfur hexafluoride gas tamponade. FAF images using Optos were recorded preoperatively and postoperatively (days 1, 2, and 7). Results: On postoperative days 1, 2, and 7, FAF images were obtained from 11/18 (61.1%), 9/18 (50.0%), and 17/18 eyes (94.4%), respectively, using Optos. The quality of FAF images using Optos was sufficient to determine MH closure in 9/18 (50.0%) of gas-filled eyes postoperatively. Quantitative analysis of FAF images was helpful in determining complete or partial closure of the MH. Conclusion: FAF imaging using Optos might be a useful adjunct to optical coherence tomography as a supportive method to guide the release from facedown posturing in some cases of MH.
AB - Background and objective: Existing ophthalmoscopy methods are unable to obtain clear fundus autofluorescence (FAF) images in gas-filled eyes. The purpose of this study was to evaluate the capability of wide-field laser ophthalmoscopy (Optos) in obtaining FAF images in gas-filled eyes for the assessment of macular hole (MH) closure after surgery. Methods: This was an interventional case series. Eighteen consecutive patients with unilateral MH underwent vitrectomy with internal limiting membrane peeling and 20% sulfur hexafluoride gas tamponade. FAF images using Optos were recorded preoperatively and postoperatively (days 1, 2, and 7). Results: On postoperative days 1, 2, and 7, FAF images were obtained from 11/18 (61.1%), 9/18 (50.0%), and 17/18 eyes (94.4%), respectively, using Optos. The quality of FAF images using Optos was sufficient to determine MH closure in 9/18 (50.0%) of gas-filled eyes postoperatively. Quantitative analysis of FAF images was helpful in determining complete or partial closure of the MH. Conclusion: FAF imaging using Optos might be a useful adjunct to optical coherence tomography as a supportive method to guide the release from facedown posturing in some cases of MH.
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U2 - 10.2147/OPTH.S109900
DO - 10.2147/OPTH.S109900
M3 - Article
AN - SCOPUS:84988882845
SN - 1177-5467
VL - 10
SP - 1623
EP - 1630
JO - Clinical Ophthalmology
JF - Clinical Ophthalmology
ER -