Meeting Presentation: (in part) World Ophthalmology Congress 2010, Berlin, Germany, 5 June 2010.
Ability to determine postoperative status of macular hole in gas-filled eyes by spectral-domain optical coherence tomography
Article first published online: 29 JUN 2011
© 2011 The Authors. Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists
Clinical & Experimental Ophthalmology
Volume 39, Issue 9, pages 885–892, December 2011
How to Cite
Sano, M., Inoue, M., Taniuchi, S., Kunita, D., Hiraoka, T. and Hirakata, A. (2011), Ability to determine postoperative status of macular hole in gas-filled eyes by spectral-domain optical coherence tomography. Clinical & Experimental Ophthalmology, 39: 885–892. doi: 10.1111/j.1442-9071.2011.02586.x
- Issue published online: 1 DEC 2011
- Article first published online: 29 JUN 2011
- Accepted manuscript online: 18 APR 2011 08:23AM EST
- Received 1 January 2011; accepted 21 March 2011.
- gas tamponade;
- macular hole;
- optical coherence tomography;
- vitreoretinal surgery
Background: To determine whether the status of a macular hole can be determined by spectral-domain optical coherence tomography in gas-filled eyes.
Design: Prospective study, university hospital setting.
Participants: Twenty-six eyes with a macular hole, seven eyes with a macular hole retinal detachment and four eyes with a macular hole and myopic traction maculopathy underwent vitreous surgery.
Methods: The macular area was examined by spectral-domain optical coherence tomography (OCT-4000) on postoperative days 1, 3, 7 and 30.
Main Outcome Measures: Detection of macular hole closure.
Results: The status of macular hole was able to be assessed in 24 eyes (92%) on postoperative day 1 and 23 were closed. The condition of the macular hole could not be determined in the other two eyes with a lower volume of gas (≤60%). The macular hole of seven eyes could be seen only when the patients looked upward or downward (P = 0.009). The 11 eyes with a macular hole retinal detachment or a myopic traction maculopathy had a posterior staphyloma, and the macular hole was visible in four eyes on day 1 (P = 0.001). When a closure of the macular hole was detected on day 1, the macular hole remained closed in all of these eyes on day 30.
Conclusions: The status of a macular hole can be determined by spectral-domain optical coherence tomography on postoperative day 1 even in gas-filled eyes. The visibility depends on the volume of intravitreal gas and the absence of a posterior staphyloma.