Wide-field laser ophthalmoscopy for imaging of gas-filled eyes after macular hole surgery
Authors Nakao S, Arita R, Sato Y, Enaida H, Ueno A, Matsui T, Salehi-Had H, Ishibashi T, Sonoda K
Received 5 April 2016
Accepted for publication 9 June 2016
Published 24 August 2016 Volume 2016:10 Pages 1623—1630
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Scott Fraser
Shintaro Nakao,1 Ryoichi Arita,1 Yuki Sato,2 Hiroshi Enaida,3 Akifumi Ueno,2 Takaaki Matsui,2 Hani Salehi-Had,4 Tatsuro Ishibashi,1 Koh-hei Sonoda1
1Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, 2Ohshima Hospital of Ophthalmology, Fukuoka, 3Department of Ophthalmology, Faculty of Medicine, Saga University, Saga, Japan; 4Atlantis Eyecare, Huntington Beach, CA, USA
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.
Keywords: Optos, fundus autofluorescence, facedown, gas, vitrectomy
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]