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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

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