An early "reopening" case of idiopathic macular hole; supportive usefulness of fundus autofluorescence

Mitsuru Arima, Masanori Miyazaki, Ri Ichiro Kohno, Yasuaki Hata, Tatsuro Ishibashi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Anatomical closure of macular holes (MH) is now largely confirmed by optical coherence tomography (OCT). Fundus autofluorescence (FAF) is also helpful in diagnosis and anatomical estimation of MH. We report a case of early reopening of anatomically closed MH, 2 days after release from face-down positioning where FAF abnormalities proceeded OCT findings. Methods: A case report. A 67-year-old woman underwent vitrectomy with brilliant blue G-assisted ILM peeling for the treatment of full-thickness stage 4 MH (diameter 578 μm). FAF and OCT were used to evaluate the patient. Results: On post operative day 3, OCT showed anatomical closure of MH, but FAF persistently demonstrated hyperfluorescence in the fovea. On post operative day 5, 2 days after termination of positioning, OCT showed reopening of the MH. Intra-vitreous injection of 50 % sulfur hexafluoride (SF6) gas was performed followed by face-down positioning again. Fourteen days after surgery, we confirmed the findings of both the anatomical closure in OCT and hypofluorescence on FAF. Two months later, MH remained closed. Conclusions: FAF might be a useful measure as a supportive method to guide release from posture restriction.

Original languageEnglish
Pages (from-to)711-714
Number of pages4
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume247
Issue number5
DOIs
Publication statusPublished - Jan 1 2009

Fingerprint

Retinal Perforations
Optical Coherence Tomography
Sulfur Hexafluoride
Vitrectomy
Posture
Ambulatory Surgical Procedures
Gases
Injections

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

Cite this

An early "reopening" case of idiopathic macular hole; supportive usefulness of fundus autofluorescence. / Arima, Mitsuru; Miyazaki, Masanori; Kohno, Ri Ichiro; Hata, Yasuaki; Ishibashi, Tatsuro.

In: Graefe's Archive for Clinical and Experimental Ophthalmology, Vol. 247, No. 5, 01.01.2009, p. 711-714.

Research output: Contribution to journalArticle

@article{166c35ba57c04e03b690479092f4c2cb,
title = "An early {"}reopening{"} case of idiopathic macular hole; supportive usefulness of fundus autofluorescence",
abstract = "Background: Anatomical closure of macular holes (MH) is now largely confirmed by optical coherence tomography (OCT). Fundus autofluorescence (FAF) is also helpful in diagnosis and anatomical estimation of MH. We report a case of early reopening of anatomically closed MH, 2 days after release from face-down positioning where FAF abnormalities proceeded OCT findings. Methods: A case report. A 67-year-old woman underwent vitrectomy with brilliant blue G-assisted ILM peeling for the treatment of full-thickness stage 4 MH (diameter 578 μm). FAF and OCT were used to evaluate the patient. Results: On post operative day 3, OCT showed anatomical closure of MH, but FAF persistently demonstrated hyperfluorescence in the fovea. On post operative day 5, 2 days after termination of positioning, OCT showed reopening of the MH. Intra-vitreous injection of 50 {\%} sulfur hexafluoride (SF6) gas was performed followed by face-down positioning again. Fourteen days after surgery, we confirmed the findings of both the anatomical closure in OCT and hypofluorescence on FAF. Two months later, MH remained closed. Conclusions: FAF might be a useful measure as a supportive method to guide release from posture restriction.",
author = "Mitsuru Arima and Masanori Miyazaki and Kohno, {Ri Ichiro} and Yasuaki Hata and Tatsuro Ishibashi",
year = "2009",
month = "1",
day = "1",
doi = "10.1007/s00417-008-1006-1",
language = "English",
volume = "247",
pages = "711--714",
journal = "Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie",
issn = "0065-6100",
publisher = "Springer Verlag",
number = "5",

}

TY - JOUR

T1 - An early "reopening" case of idiopathic macular hole; supportive usefulness of fundus autofluorescence

AU - Arima, Mitsuru

AU - Miyazaki, Masanori

AU - Kohno, Ri Ichiro

AU - Hata, Yasuaki

AU - Ishibashi, Tatsuro

PY - 2009/1/1

Y1 - 2009/1/1

N2 - Background: Anatomical closure of macular holes (MH) is now largely confirmed by optical coherence tomography (OCT). Fundus autofluorescence (FAF) is also helpful in diagnosis and anatomical estimation of MH. We report a case of early reopening of anatomically closed MH, 2 days after release from face-down positioning where FAF abnormalities proceeded OCT findings. Methods: A case report. A 67-year-old woman underwent vitrectomy with brilliant blue G-assisted ILM peeling for the treatment of full-thickness stage 4 MH (diameter 578 μm). FAF and OCT were used to evaluate the patient. Results: On post operative day 3, OCT showed anatomical closure of MH, but FAF persistently demonstrated hyperfluorescence in the fovea. On post operative day 5, 2 days after termination of positioning, OCT showed reopening of the MH. Intra-vitreous injection of 50 % sulfur hexafluoride (SF6) gas was performed followed by face-down positioning again. Fourteen days after surgery, we confirmed the findings of both the anatomical closure in OCT and hypofluorescence on FAF. Two months later, MH remained closed. Conclusions: FAF might be a useful measure as a supportive method to guide release from posture restriction.

AB - Background: Anatomical closure of macular holes (MH) is now largely confirmed by optical coherence tomography (OCT). Fundus autofluorescence (FAF) is also helpful in diagnosis and anatomical estimation of MH. We report a case of early reopening of anatomically closed MH, 2 days after release from face-down positioning where FAF abnormalities proceeded OCT findings. Methods: A case report. A 67-year-old woman underwent vitrectomy with brilliant blue G-assisted ILM peeling for the treatment of full-thickness stage 4 MH (diameter 578 μm). FAF and OCT were used to evaluate the patient. Results: On post operative day 3, OCT showed anatomical closure of MH, but FAF persistently demonstrated hyperfluorescence in the fovea. On post operative day 5, 2 days after termination of positioning, OCT showed reopening of the MH. Intra-vitreous injection of 50 % sulfur hexafluoride (SF6) gas was performed followed by face-down positioning again. Fourteen days after surgery, we confirmed the findings of both the anatomical closure in OCT and hypofluorescence on FAF. Two months later, MH remained closed. Conclusions: FAF might be a useful measure as a supportive method to guide release from posture restriction.

UR - http://www.scopus.com/inward/record.url?scp=64449084541&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=64449084541&partnerID=8YFLogxK

U2 - 10.1007/s00417-008-1006-1

DO - 10.1007/s00417-008-1006-1

M3 - Article

VL - 247

SP - 711

EP - 714

JO - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie

JF - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie

SN - 0065-6100

IS - 5

ER -