Wide-field laser ophthalmoscopy for imaging of gas-filled eyes after macular hole surgery

Shintaro Nakao, Ryoichi Arita, Yuki Sato, Hiroshi Enaida, Akifumi Ueno, Takaaki Matsui, Hani Salehi-Had, Tatsuro Ishibashi, Koh Hei Sonoda

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1623-1630
Number of pages8
JournalClinical Ophthalmology
Volume10
DOIs
Publication statusPublished - Aug 24 2016

All Science Journal Classification (ASJC) codes

  • Ophthalmology

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