J Korean Ophthalmol Soc > Volume 56(9); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(9):1386-1391.
DOI: https://doi.org/10.3341/jkos.2015.56.9.1386    Published online September 15, 2015.
Swept Source Optical Coherence Tomography Findings in Gas-Filled Eyes after Macular Hole Surgery.
Sae Mi Park, Sung Won Cho, Tae Gon Lee
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. idoc@kimeye.com
황반원공 수술 후 가스 충전안에서 파장 가변 빛간섭단층촬영 소견
박새미⋅조성원⋅이태곤
건양대학교 의과대학 김안과병원 안과학교실
Received: 5 December 2014   • Revised: 20 April 2015   • Accepted: 23 July 2015
Abstract
PURPOSE
To investigate the ability to determine the postoperative status of macular hole (MH) in gas-filled eyes using swept source optical coherence tomography (SS-OCT). METHODS: Ten eyes of 10 patients who underwent vitrectomy, internal limiting membrane peeling and gas tamponade for idiopathic MH were included in this study. The macular area was examined using SS-OCT on postoperative days 1, 2 and 30. RESULTS: MH status was assessed in 6 eyes (60%) on postoperative day 1 and MH closure was confirmed in 5 of the 6 eyes (83%). MH remained closed in all 5 eyes at 1 month after surgery. Only gas-retinal interface was obtained in 4 eyes (40%) and unclosed MH was found in 1 of the 4 eyes (25%) at 1 month after surgery. CONCLUSIONS: The MH status can be determined using SS-OCT in the early postoperative period even in gas-filled eyes. Confirming early MH closure with SS-OCT can serve as an important guide to significantly shorten the duration of prone positioning while maintaining high closure rates.
Key Words: Gas-filled eye;Macular hole;Swept source optical coherence tomography


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