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 |