Ophthalmic Research

Original Paper

Dynamics of Macular Hole Closure in Gas-Filled Eyes within 24 h of Surgery Observed with Swept Source Optical Coherence Tomography

Kikushima W.a · Imai A.a · Toriyama Y.a · Hirano T.a · Murata T.a · Ishibashi T.b

Author affiliations

aDepartment of Ophthalmology, School of Medicine, Shinshu University, Matsumoto, and bDepartment of Ophthalmology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Keywords: Face-down posturingGas tamponadeInternal limiting membrane peelingMacular holeSwept source optical coherence tomographyVitrectomy

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Ophthalmic Res 2015;53:48-54
https://doi.org/10.1159/000368437

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 08, 2014
Accepted: September 15, 2014
Published online: December 18, 2014
Issue release date: January 2015

Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 1

ISSN: 0030-3747 (Print)
eISSN: 1423-0259 (Online)

For additional information: https://www.karger.com/ORE

Abstract

Background/Aims: To investigate the dynamics of macular hole (MH) closure in gas-filled eyes starting 20 min after vitrectomy using swept source optical coherence tomography (SS-OCT). Methods: Twenty consecutive eyes with MH underwent vitrectomy with internal limiting membrane peeling and gas tamponade. SS-OCT imaging was performed approximately 20 min after the operation, and then once a day, until MH closure was confirmed. The correlation between the base, top and minimum hole diameters and the duration required for MH closure was investigated. Results: MH closure in gas-filled eyes was confirmed in 1 eye on day 0, 10 eyes on day 1, 2 eyes on day 2, and 3 eyes on day 3, at which times face-down posturing was discontinued without MH recurrence. SS-OCT revealed a distinct closure pattern within the first 24 h postoperatively. MHs closing by day 1 had a significantly smaller minimum diameter (312.5 ± 105.2 µm) than holes closing on day 2 or later (510.8 ± 153.5 µm; p = 0.019). Conclusions: SS-OCT enables tomographic images of MH in gas-filled eyes immediately postoperatively, thus permitting early discontinuation of, or no necessity for, face-down positioning upon confirmation of MH closure.

© 2014 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 08, 2014
Accepted: September 15, 2014
Published online: December 18, 2014
Issue release date: January 2015

Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 1

ISSN: 0030-3747 (Print)
eISSN: 1423-0259 (Online)

For additional information: https://www.karger.com/ORE

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2015, Vol.53, No. 1

January 2015

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