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Matteo Giuseppe Cereda, Ferdinando Bottoni, Sara Bochicchio, Claudia Orini, Giovanni Staurenghi; Wide-field OCT and vitreo-retinal adherence. Invest. Ophthalmol. Vis. Sci. 2014;55(13):318.
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to show the ability of wide-field OCT (montage images of OCT B-scans obtained on the same line) to visualize the relationship between the vitreous and the retina at the posterior pole, optic nerve and the retina till the mid-periphery
Consecutive, observational case series. 38 eyes of 36 consecutive patients with macular pucker (3 eyes), macular hole (5), lamellar macular hole (7), vitreo-macular traction (9) and normal (14) were included. Montage images of at least 3 OCT B-scans (Heidelberg Spectralis, Heidelberg Engeneering, Germany) (horizontal and vertical through the fovea) were obtained in each case; montage images were composed using picture editing software (Photoshop Elements version 11; Adobe, San Jose, CA)
All 76 montage images were created and all had good quality. In 6 eyes vitreous was not visible in both horizontal and vertical montage images (5 lamellar macular hole and 1 pucker). In other 6 eyes vitreous was visible as full adherent to the retina in both horizontal and vertical montage images (5 normal and 1 traumatic macular hole). In the remaining 26 eyes (9 normal, 2 lamellar macular hole, 2 macular pucker, 9 vitreo-macular traction and 4 macular hole) shallows vitreous detachments were visible in different position and with different size showing an incredibly high variability between the same ocular conditions
Wide-field OCT can clearly show a complete posterior vitreous detachment (when vitreous is not visible), a complete vitreo-retina adhesion (when vitreous is full adherent) and detailed information (including shape and extension) of shallow vitreous detachments. In the era of new therapeutic approach to vitreo-retinal interface diseases, including drugs and small invasive tools for surgery, an in deep knowledge of the vitreo-retinal relation could help ophthalmologists to properly manage patients. Wide-field OCT can show this information. OCT’s manufactures should improve their software including an automatic tool to create montage images
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