September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Intraoperative optical coherence tomography analysis of vitreomacular diseases in high myopia
Author Affiliations & Notes
  • Elsa Bruyere
    Ophtalmology, University of Créteil, PARIS, France
    Department of Ophthalmology , Lariboisière Hospital, AP-HP, Paris 7 University, Paris, France
  • Aude Couturier
    Department of Ophthalmology , Lariboisière Hospital, AP-HP, Paris 7 University, Paris, France
  • Elise Philippakis
    Department of Ophthalmology , Lariboisière Hospital, AP-HP, Paris 7 University, Paris, France
  • Benedicte Marie Dupas
    Department of Ophthalmology , Lariboisière Hospital, AP-HP, Paris 7 University, Paris, France
  • Ramin Tadayoni
    Department of Ophthalmology , Lariboisière Hospital, AP-HP, Paris 7 University, Paris, France
  • Footnotes
    Commercial Relationships   Elsa Bruyere, None; Aude Couturier, None; Elise Philippakis, None; Benedicte Dupas, None; Ramin Tadayoni, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 4455. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Elsa Bruyere, Aude Couturier, Elise Philippakis, Benedicte Marie Dupas, Ramin Tadayoni; Intraoperative optical coherence tomography analysis of vitreomacular diseases in high myopia. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4455.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose : Intraoperative Optical Coherence Tomography (iOCT) may be of particular interest in highly myopic eyes whose fundus analysis may be impaired by posterior staphyloma and chorioretinal atrophy, and which have a higher risk of abnormal posterior vitreous detachment and surgical complications. The aim of this study was to describe and analyze changes occurring during vitreomacular surgery in highly myopic eyes detectable by iOCT.

Methods : A retrospective observational analysis was performed on consecutive highly myopic eyes (refractive error <-6,00D, Axial length >26 mm) that underwent vitreomacular surgery with iOCT (RESCAN 700, Carl Zeiss Meditec AG). Surgical indications were myopic epiretinal membrane (ERM), macular hole (MH) and foveoschisis (MFS). The main outcome was the qualitative and quantitative assessment of retinal changes: opening detection, central macular thickness (CMT) changes after peeling in ERM and MFS, minimal diameter changes in MH, after each step of the surgical procedure. Quantitative measurements (in pixels) were manually obtained on iOCT video screen captures.

Results : Twenty-two eyes were included: 6 ERM, 10 MH and 6 MFS. Qualitative analysis of post-peeling iOCT scans allowed detecting a macular opening in 1 eye operated for MFS and an inner retinal defect in 1 eye operated for ERM. Quantitative analysis of post-peeling iOCT scans in ERM and MFS detected no significant change in CMT after ERM and ILM peeling compared to pre-peeling CMT: mean CMT was 51.2 ± 8.1 pixels and 77.8 ± 13.6 pixels before ERM and ILM peeling, respectively, versus 51.0 ± 6.0 pixels and 77.2 ± 13.1 pixels after ERM and ILM peeling, respectively (p= 0.97 and 0.93). Regarding MH, no significant change in mean MH minimal horizontal (19.5 ± 4.3 pixels) or base diameters (51.7 ± 18.4 pixels) was detected after ILM peeling compared to mean pre-peeling MH horizontal and base diameters (20.7 ± 5.0 pixels; p=0.57 and 53.1 ± 14.6 pixels; p=0.86, respectively).

Conclusions : In highly myopic eyes, iOCT allowed accurately visualizing surgically induced retinal changes. This could help to assess post-peeling complications, in particular foveal opening. Conversely, this first quantitative iOCT study in highly myopic eyes did not show a significant change in CMT or MH diameters during surgical procedure.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×