April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Imaging of Macular holes using adaptive optics
Author Affiliations & Notes
  • Maher Saleh
    Ophthalmology, University Hospital of Besancon, Besancon, France
  • Adeline Koehl
    Ophthalmology, University Hospital of Besancon, Besancon, France
  • Mathieu Flores
    Ophthalmology, University Hospital of Besancon, Besancon, France
  • Guillaume Debellemanière
    Ophthalmology, University Hospital of Besancon, Besancon, France
  • Bernard Y Delbosc
    Ophthalmology, University Hospital of Besancon, Besancon, France
  • Footnotes
    Commercial Relationships Maher Saleh, None; Adeline Koehl, None; Mathieu Flores, None; Guillaume Debellemanière, None; Bernard Delbosc, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 1588. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Maher Saleh, Adeline Koehl, Mathieu Flores, Guillaume Debellemanière, Bernard Y Delbosc; Imaging of Macular holes using adaptive optics. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1588.

      Download citation file:


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

      ×
  • Supplements
Abstract 
 
Purpose
 

To report a new way of imaging macular hole surface using adaptive optics (AO).

 
Methods
 

Sixteen patients presenting a full-thickness macular hole (MH) were imaged before surgery using an adaptive optics retinal camera (RTX-1, Imagine Eyes, Orsay, France). Focus was set on the surface of the retina and centered on the MH. Reproducibility of AO measurements was assessed by 2 independents graders. A morphometric comparison of the MH using AO and SD-OCT (Spectralis, Heidelberg, Germany) was carried out. Finally, the relationship between the area, the horizontal (HD), and the vertical (VD) diameter of the MH and the postoperative visual acuity (VA) was studied.

 
Results
 

AO provided highly reproducible measurements (r2=0.97, p< 0.0001 between the 2 readers). The agreement between AO and OCT measurements was also excellent (r2=0.97, p< 0.0001). It appeared that HD was the parameter most strongly correlated to VA (r2=0.47, p=0.01), followed by the surface area (r2=0.32, p=0.05), whereas the shape of the MH(evaluated by the ratio HD/VD) was poorly related to the visual outcome (r2=0.27, p>0.05). The presence and size of cysts observed on AO images corresponded to retinal cysts located in the inner plexiform and outer nuclear layers on cross-sectional OCT scans.

 
Conclusions
 

AO allows measurements of the MH surface with unmatched precision. Further studies on the clinical application of AO imaging of MH are warranted.

 
 
Sample of MH imaging using Adaptive Optics.
 
Sample of MH imaging using Adaptive Optics.
 
Keywords: 550 imaging/image analysis: clinical • 586 macular holes  
×
×

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.

×