April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Evaluation of Post-Operative Scleral Buckle Patients With Spectral Domain Optical Coherence Tomography
Author Affiliations & Notes
  • S. F. Oster
    Ophthalmology, Shiley Eye Center, San Diego, California
  • F. Mojana
    Ophthalmology, Shiley Eye Center, San Diego, California
  • W. R. Freeman
    Ophthalmology, Shiley Eye Center, San Diego, California
  • Footnotes
    Commercial Relationships  S.F. Oster, None; F. Mojana, None; W.R. Freeman, None.
  • Footnotes
    Support  NIH Grant EY07366 (WRF)
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 6072. doi:
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    • Get Citation

      S. F. Oster, F. Mojana, W. R. Freeman; Evaluation of Post-Operative Scleral Buckle Patients With Spectral Domain Optical Coherence Tomography. Invest. Ophthalmol. Vis. Sci. 2010;51(13):6072.

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

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Abstract

Purpose: : To describe the spectral domain optical coherence tomography (SD-OCT) appearance of the peripheral retina and overlying vitreous after scleral buckle surgery, and to illustrate that SD-OCT is a useful clinical complement in post-operative scleral buckle patients.

Methods: : We performed a retrospective case series of 13 eyes from 12 patients who underwent scleral buckle surgery and had subsequent simultaneous scanning laser ophthalmoscope (SLO)/SD-OCT images over the area of buckled retina. The Heidelberg Spectralis (Vista, CA) SLO/SD-OCT was used, and a combination of vertical and horizontal scans provided both perpendicular and tangential images over scleral buckles. Simultaneous co-localization with SLO allowed precise correlation of SD-OCT features with retinal findings documented on color fundus photography.

Results: : SLO/SD-OCT images were obtained in 13 eyes after scleral buckle surgery, including 7 encircling buckles, 4 radial sponges, and 2 segmental buckles. The SLO/SD-OCT images provided detailed views of attached retina in 11 eyes and elevated retina with persistent sub-retinal fluid in 2 eyes. The scleral buckle indentation was seen clearly in 9 eyes, and the causative retinal break visualized on SD-OCT in 6 cases. In the 2 cases with persistent sub-retinal fluid, overlying retinal flap tears were not well centered on the radial elements. This was confirmed by SD-OCT, which also captured the extent of sub-retinal fluid, allowed for comparison over time post-operatively, and documented its resolution in one case after C3F8 gas injection. A single patient underwent a combined vitrectomy/scleral buckle, and SD-OCT showed bare retinal pigment epithelium in the retinal tear bed and attached surrounding retina. Finally, the overlying vitreous was seen in 10 patients, and in 6 cases residual vitreous strands adherent to the edge of retinal breaks could be documented on SD-OCT.

Conclusions: : Simultaneous SLO/SD-OCT allows detailed examination of the peripheral retina and overlying vitreous after scleral buckle surgery. Along with confirmation that the retina is attached and retinal breaks properly positioned, the SLO/SD-OCT can be used in the post-operative management of scleral buckles to identify residual vitreous traction and monitor areas of sub-retinal fluid.

Keywords: retinal detachment • vitreoretinal surgery • retina 
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