May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Fundus Autofluorescence Before and After Vitrectomy in Eyes With Idiopathic Macular Holes
Author Affiliations & Notes
  • N. Tomita
    Kagawa Univ Sch of Medicine, Kidagun, Japan
  • C. Shiragami
    Kagawa Univ Sch of Medicine, Kidagun, Japan
  • T. Masuda
    Kagawa Univ Sch of Medicine, Kidagun, Japan
  • H. Nomoto
    Kagawa Univ Sch of Medicine, Kidagun, Japan
  • H. Yamaji
    Kagawa Univ Sch of Medicine, Kidagun, Japan
  • T. Miyoshi
    Miyoshi Eye Clinic, Fukuyama City, Japan
  • F. Shiraga
    Kagawa Univ Sch of Medicine, Kidagun, Japan
  • Footnotes
    Commercial Relationships  N. Tomita, None; C. Shiragami, None; T. Masuda, None; H. Nomoto, None; H. Yamaji, None; T. Miyoshi, None; F. Shiraga, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 4676. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      N. Tomita, C. Shiragami, T. Masuda, H. Nomoto, H. Yamaji, T. Miyoshi, F. Shiraga; Fundus Autofluorescence Before and After Vitrectomy in Eyes With Idiopathic Macular Holes. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4676.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose: : To evaluate the fundus-autofluorescence imaging before and after vitrectomy in eyes with idiopathic macular holes.

Methods: : Sixteen consecutive eyes with idiopathic macular holes underwent vitrectomy with inner limiting membrane (ILM) peeling. Visual acuity testing, fundus-autofluorescence, and optical coherence tomography were performed at baseline, 1 week, 1 and 3 months after surgery. The fundus-autofluorescence images were obtained using Heidelberg Retina Angiograph 2 (Heidelberg Engineering, Heidelberg, Germany).

Results: : Stage 2, 3, and 4 macular holes were present in 4, 5, and 7 eyes, respectively. In all eyes, macular holes were successfully closed after surgery. All eyes showed marked hyperautofluorescence corresponding to the macular hole, and fluid cuff revealed mild hyperautofluorescence in 8 eyes. All stage 2 holes showed crescent-shaped hyperautofluorescence, and stage 3 holes showed round hyperautofluorescence with small disc-like hypoautofluorescence corresponding to preretinal pseudooperculum. At 1 week after surgery, the hyperautofluorescence completely disappeared in 14 eyes, while mild hyperautofluorescence remained in 2 eyes. At 1 month after surgery, although macular holes remained closed, obscure hyperautofluorescence recurred in 4 eyes. In 12 eyes, focal hypoautofluorescence was seen inside of areas of ILM peeling, and 7 eyes of them showed hypoautofluorescence along the retinal nerve fiber layer. However, all these abnormal findings spontaneously disappeared at 3 months.

Conclusions: : Fundus-autofluorescence is noninvasive and might be useful in evaluating therapeutic success and retinal damage caused by retinal manipulation during surgery.

Keywords: anatomy 
×
×

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.

×