May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Optical Coherence Tomography Characteristics of Full-Thickness Traumatic Macular Hole
Author Affiliations & Notes
  • R. A. Garcia Arismendi
    Retina & Vitreous Service, Clinica Oftal Centro Caracas, Caracas Dtto Federal, Venezuela
  • J. G. Sanchez
    Retina & Vitreous Service, Clinica Oftal Centro Caracas, Caracas Dtto Federal, Venezuela
  • R. A. Costa
    Division of Macula, Hospital de Olhos de Araraquara, SP, Brazil, Brazil
  • M. E. Farah
    Oftalmologia, Universidad Federal de São Paulo, Sao Paulo, Brazil
  • M. H. Berrocal
    Retina & Vitreous Service, University of Puerto Rico, San Juan, Puerto Rico
  • F. Graue-Wiechers
    Retina & Vitreous Service, Fundacion Conde Valenciana, Mexico city, Mexico
  • C. Lizana
    Retina & Vitreous Service, Fundacion Conde Valenciana, Mexico city, Mexico
  • V. Robledo
    Retina & Vitreous Service, Fundacion Conde Valenciana, Mexico city, Mexico
  • M. Lopera
    Oftalmologia, Instituto de Ciencias de la Salud, CES, Medellin, Colombia
  • J. F. Arevalo
    Retina & Vitreous Service, Clinica Oftal Centro Caracas, Caracas Dtto Federal, Venezuela
  • Footnotes
    Commercial Relationships R.A. Garcia Arismendi, None; J.G. Sanchez, None; R.A. Costa, None; M.E. Farah, None; M.H. Berrocal, None; F. Graue-Wiechers, None; C. Lizana, None; V. Robledo, None; M. Lopera, None; J.F. Arevalo, None.
  • Footnotes
    Support Supported in part by the Arevalo-Coutinho Foundation for Research in Ophthalmology, Caracas, Venezuela
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 117. doi:https://doi.org/
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      R. A. Garcia Arismendi, J. G. Sanchez, R. A. Costa, M. E. Farah, M. H. Berrocal, F. Graue-Wiechers, C. Lizana, V. Robledo, M. Lopera, J. F. Arevalo; Optical Coherence Tomography Characteristics of Full-Thickness Traumatic Macular Hole. Invest. Ophthalmol. Vis. Sci. 2007;48(13):117. doi: https://doi.org/.

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

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Abstract

Purpose:: To describe the optical coherence tomography (OCT) characteristics of patients with full-thickness traumatic macular hole (TMH) and to correlate them with biomicroscopy and fluorescein angiography (FA) findings.

Methods:: Observational retrospective multicenter study at 6 centers from 5 countries. Twelve eyes of 10 consecutive patients with full-thickness TMH participated in this study. Patients underwent biomicroscopic fundus examination, color fundus photography and OCT. Main outcome measures included OCT characteristics, and correlation with biomicroscopy and FA.

Results:: Traumatic macular hole was documented with OCT in five woman and five men. Mean (range) Time between trauma and MH diagnosis was 8.1 (between 1- to 24) months (mean: 8.1 months). The shape of TMHs was round in 11 (91.7%) eyes. The posterior vitreous was completely detached in 6 (50%) eyes, and with an operculum in one (8.3%) eye. The most common findings seen on OCT were: 1) Full-thickness loss of retinal tissue through the hole with sharp edges perpendicular to the retinal pigment epithelium in 5 (41.7%) eyes; 2) TMH with an operculum totally detached from the hole’s edge in 2 (16.7%) eyes; 3) Presence of epiretinal membrane around of hole in three (25%) eyes; and 4) Presence of abnormalities of the surrounding retina in all (100%) eyes including: a) Nonreflective spaces within the neurosensory retina surrounding the hole (cysts) 6 (50%) eyes, b) Region of slightly reduced optical reflectivity and increased retinal thickness evident in the region surrounding the hole (intraretinal edema) in 6 (50%) eyes, c) Minimally reflective space within or beneath the neurosensory retina in the fovea (subretinal cuff of fluid) in 9 (75%) eyes. Our characteristics correlated well with biomicroscopic findings. However, the characteristics of the surrounding retina that were evident on OCT were not seen clearly with FA, and these characteristics may be predictive for final visual acuity (VA) in TMHs. Only one of the TMH closed spontaneously in our series.

Conclusions:: Optical coherence tomography complements biomicroscopy, and FA in the evaluation of full-thickness TMHs. Optical coherence tomography findings and abnormalities of the surrounding retina may be important predictors of VA after surgery.

Keywords: imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • retina • imaging/image analysis: clinical 
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