Abstract
Purpose :
To measure the vascular density (VD) of the retinal capillary plexuses by optical coherence tomographic angiography (OCTA) after surgery for an idiopathic macular hole (MH).
Methods :
This study was a retrospective, observational case series. Sixteen eyes of 16 patients with an idiopathic MH underwent vitrectomy with internal limiting membrane (ILM) peeling. The VD of the superficial capillary plexus (SCP) and deep capillary plexus (DCP) were determined by OCTA, and the retinal sensitivity (RS) and the inner retinal thickness (IRT) were measured before, and at 3, 6, and 12 months after the surgery. The VD, RS, and IRT were measured at the four parafoveal quadrants.
Results :
The mean age was 68.9 years. The VD of the SCP and DCP were significantly correlated with the RS and IRT at 12 months postoperatively (all P <0.001 for both SCP and DCP). The VDs of the SCP and DCP were higher, the RS more sensitive, and the IRT thicker in the nasal than the temporal quadrant at 12 months (P <0.001, <0.001, =0.009, <0.001, respectively).
Conclusions :
The significant correlation between the VDs of the SCP and DCP and the RS and IRT may be due to the nasal shift of the posterior retina.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.