Abstract
Purpose :
To evaluate the feasibility and utility of microscope integrated optical coherence tomography (MIOCT) in patients undergoing full thickness neurosensory retinal autograft for refractory macular hole associated retinal detachment.
Methods :
We analyzed two eyes of two patients who had undergone a neurosensory retinal autograft for large macular hole associated retinal detachment. Both cases had MIOCT guided placement and sizing of the retinal autograft. Time taken for obtaining MIOCT images, real-timemorphology of the retinal autograft (intraoperative and postoperative), anatomic and functional outcomes were noted.
Results :
The first case had optic disc pit related maculopathy with a large macular hole and total retinal detachment. She had undergone a vitrectomy with internal limiting membrane peeling elsewhere. The second patient had a treatment naive large macular hole with total retinal detachment. Both patients underwent vitrectomy with MIOCT guided autologous neurosensory retinal autograft placement and silicone oil tamponade. At 6 month and 3-month follow-up respectively, both patients had closed macular holes, attached retinas, and improvement in visual acuity.
Conclusions :
MIOCT provides intra-operative visualization of macular holes and provides real-time feedback regarding dimensions of the retinal autograft, thus aiding in, accurate sizing of the graft. This ensures that the autograft fits snugly in the macular hole, thereby restoring the macular structure.
This abstract was presented at the 2019 ARVO Imaging in the Eye Conference, held in Vancouver, Canada, April 26-27, 2019.