Skip to main content
Top
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 3/2009

01-03-2009 | Retinal Disorders

Spectral-domain optical coherence tomography images of inner/outer segment junctions and macular hole surgery outcomes

Authors: Maiko Inoue, Yoichiro Watanabe, Akira Arakawa, Shimpei Sato, Satoshi Kobayashi, Kazuaki Kadonosono

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 3/2009

Login to get access

Abstract

Background

To evaluate the ability of spectral-domain optical coherence tomography (SD-OCT) images of the inner/outer segment (IS/OS) junction to predict macular hole surgery outcomes.

Methods

Fifty-four eyes in 53 patients with idiopathic macular holes were studied. Postoperative visual acuity and SD-OCT images of the fovea were examined before and 12 months after surgery. The total area and the maximum length of the IS/OS junction defect were measured.

Results

The macular holes were successfully closed in all the eyes included in this series. The mean logMAR visual acuity improved significantly from 0.67 ± 0.25 preoperatively to 0.16 ± 0.22 postoperatively (p < 0.001). The mean total area and maximum length of the IS/OS junction defect at 12 months after surgery were 10,185 ± 1,537 μm2 and 100.5 ± 10.4 μm respectively; these values were significantly negatively correlated with the postoperative visual acuity.

Conclusion

SD-OCT is useful for quantitatively measuring IS/OS junction defects. The postoperative IS/OS junction may play an important role in visual recovery after macular hole surgery.
Literature
1.
go back to reference Baba T, Yamamoto S, Arai M et al (2008) Correlation of visual recovery and presence of photoreceptor inner/outer segment junction in optical coherence images after successful macular hole repair. Retina 28:453–458PubMedCrossRef Baba T, Yamamoto S, Arai M et al (2008) Correlation of visual recovery and presence of photoreceptor inner/outer segment junction in optical coherence images after successful macular hole repair. Retina 28:453–458PubMedCrossRef
2.
go back to reference Chang LK, Koizumi H, Spaide RF et al (2008) Disruption of the photoreceptor inner segment–outer segment junction in eyes with macular holes. Retina 28:969–975PubMedCrossRef Chang LK, Koizumi H, Spaide RF et al (2008) Disruption of the photoreceptor inner segment–outer segment junction in eyes with macular holes. Retina 28:969–975PubMedCrossRef
5.
go back to reference Gass JD (1995) Reappraisal of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol 119:752–759PubMed Gass JD (1995) Reappraisal of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol 119:752–759PubMed
6.
8.
go back to reference Hee MR, Puliafito CA, Wong C et al (1995) Optical coherence tomography of macular holes. Ophthalmology 102:748–756PubMed Hee MR, Puliafito CA, Wong C et al (1995) Optical coherence tomography of macular holes. Ophthalmology 102:748–756PubMed
11.
go back to reference Kelly NE, Wendel RT (1991) Vitreous surgery for idiopathic macular holes. Results of a pilot study. Arch Ophthalmol 109:654–659 Kelly NE, Wendel RT (1991) Vitreous surgery for idiopathic macular holes. Results of a pilot study. Arch Ophthalmol 109:654–659
13.
go back to reference Ko TH, Fujimoto JG, Schuman JS et al (2005) Comparison of ultrahigh- and standard-resolution optical coherence tomography for imaging macular pathology. Ophthalmology 112:1922PubMedCrossRef Ko TH, Fujimoto JG, Schuman JS et al (2005) Comparison of ultrahigh- and standard-resolution optical coherence tomography for imaging macular pathology. Ophthalmology 112:1922PubMedCrossRef
14.
15.
go back to reference Madreperla SA, Geiger GL, Funata M, de la Cruz Z, Green WR (1994) Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade. Ophthalmology 101:682–686PubMed Madreperla SA, Geiger GL, Funata M, de la Cruz Z, Green WR (1994) Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade. Ophthalmology 101:682–686PubMed
17.
go back to reference Michalewska Z, Michalewski J, Cisiecki S, Adelman R, Nawrocki J (2008) Correlation between foveal structure and visual outcome following macular hole surgery: a spectral optical coherence tomography study. Graefes Arch Clin Exp Ophthalmol 246:823–830, doi:10.1007/s00417–007–0764–5 PubMedCrossRef Michalewska Z, Michalewski J, Cisiecki S, Adelman R, Nawrocki J (2008) Correlation between foveal structure and visual outcome following macular hole surgery: a spectral optical coherence tomography study. Graefes Arch Clin Exp Ophthalmol 246:823–830, doi:10.​1007/​s00417–007–0764–5 PubMedCrossRef
18.
go back to reference Puliafito CA, Hee MR, Lin CP et al (1995) Imaging of macular diseases with optical coherence tomography. Ophthalmology 102:217–229PubMed Puliafito CA, Hee MR, Lin CP et al (1995) Imaging of macular diseases with optical coherence tomography. Ophthalmology 102:217–229PubMed
23.
24.
go back to reference Wendel RT, Patel AC, Kelly NE, Salzano TC, Wells JW, Novack GD (1993) Vitreous surgery for macular holes. Ophthalmology 100:1671–1676PubMed Wendel RT, Patel AC, Kelly NE, Salzano TC, Wells JW, Novack GD (1993) Vitreous surgery for macular holes. Ophthalmology 100:1671–1676PubMed
Metadata
Title
Spectral-domain optical coherence tomography images of inner/outer segment junctions and macular hole surgery outcomes
Authors
Maiko Inoue
Yoichiro Watanabe
Akira Arakawa
Shimpei Sato
Satoshi Kobayashi
Kazuaki Kadonosono
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 3/2009
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-008-0999-9

Other articles of this Issue 3/2009

Graefe's Archive for Clinical and Experimental Ophthalmology 3/2009 Go to the issue