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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 1/2018

01-01-2018 | Retinal Disorders

Choriocapillaris layer imaging with swept-source optical coherence tomography angiography in lamellar and full-thickness macular hole

Authors: Jaemoon Ahn, Gyeongmin Yoo, Jee Taek Kim, Seong-Woo Kim, Jaeryung Oh

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 1/2018

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Abstract

Purpose

To present characteristics of choriocapillaris layer imaging with swept-source optical coherence tomography angiography (SS-OCTA) in eyes with macular hole (MH).

Methods

Patients with MH were included. Vascular density of choriocapillaris (VDC) and central flow void areas were obtained using SS-OCTA. Data were compared with age- and gender-matched normal controls.

Results

Fifty-one patients with MH and 51 controls were included. Among the 51 patients with MH, 19 had lamellar MH (LMH) and 32 had full-thickness MH (FTMH). While VDC in LMH (79.26 ± 4.06%) was not significantly different from that seen in fellow eyes (79.88 ± 4.28%, P = 0.729) and normal controls (80.53 ± 4.21%, P = 1.000), VDC in surgically closed FTMH (74.60 ± 7.37%) was similar to that of fellow eyes (75.45 ± 7.39%, P = 0.400) but lower than that of controls (78.37 ± 7.13%, P = 0.011). On univariate analysis of 32 patients with unilateral sealed FTMH, VDC was not correlated with basal hole area (P = 0.797) or preoperative area of disrupted ellipsoid zone (P = 0.863). Central flow void was detected in 32 eyes. Mean central flow void area was 0.82 ± 0.84 mm2, which correlated with preoperative area of disrupted ellipsoid zone (P = 0.001).

Conclusions

Choriocapillaris layer imaging using SS-OCTA showed that choriocapillaris in both eyes of patients with unilateral FTMH had different characteristics from eyes with LMH or normal controls. These results suggest that variation in choriocapillaris layer flow is involved in the pathogenesis of MH.
Literature
3.
go back to reference McDonnell PJ, Fine SL, Hillis AI (1982) Clinical features of idiopathic macular cysts and holes. Am J Ophthalmol 93:777–786CrossRefPubMed McDonnell PJ, Fine SL, Hillis AI (1982) Clinical features of idiopathic macular cysts and holes. Am J Ophthalmol 93:777–786CrossRefPubMed
4.
go back to reference Haouchine B, Massin P, Gaudric A (2001) Foveal pseudocyst as the first step in macular hole formation: a prospective study by optical coherence tomography. Ophthalmology 108:15–22CrossRefPubMed Haouchine B, Massin P, Gaudric A (2001) Foveal pseudocyst as the first step in macular hole formation: a prospective study by optical coherence tomography. Ophthalmology 108:15–22CrossRefPubMed
10.
go back to reference Lane M, Moult EM, Novais EA, Louzada RN, Cole ED, Lee B, Husvogt L, Keane PA, Denniston AK, Witkin AJ, Baumal CR, Fujimoto JG, Duker JS, Waheed NK (2016) Visualizing the choriocapillaris under drusen: comparing 1050-nm swept-source versus 840-nm spectral-domain optical coherence tomography angiography. Invest Ophthalmol Vis Sci 57:OCT585–OCT590. https://doi.org/10.1167/iovs.15-18915 CrossRefPubMedPubMedCentral Lane M, Moult EM, Novais EA, Louzada RN, Cole ED, Lee B, Husvogt L, Keane PA, Denniston AK, Witkin AJ, Baumal CR, Fujimoto JG, Duker JS, Waheed NK (2016) Visualizing the choriocapillaris under drusen: comparing 1050-nm swept-source versus 840-nm spectral-domain optical coherence tomography angiography. Invest Ophthalmol Vis Sci 57:OCT585–OCT590. https://​doi.​org/​10.​1167/​iovs.​15-18915 CrossRefPubMedPubMedCentral
16.
go back to reference Takahashi H, Kishi S (2000) Tomographic features of a lamellar macular hole formation and a lamellar hole that progressed to a full-thickness macular hole. Am J Ophthalmol 130:677–679CrossRefPubMed Takahashi H, Kishi S (2000) Tomographic features of a lamellar macular hole formation and a lamellar hole that progressed to a full-thickness macular hole. Am J Ophthalmol 130:677–679CrossRefPubMed
19.
go back to reference Theodossiadis PG, Grigoropoulos VG, Theodossiadis GP (2011) The significance of the external limiting membrane in the recovery of photoreceptor layer after successful macular hole closure: a study by spectral domain optical coherence tomography. Ophthalmologica 225:176–184. https://doi.org/10.1159/000323322 CrossRefPubMed Theodossiadis PG, Grigoropoulos VG, Theodossiadis GP (2011) The significance of the external limiting membrane in the recovery of photoreceptor layer after successful macular hole closure: a study by spectral domain optical coherence tomography. Ophthalmologica 225:176–184. https://​doi.​org/​10.​1159/​000323322 CrossRefPubMed
20.
go back to reference Gherghel D, Orgul S, Gugleta K, Gekkieva M, Flammer J (2000) Relationship between ocular perfusion pressure and retrobulbar blood flow in patients with glaucoma with progressive damage. Am J Ophthalmol 130:597–605CrossRefPubMed Gherghel D, Orgul S, Gugleta K, Gekkieva M, Flammer J (2000) Relationship between ocular perfusion pressure and retrobulbar blood flow in patients with glaucoma with progressive damage. Am J Ophthalmol 130:597–605CrossRefPubMed
22.
go back to reference Adhi M, Liu JJ, Qavi AH, Grulkowski I, Lu CD, Mohler KJ, Ferrara D, Kraus MF, Baumal CR, Witkin AJ, Waheed NK, Hornegger J, Fujimoto JG, Duker JS (2014) Choroidal analysis in healthy eyes using swept-source optical coherence tomography compared to spectral domain optical coherence tomography. Am J Ophthalmol 157:1272–1281.e1271. https://doi.org/10.1016/j.ajo.2014.02.034 CrossRefPubMed Adhi M, Liu JJ, Qavi AH, Grulkowski I, Lu CD, Mohler KJ, Ferrara D, Kraus MF, Baumal CR, Witkin AJ, Waheed NK, Hornegger J, Fujimoto JG, Duker JS (2014) Choroidal analysis in healthy eyes using swept-source optical coherence tomography compared to spectral domain optical coherence tomography. Am J Ophthalmol 157:1272–1281.e1271. https://​doi.​org/​10.​1016/​j.​ajo.​2014.​02.​034 CrossRefPubMed
26.
27.
go back to reference Lovasik JV, Kergoat H (2012) Systemic determinants. In: Schmetterer L, Kiel JW (eds) Ocular blood flow. Springer, New York, pp 173–210CrossRef Lovasik JV, Kergoat H (2012) Systemic determinants. In: Schmetterer L, Kiel JW (eds) Ocular blood flow. Springer, New York, pp 173–210CrossRef
30.
go back to reference Gass JD (1976) Lamellar macular hole: a complication of cystoid macular edema after cataract extraction. Arch Ophthalmol 94:793–800CrossRefPubMed Gass JD (1976) Lamellar macular hole: a complication of cystoid macular edema after cataract extraction. Arch Ophthalmol 94:793–800CrossRefPubMed
34.
go back to reference Riva CE, Titze P, Hero M, Petrig BL (1997) Effect of acute decreases of perfusion pressure on choroidal blood flow in humans. Invest Ophthalmol Vis Sci 38:1752–1760PubMed Riva CE, Titze P, Hero M, Petrig BL (1997) Effect of acute decreases of perfusion pressure on choroidal blood flow in humans. Invest Ophthalmol Vis Sci 38:1752–1760PubMed
35.
go back to reference Riva CE, Titze P, Hero M, Movaffaghy A, Petrig BL (1997) Choroidal blood flow during isometric exercises. Invest Ophthalmol Vis Sci 38:2338–2343PubMed Riva CE, Titze P, Hero M, Movaffaghy A, Petrig BL (1997) Choroidal blood flow during isometric exercises. Invest Ophthalmol Vis Sci 38:2338–2343PubMed
38.
go back to reference Flower RW, Fryczkowski AW, McLeod DS (1995) Variability in choriocapillaris blood flow distribution. Invest Ophthalmol Vis Sci 36:1247–1258PubMed Flower RW, Fryczkowski AW, McLeod DS (1995) Variability in choriocapillaris blood flow distribution. Invest Ophthalmol Vis Sci 36:1247–1258PubMed
Metadata
Title
Choriocapillaris layer imaging with swept-source optical coherence tomography angiography in lamellar and full-thickness macular hole
Authors
Jaemoon Ahn
Gyeongmin Yoo
Jee Taek Kim
Seong-Woo Kim
Jaeryung Oh
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 1/2018
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-017-3814-7

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