Wide-field laser ophthalmoscopy for imaging of gas-filled eyes after macular hole surgery.
Wide-field laser ophthalmoscopy for imaging of gas-filled eyes after macular hole surgery.
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DOI：
10.2147/opth.s109900
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Sonoda KH
中科院分区：
文献类型：
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作者：
Nakao S;Arita R;Sato Y;Enaida H;Ueno A;Matsui T;Salehi-Had H;Ishibashi T;Sonoda KH
现有的检眼镜检查方法无法在充满气体的眼睛中获得清晰的眼底自发荧光（FAF）图像。本研究的目的是评估宽视野激光检眼镜（Optos）在充气眼中获得FAF图像以评估手术后黄斑裂孔（MH）闭合的能力。这是一个干预性病例系列。连续18例单侧MH患者接受了玻璃体切除联合内界膜剥离和20%六氟化硫气体填充。使用Optos记录术前和术后（第1、2和7天）的FAF图像。在术后第1、2和7天，使用Optos分别从11/18（61.1%）、9/18（50.0%）和17/18（94.4%）只眼获得FAF图像。使用Optos的FAF图像质量足以确定术后9/18（50.0%）充气眼的MH闭合。FAF图像的定量分析有助于确定MH的完全或部分闭合。使用Optos的FAF成像可能是光学相干断层扫描的一个有用的辅助手段，作为一种支持性方法，以指导在某些情况下的MH从面朝下的姿势释放。
Existing ophthalmoscopy methods are unable to obtain clear fundus autofluorescence (FAF) images in gas-filled eyes. The purpose of this study was to evaluate the capability of wide-field laser ophthalmoscopy (Optos) in obtaining FAF images in gas-filled eyes for the assessment of macular hole (MH) closure after surgery. This was an interventional case series. Eighteen consecutive patients with unilateral MH underwent vitrectomy with internal limiting membrane peeling and 20% sulfur hexafluoride gas tamponade. FAF images using Optos were recorded preoperatively and postoperatively (days 1, 2, and 7). On postoperative days 1, 2, and 7, FAF images were obtained from 11/18 (61.1%), 9/18 (50.0%), and 17/18 eyes (94.4%), respectively, using Optos. The quality of FAF images using Optos was sufficient to determine MH closure in 9/18 (50.0%) of gas-filled eyes postoperatively. Quantitative analysis of FAF images was helpful in determining complete or partial closure of the MH. FAF imaging using Optos might be a useful adjunct to optical coherence tomography as a supportive method to guide the release from facedown posturing in some cases of MH.