Intraoperative changes in idiopathic macular holes by spectral-domain optical coherence tomography.
Intraoperative changes in idiopathic macular holes by spectral-domain optical coherence tomography.
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DOI：
10.1159/000328752
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发表时间：
2011-05
影响因子：
0.4
通讯作者：
Fuchizawa C
中科院分区：
文献类型：
--
作者：
Hayashi A;Yagou T;Nakamura T;Fujita K;Oka M;Fuchizawa C
采用手持式光谱域光学相干断层扫描（SD-OCT）检查手术期间特发性黄斑裂孔的解剖学变化。对5例5眼特发性黄斑裂孔手术患者进行了检查。手术包括标准25号、3孔玻璃体切除术、内界膜（ILM）去除、液体-空气交换和20%六氟化硫填塞。术中使用手持式SD-OCT对ILM去除后和液-气交换状态下的黄斑裂孔进行SD-OCT成像，测量并比较黄斑裂孔的基底直径（MHBD）。所有黄斑裂孔在初次手术后均成功闭合。液体-空气交换下的平均MHBD显著小于ILM移除后的平均MHBD和术前平均MHBD。在1只3期黄斑裂孔眼中，SD-OCT图像显示黄斑裂孔的内缘在液气交换下彼此接触。在手术修复黄斑裂孔期间，流体-空气交换显著减少了MHBD。液体-空气交换可能是黄斑裂孔闭合的重要步骤，因为它减小了黄斑裂孔的基底直径。
To examine anatomical changes in idiopathic macular holes during surgery using handheld spectral-domain optical coherence tomography (SD-OCT). Five eyes of 5 patients who underwent surgery for the repair of idiopathic macular holes were examined. The surgery included standard 25-gauge, 3-port pars plana vitrectomy, removal of the internal limiting membrane (ILM), fluid-air exchange, and 20% sulfur hexafluoride tamponade. Intraoperative SD-OCT images of the macular holes were obtained after ILM removal and under fluid-air exchange using a handheld SD-OCT. From SD-OCT images, the macular hole base diameter (MHBD) was measured and compared. All macular holes were successfully closed after the primary surgery. The mean MHBD under fluid-air exchange was significantly smaller than the mean MHBD after ILM removal and the preoperative mean MHBD. In 1 eye with a stage 3 macular hole, SD-OCT images revealed that the inner edges of the macular hole touched each other under fluid-air exchange. Fluid-air exchange significantly reduced MHBD during surgery to repair macular holes. Fluid-air exchange may be an important step for macular hole closure as it reduces the base diameter of the macular hole.
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影响因子：
4.2
作者：
Takahashi, H;Kishi, S
通讯作者：
Kishi, S
影响因子：
13.7
作者：
Chavala, Sai H.;Farsiu, Sina;Toth, Cynthia A.
通讯作者：
Toth, Cynthia A.
影响因子：
4.1
作者：
Mittra, R. A.;Kim, J. E.;Pollack, J. S.
通讯作者：
Pollack, J. S.
DOI：
10.1097/iae.0b013e3181b266bc
发表时间：
2009-11
期刊：
Retina (Philadelphia, Pa.)
影响因子：
--
作者：
Dayani PN;Maldonado R;Farsiu S;Toth CA
通讯作者：
Toth CA
影响因子：
2.4
作者：
Yagi, Fumihiko;Sato, Yukihiro;Tomita, Goji
通讯作者：
Tomita, Goji