Imaging scleral expansion bands for presbyopia with optical coherence tomography.
A 57-year-old woman was treated for mild presbyopia with implantation of scleral expansion bands (SEB). Although near vision was temporarily restored, the effect dissipated after 1 year. Slitlamp-adapted optical coherence tomography (OCT) at 1310 nm allowed precise cross-sectional visualization of the hyporeflective intrascleral segments. The OCT method provided precise images of the segment depth and thickness, the scleral thickness at the scleral spur, the anterior chamber angle, and the angle-opening distance. Intrascleral tilting of 1 segment was seen; this required removal of the SEB because of marked foreign-body sensation. Noncontact, slitlamp-adapted OCT can be used to evaluate scleral changes after SEB implantation.
Wirbelauer
Christopher
C
Klinik für Augenheilkunde, Vivantes Klinikum Neukölln, Berlin, Germany. knk.augen@vivantes.de
Karandish
Amir
A
Aurich
Henning
H
Pham
Duy Thoai
DT
D005260:Female; D006801:Humans; D008875:Middle Aged; D019904:Polymethyl Methacrylate; D011305:Presbyopia / Q000175:diagnosis / Q000601:surgery*; D012590:Sclera / Q000473:pathology / Q000601:surgery*; D016639:Scleroplasty / Q000379:methods*; D015626:Tissue Expansion / Q000379:methods*; D015625:Tissue Expansion Devices; D041623:Tomography, Optical Coherence
D019904:Polymethyl Methacrylate