Optical coherence tomography in asteroid hyalosis.
OBJECTIVE
To demonstrate the clinical utility of optical coherence tomography (OCT) in diagnosing macular structural abnormalities in patients with asteroid hyalosis.


METHODS
Case series.


RESULTS
Seven eyes of seven patients underwent OCT due to inadequate funduscopic visualization secondary to asteroid hyalosis. Fluorescein angiography and B-scan ultrasonography were conducted for two patients but failed to provide diagnostic clarity. OCT provided definitive anatomical diagnoses that included macular epiretinal membrane, macular hole, traction retinal detachment, cystoid macular edema, and drusen. On the basis of OCT-assisted diagnoses, three patients elected to undergo surgical intervention.


CONCLUSIONS
OCT can be critical to diagnose macular conditions when retinal visualization is limited by asteroid hyalosis.
Hwang
John C
JC
Department of Ophthalmology, Columbia University, College of Physicians and Surgeons, New York, New York, USA.
Barile
Gaetano R
GR
Schiff
William M
WM
Ober
Michael D
MD
Smith
R Theodore
RT
Del Priore
Lucian V
LV
Turano
Michael R
MR
Chang
Stanley
S
D000368:Aged; D005128:Eye Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000175:diagnosis*; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence / Q000379:methods*; D014822:Vitreous Body