title: MACULAR HOLE FORMATION IDENTIFIED WITH INTRAOPERATIVE OCT DURING VITRECTOMY FOR VITREOMACULAR TRACTION SYNDROME.
abstract: OBJECTIVE
  To report the identification of macular hole formation using intraoperative optical coherence tomography (OCT) during vitrectomy for vitreomacular traction syndrome.
  
  
  METHODS
  A 58-year-old woman with vitreomacular traction syndrome underwent the vitrectomy using the 25-gauge system with scanning the macular area using the integrated and intraoperative OCT (Rescan 700, Zeiss). When posterior vitreous detachment at the fovea was performed using a vitreous cutter, the hyperreflective tissue thought to be the rupture of the internal limiting membrane and the full-thickness macular hole were identified on the horizontal and vertical scans simultaneously in intraoperative OCT.
  
  
  RESULTS
  The procedure was completed after internal limiting membrane peeling and 25% SF6 gas tamponade for closure of macular hole. The closure was confirmed using Swept-Source OCT 1-month after surgery.
  
  
  CONCLUSIONS
  It is possible to change the surgical approach using the real-time intraoperative OCT because the development of macular hole can be visualized during vitrectomy for vitreomacular traction syndrome.
authors.affiliation: Department of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Shota
authors.initials: S
authors.lastname: Sawaguchi
authors.forename: Ichiro
authors.initials: I
authors.lastname: Maruko
authors.forename: Yuriko
authors.initials: Y
authors.lastname: Mikami
authors.forename: Taiji
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Hideki
authors.initials: H
authors.lastname: Koizumi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Iida
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D012167:Retinal Perforations / Q000000981:diagnostic imaging*; D041623:Tomography, Optical Coherence; D014821:Vitrectomy / Q000379:methods*; D020255:Vitreous Detachment / Q000601:surgery*