Wide-field laser ophthalmoscopy for imaging of gas-filled eyes after macular hole surgery.
OBJECTIVE
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.


METHODS
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).


RESULTS
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.


CONCLUSIONS
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.
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University.
Shintaro
S
Nakao
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University.
Ryoichi
R
Arita
Ohshima Hospital of Ophthalmology, Fukuoka.
Yuki
Y
Sato
Department of Ophthalmology, Faculty of Medicine, Saga University, Saga, Japan.
Hiroshi
H
Enaida
Ohshima Hospital of Ophthalmology, Fukuoka.
Akifumi
A
Ueno
Ohshima Hospital of Ophthalmology, Fukuoka.
Takaaki
T
Matsui
Atlantis Eyecare, Huntington Beach, CA, USA.
Hani
H
Salehi-Had
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University.
Tatsuro
T
Ishibashi
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University.
Koh-Hei
KH
Sonoda
Optos; facedown; fundus autofluorescence; gas; vitrectomy