International Ophthalmology

, Volume 36, Issue 3, pp 355–363 | Cite as

Enhanced vitreous imaging optical coherence tomography in primary macular holes

  • Atsushi Takahashi
  • Taiji Nagaoka
  • Akitoshi Yoshida
Original Paper
First Online:
Received:
Accepted:

Abstract

The aim of the current pilot study is to investigate the efficacy of a novel enhanced vitreous imaging (EVI) in primary macular holes (MHs) using a spectral-domain optical coherence tomography (SD-OCT). Thirty-four eyes of 32 consecutive patients with a MH were examined in one time cross-sectional study. The vitreomacular interface was assessed using SD-OCT with conventional and EVI technique. Twenty-three of the 34 eyes did not show a Weiss ring, and in 22 of those, we observed a MH with an open roof or operculum and a detached posterior vitreous cortex with conventional vitreous imaging. Using EVI-OCT, we visualized the reflection of the posterior vitreous with a vitreopapillary attachment. One of the 23 eyes without a Weiss ring had a central round retinal defect without an operculum, and the conventional SD-OCT showed an empty vitreous, suggesting a complete posterior vitreous detachment. However, the EVI-OCT revealed the reflection of the posterior vitreous, and the cortex appeared to still be completely attached. In all the 23 eyes without a Weiss ring, EVI-OCT detected the reflection of the posterior vitreous and vitreopapillary attachment. In all 11 eyes with a Weiss ring (stage 4 hole), EVI-OCT showed an optically empty space in the posterior vitreous cavity without a vitreopapillary attachment. EVI-OCT may be a new reliable method for preoperative evaluations to determine the presence or absence of a complete posterior vitreous detachment in macular diseases with an indistinct Weiss ring.

Keywords

Enhanced vitreous imaging optical coherence tomography Macular hole Spectral-domain optical coherence tomography Posterior vitreous detachment Vitreomacular interface Macular hole stage 
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Notes

Compliance with ethical standards

Conflict of interest

The authors report no financial support or financial conflict of interest.

Ethical approval

The current study followed the tenets of the Declaration of Helsinki, and the Institutional Review Board of Asahikawa Medical University approved the prospective study design. The nature of the study, participation in its research, and its possible consequences were explained to the patient, after which the patient provided informed consent.

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Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  • Atsushi Takahashi
    • 1
  • Taiji Nagaoka
    • 1
  • Akitoshi Yoshida
    • 1
  1. 1.Department of OphthalmologyAsahikawa Medical UniversityAsahikawaJapan

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