Japanese Journal of Ophthalmology

, Volume 57, Issue 3, pp 308–315 | Cite as

Predictive value of preoperative optical coherence tomography for visual outcome following macular hole surgery: effects of imaging alignment

  • Wataru Matsumiya
  • Sentaro Kusuhara
  • Tsuyoshi Shimoyama
  • Shigeru Honda
  • Yasutomo Tsukahara
  • Akira Negi
Clinical Investigation

Abstract

Purpose

To investigate the effects of reproducibility of optical coherence tomography (OCT) measurements and imaging alignment on predictive performance for visual outcome following macular hole (MH) surgery.

Methods

We retrospectively reviewed 50 eyes that underwent MH surgery. Preoperative cross-sectional images through the center of the MH (on-center image) and through an off-center point (off-center image) were obtained from the OCT data. In each image, the following OCT parameters were either measured or calculated: minimum diameter, base diameter, hole height, temporal and nasal arm length, photoreceptor inner segment/outer segment (IS/OS) defect length, the hole form factor, the macular hole index and the tractional hole index. The IS/OS defect area was also measured.

Results

The reproducibility of OCT parameter values was moderate to high, and there was a significant difference in the mean measurement values between the on- and off-center images. Predictive values varied between sessions and raters, and only the preoperative photoreceptor IS/OS defect length consistently showed significant correlation with postoperative visual outcome.

Conclusions

Both the reproducibility and imaging alignment might affect the predictive performance of the OCT parameter for postoperative visual outcome following MH surgery. The preoperative photoreceptor IS/OS defect length seems to be the most useful parameter in this regard.

Keywords

Macular hole Optical coherence tomography Visual acuity Reproducibility Imaging alignment 

Supplementary material

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Supplementary material 1 (DOC 49 kb)
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Supplementary material 3 (DOC 49 kb)
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Supplementary material 5 (DOC 45 kb)

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Copyright information

© Japanese Ophthalmological Society 2013

Authors and Affiliations

  • Wataru Matsumiya
    • 1
  • Sentaro Kusuhara
    • 1
  • Tsuyoshi Shimoyama
    • 1
  • Shigeru Honda
    • 1
  • Yasutomo Tsukahara
    • 1
  • Akira Negi
    • 1
  1. 1.Division of Ophthalmology, Department of SurgeryKobe University Graduate School of MedicineKobeJapan

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