Original articleMontage Images of Spectral-Domain Optical Coherence Tomography in Eyes with Idiopathic Macular Holes
Section snippets
Patients and Study Design
This was a prospective, consecutive, observational case series. Forty-six consecutive eyes of 36 patients with a clinical diagnosis of idiopathic macular hole, but without other ocular complications were enrolled into this study. All investigations adhered to the tenets of the Declaration of Helsinki. This study was approved by the institutional review board of the Saitama Medical University. The composition of the patient population was 20 females and 16 males, ranging in age from 46 to 79
Results
The appearance and configuration of the posterior vitreous in fellow eyes and macular hole eyes grouped by Gass stages are described herein. A series of images is presented and, in most examples, there are 1 of 2 typical patterns, termed smooth (Figure 1, Figure 2) and wavy or scalloped (Figure 3, Figure 4, Figure 5).
Discussion
This study assembled montaged OCT images of the posterior vitreous, retina, and choroid that extended from the macula to the periphery and examined the morphologic relationships between these structures during development and progression of idiopathic macular holes. The posterior vitreous cortex was delineated clearly in all eyes except those with very anterior vitreous detachment. This finding was noted only in eyes with stage 4 holes. Eyes predisposed to macular hole formation were examined
Acknowledgments
The authors thank Fumi Yamato, MD, and Tatsuya Deguchi, OP, for their help in recruiting the subjects and creating montage images of optical coherence tomography scans and Hiroto Kuroda, PhD, for his thoughtful comments regarding the fundamentals of optical coherence tomography.
References (22)
Reappraisal of biomicroscopic classification of stages of development of a macular hole
Am J Ophthalmol
(1995)- et al.
Vitreous surgery for macular holes
Ophthalmology
(1993) - et al.
Optical coherence tomography of macular holes
Ophthalmology
(1995) - et al.
Stage 0 macular holes: observations by optical coherence tomography
Ophthalmology
(2004) - et al.
Histopathology of tissue removed during vitrectomy for impending macular holes
Am J Ophthalmol
(1989) - et al.
Ultrastructural correlation of spectral-domain optical coherence tomographic findings in vitreomacular traction syndrome
Am J Ophthalmol
(2008) - et al.
Ultrastructural studies of vitreomacular traction syndrome
Am J Ophthalmol
(1989) Idiopathic senile macular hole: its early stages and pathogenesis
Arch Ophthalmol
(1988)- et al.
Vitrectomy for impending idiopathic macular holes
Am J Ophthalmol
(1988) - et al.
Vitreous surgery for idiopathic macular holes: results of a pilot study
Arch Ophthalmol
(1991)
Optical Coherence Tomography in Ocular Diseases
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2022, American Journal of OphthalmologyCitation Excerpt :In support of this hypothesis, we found that macular holes were much more commonly associated with the dynamic traction of nonproliferative VMT than with the static traction of proliferative VMT. Regarding macular hole progression, we have previously demonstrated that the dynamic posterior vitreous movements have a significant impact on anteroposterior tractional forces on the parafovea.11,12 Likewise, eyes with nonproliferative VMT had a wavy-contoured posterior vitreous, which was very flexible and mobile immediately after eye motion, implicating the dynamic traction forces applied to the macula with resulting fluid currents playing potentially important pathogenetic roles.
Posterior Vitreous Detachment as Observed by Wide-Angle OCT Imaging
2018, OphthalmologyCitation Excerpt :To enhance visualization of the vitreous image, contrast was adjusted by the planimetric image-editing system, enhanced vitreous visualization.22–24 To examine the morphologic features of the entire posterior vitreous cortex and the vitreoretinal interface, wide-angle montage OCT images from the macula to the periphery (approximately to the equator) were obtained as previously described.15–17 Montaged images were assembled using picture-editing software (Photoshop version 5.5, Adobe, San Jose, CA).
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2017, Saudi Journal of OphthalmologyCitation Excerpt :Later these pictures were combined to create a montage (Figs. 1 and 2). OCT montage systems have been analyzed1 and used in cases with retinoschisis2 and macular holes.3 Shallow non-resolving localized RD with SRB near macula is a challenging situation especially with good visual acuity.
Imaging Choroidal Disorders: The Future
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2016, OphthalmologyCitation Excerpt :This anatomic association, which we observed in our images, remains consistent with commonly accepted mechanisms that link vitreous traction to peripheral retinal pathologies. We observed other features of the peripheral neural retina that are consistent with previous reports, including relative thinning, or effacement, of all nuclear layers and the attenuation of choroidal vessels.8 Our observations regarding cystoid degeneration, which was commonly observed in a variety of peripheral retinal findings, including retinal hole (Fig 2), ora serrata pearl (Supplemental Fig 5, available at www.aaojournal.org), cystic retinal tuft (Supplemental Fig 6, available at www.aaojournal.org), and meridional fold (Supplemental Fig 7, available at www.aaojournal.org), are unique to this study and have not been reported in peripheral SD OCT studies.
Manuscript no. 2011-1793.
Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article.
This research was supported in part by a grant-in-aid for scientific research from the Ministry of Education, Culture and Science in Japan (grant no.: 24592641; K.M.).