Nakao Shintaro, Arita Ryoichi, Sato Yuki, Enaida Hiroshi, Ueno Akifumi, Matsui Takaaki, Salehi-Had Hani, Ishibashi Tatsuro, Sonoda Koh-Hei
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University.
Ohshima Hospital of Ophthalmology, Fukuoka.
Clin Ophthalmol. 2016 Aug 24;10:1623-30. doi: 10.2147/OPTH.S109900. eCollection 2016.
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.
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).
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.
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.
现有的检眼镜检查方法无法在充气眼内获得清晰的眼底自发荧光（FAF）图像。本研究的目的是评估广角激光检眼镜（Optos）在充气眼内获取FAF图像以评估黄斑裂孔（MH）手术后闭合情况的能力。
这是一个干预性病例系列研究。18例连续的单侧MH患者接受了玻璃体切除术联合内界膜剥除及20%六氟化硫气体填塞。术前及术后（第1、2和7天）使用Optos记录FAF图像。
术后第1、2和7天，分别使用Optos从11/18（61.1%）、9/18（50.0%）和17/18只眼（94.4%）获得了FAF图像。使用Optos获得的FAF图像质量足以在术后9/18（50.0%）的充气眼中确定MH闭合情况。对FAF图像进行定量分析有助于确定MH的完全或部分闭合情况。
在某些MH病例中，使用Optos进行FAF成像可能是光学相干断层扫描的一种有用辅助手段，作为指导从俯卧位姿势解除的支持性方法。
