Objective morphological assessment of macular hole surgery by scanning laser tomography

• DOI: 10.1136/bjo.81.2.107
• Publication Date: 2008-12-08T18:17:31Z
• Authors: C. Hudson; S. J Charles; J. G Flanagan; A. K Brahma; G. S Turner; D. McLeod
• Keywords: Balayage; Fundus (uterus)

<h3>AIM</h3> To assess the morphological change in retinal topography using a scanning laser tomographer following macular hole surgery. compare results of tomography with clinical evaluation and visual function assessment. <h3>METHODS</h3> The sample for this pilot study comprised four eyes exhibiting different stages formation preoperatively. Subjects were assessed preoperatively at 1 3 months postoperatively. Each assessment included acuity, letter contrast sensitivity, examination (including automated static perimetry), tomography. Heidelberg retina tomograph (HRT) was used to acquire digitised images macula (10° 20° fields). Surgery essentially vitrectomy, peeling posterior hyaloid face, if still attached, intraocular gas tamponade. magnitude significance topographic determined postoperatively HRT difference facility. <h3>RESULTS</h3> Topographic analysis right left case showed significant reduction height 2 no topography. increase Scanning agreed based upon fundus biomicroscopy three studied; postoperative closure stage (as noted by assessment) proved be too small reach statistical significance. two eyes; agreement between depends, part, on development hole. <h3>CONCLUSION</h3> provides an objective outcome Studies employing larger sizes are required fully determine worth technique.