Diagnosis of vitreoretinal adhesions in macular disease with optical coherence tomography.

Journal Article

PURPOSE: To compare the relative incidence of vitreoretinal adhesions associated with partial vitreous separation within the macula diagnosed with optical coherence tomography (OCT) with that of those diagnosed with biomicroscopy. METHODS: The authors obtained linear cross-sectional retinal images using OCT in patients with selected macular diseases. Additional studies included biomicroscopy, fundus photography, fluorescein angiography, and B-scan ultrasonography. RESULTS: Optical coherence tomography was performed on 132 eyes of 119 patients. Vitreoretinal adhesions within the macula were identified using OCT in 39 eyes (30%) with the following diagnoses: idiopathic epiretinal membrane (n = 13), diabetic retinopathy (n = 7), idiopathic macular hole (n = 7), cystoid macular edema (n = 7), and vitreomacular traction syndrome (n = 5). Biomicroscopy identified vitreoretinal adhesions in only 11 eyes (8%). Two distinct vitreoretinal adhesion patterns were identified with OCT, each associated with partial separation of the posterior hyaloid face: focal (n = 25) and multifocal (n = 14). CONCLUSIONS: Optical coherence tomography is more sensitive than biomicroscopy in identifying vitreoretinal adhesions associated with macular disease.

Full Text

Duke Authors

Cited Authors

  • Gallemore, RP; Jumper, JM; McCuen, BW; Jaffe, GJ; Postel, EA; Toth, CA

Published Date

  • 2000

Published In

Volume / Issue

  • 20 / 2

Start / End Page

  • 115 - 120

PubMed ID

  • 10783942

International Standard Serial Number (ISSN)

  • 0275-004X

Language

  • eng

Conference Location

  • United States