Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?

Purpose. To objectively detect true posterior vitreous cortex (PVC) adhesion status using a commercially available swept-source OCT device (DRI OCT-1, Atlantis©). Material and Methods. Case report, review of the literature, and methodical discussion of concepts to improve OCT-guided PVC imaging. Res...

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Main Authors: Thomas Bertelmann, Christina Goos, Walter Sekundo, Stephan Schulze, Stefan Mennel
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/3953147
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spelling doaj-55c142d26c7c4c6bb331694f729b37772020-11-24T21:43:16ZengHindawi LimitedCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/39531473953147Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?Thomas Bertelmann0Christina Goos1Walter Sekundo2Stephan Schulze3Stefan Mennel4Department of Ophthalmology, Philipps-University Marburg, 35037 Marburg, GermanyDepartment of Ophthalmology, Philipps-University Marburg, 35037 Marburg, GermanyDepartment of Ophthalmology, Philipps-University Marburg, 35037 Marburg, GermanyDepartment of Ophthalmology, Philipps-University Marburg, 35037 Marburg, GermanyDepartment of Ophthalmology, Feldkirch State Hospital, 6800 Feldkirch, AustriaPurpose. To objectively detect true posterior vitreous cortex (PVC) adhesion status using a commercially available swept-source OCT device (DRI OCT-1, Atlantis©). Material and Methods. Case report, review of the literature, and methodical discussion of concepts to improve OCT-guided PVC imaging. Results. Standard OCT imaging misdiagnosed PVC adhesion status as totally detached in this case report when using a horizontal 6 mm scan only. Contrariwise imaging the same eye with a 12 mm horizontal scan, partial posterior vitreous detachment (PVD) and the presence of a bursa premacularis were clearly discernible. Besides a broader scan, specific scan patterns, highest resolution, and contrast sensitivity, an anterior-to-posterior adjusted scan through the entire vitreous as well as the detection of characteristic undulating aftermovements might enhance the capability of OCT imaging to detect true PVC adhesion status. Conclusions. Further developments are needed to address these issues and to establish OCT recordings as the standard and objective method of choice in PVC adhesion status imaging.http://dx.doi.org/10.1155/2016/3953147
collection DOAJ
language English
format Article
sources DOAJ
author Thomas Bertelmann
Christina Goos
Walter Sekundo
Stephan Schulze
Stefan Mennel
spellingShingle Thomas Bertelmann
Christina Goos
Walter Sekundo
Stephan Schulze
Stefan Mennel
Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?
Case Reports in Ophthalmological Medicine
author_facet Thomas Bertelmann
Christina Goos
Walter Sekundo
Stephan Schulze
Stefan Mennel
author_sort Thomas Bertelmann
title Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?
title_short Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?
title_full Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?
title_fullStr Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?
title_full_unstemmed Is Optical Coherence Tomography a Useful Tool to Objectively Detect Actual Posterior Vitreous Adhesion Status?
title_sort is optical coherence tomography a useful tool to objectively detect actual posterior vitreous adhesion status?
publisher Hindawi Limited
series Case Reports in Ophthalmological Medicine
issn 2090-6722
2090-6730
publishDate 2016-01-01
description Purpose. To objectively detect true posterior vitreous cortex (PVC) adhesion status using a commercially available swept-source OCT device (DRI OCT-1, Atlantis©). Material and Methods. Case report, review of the literature, and methodical discussion of concepts to improve OCT-guided PVC imaging. Results. Standard OCT imaging misdiagnosed PVC adhesion status as totally detached in this case report when using a horizontal 6 mm scan only. Contrariwise imaging the same eye with a 12 mm horizontal scan, partial posterior vitreous detachment (PVD) and the presence of a bursa premacularis were clearly discernible. Besides a broader scan, specific scan patterns, highest resolution, and contrast sensitivity, an anterior-to-posterior adjusted scan through the entire vitreous as well as the detection of characteristic undulating aftermovements might enhance the capability of OCT imaging to detect true PVC adhesion status. Conclusions. Further developments are needed to address these issues and to establish OCT recordings as the standard and objective method of choice in PVC adhesion status imaging.
url http://dx.doi.org/10.1155/2016/3953147
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