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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Series: | Case Reports in Ophthalmological Medicine |
Online Access: | http://dx.doi.org/10.1155/2016/3953147 |
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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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