NDLI: Visual Prognosis of Eyes Recovering From Macular Hole Surgery Through Automated Quantitative Analysis of Spectral-Domain Optical Coherence Tomography (SD-OCT) Scans.

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Visual Prognosis of Eyes Recovering From Macular Hole Surgery Through Automated Quantitative Analysis of Spectral-Domain Optical Coherence Tomography (SD-OCT) Scans.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	de Sisternes, Luis Rubin, Daniel L. Leng, Theodore Hu, Julia
Description	Country affiliation: United States Author Affiliation: de Sisternes L ( Department of Radiology Stanford University, Stanford, California, United States.); Hu J ( Department of Radiology Stanford University, Stanford, California, United States 2Byers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, California, United States.); Rubin DL ( Department of Radiology Stanford University, Stanford, California, United States 3Department of Medicine (Biomedical Informatics), Stanford University, Stanford, California, United States.); Leng T ( Byers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, California, United States.)
Abstract	PURPOSE: To determine the value of topographic spectral-domain optical coherence tomography (SD-OCT) imaging features assessed after macular hole repair surgery in predicting visual acuity (VA) outcomes. METHODS: An automated algorithm was developed to topographically outline and quantify area, extent, and location of defects in the ellipsoid zone (EZ) band and inner retina layers in SD-OCT scans. We analyzed the correlation of these values with VA in longitudinal observations from 35 patients who underwent successful macular hole surgery, in their first observation after surgery (within 2 months), and in a single observation within 6 to 12 months after surgery. Image features assessed at the first visit after surgery were also investigated as possible predictors of future VA improvement. RESULTS: Significant correlation with longitudinal VA was found for the extent, circularity, and ratio of defects in EZ band at the fovea and parafoveal regions. The ratio of defects in EZ band at the fovea, temporal-inner, and inferior-inner macula regions showed significant strong correlation with VA within 6 to 12 months post surgery. Patients with worse vision outcome at such time also had a significantly higher rate of inner retinal defects in the superior-outer region in their first postsurgery observation. CONCLUSIONS: A lowering extent of EZ band defects in the foveal and parafoveal regions is a good indicator of postsurgery VA recovery. Attention should also be given to postsurgical alterations in the inner retina, as patients with more extensive atrophic changes appear to have slower or worse VA recovery despite closure of the macular hole.
ISSN	01460404
e-ISSN	15525783
DOI	10.1167/iovs.14-16344
Journal	Investigative Opthalmology & Visual Science
Issue Number	8
Volume Number	56
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2015-07-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Fovea Centralis Pathology Image Processing, Computer-assisted Recovery Of Function Retinal Perforations Surgery Visual Acuity Vitrectomy Postoperative Period Prognosis Diagnosis Physiopathology Retrospective Studies Time Factors Tomography, Optical Coherence Comparative Study Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Discipline Ophthalmology
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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