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21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

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Customized surgical removal of epiretinal membranes using high-definition optical coherence tomography

Meeting Abstract

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  • Lars Olof Hattenbach - Ludwigshafen/Germany
  • K. Köhler - Ludwigshafen/Germany
  • F. Höhn - Ludwigshafen/Germany
  • G. Shishkova - Ludwigshafen/Germany
  • A. Mirshahi - Ludwigshafen/Germany

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V134

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg135.shtml

Published: June 18, 2008

© 2008 Hattenbach et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Background: To date, the surgical plan for the removal of epiretinal membranes and internal limiting membranes is mainly adapted to the intraoperative situation. In the current study, we sought to investigate whether the surgical removal of macular pucker can be facilitated by the preoperative assessment of topographic features using high-definition optical coherence tomography (HD-OCT).

Methods: In a prospective case series, 7 eyes of 7 patients with macular pucker underwent full ophthalmologic evaluation including high-definition optical coherence tomography (Carl Zeiss Meditec) prior to a three-port-pars plana vitrectomy with peel of the internal limiting membrane (ILM). Furthermore, we documented intraoperative and postoperative course.

Results: Four of 7 eyes (57%) exhibited multiple foci of retinal contraction as detected by HD-OCT. In these eyes, surgical removal of the ILM was facilitated by using HD-OCT images. In contrast, eyes with flat membranes showed a strong adhesion to the retinal surface.

Conclusion: Our findings suggest that preoperative assessment of topographic features in eyes with macular pucker using high-definition optical coherence tomography has the potential to improve surgical strategies.