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Hyperautofluorescent ring in eyes with macular holes
Tatsuhiko Sato1, Kazuyuki Emi, Yui Osawa
1Osaka Rosai Hospital Clinical Research Center for Occupational Sensory Organ Disability, Sakai, Japan.
Clinical Ophthalmology (Auckland, N.Z.)
|August 23, 2013
Summary
A hyperautofluorescent ring in macular holes (MHs) may indicate poor surgical outcomes. This finding differs from typical autofluorescence patterns in MH cases, suggesting a potential indicator for prognosis.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Macular Diseases
Background:
- Macular holes (MHs) typically show specific autofluorescence patterns: hyperautofluorescence at the hole and hypAutofluorescence around the fluid cuff.
- Previous studies documented these characteristic autofluorescence findings in macular hole cases.
Purpose of the Study:
- To report three cases of macular holes (MHs) exhibiting an atypical fundus autofluorescence pattern.
- To investigate the clinical significance of this unusual autofluorescence presentation in MHs.
Main Methods:
- Detailed case reports of three patients with macular holes (MHs) presenting with a depigmented ring.
- Fundus autofluorescence imaging was performed to analyze the pattern around the MH.
- Surgical outcomes and visual acuity were assessed post-vitrectomy.
Main Results:
- All three cases displayed a hyperautofluorescent ring corresponding to a depigmented ring surrounding the macular hole.
- Post-vitrectomy, the hyperautofluorescent ring persisted with the same size, even after the macular hole closed.
- Visual acuity improved post-surgery, but the persistent hyperautofluorescent ring was noted.
Conclusions:
- A hyperautofluorescent ring in macular holes (MHs) may represent a distinct autofluorescence pattern.
- This specific pattern might serve as an indicator of a poorer surgical prognosis, both anatomically and functionally.
- Further research is warranted to understand the implications of this autofluorescence finding in MH management.
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