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Application of Optical Coherence Tomography to a Mouse Model of Retinopathy
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Ultrastructural changes detected using swept-source optical coherence tomography in severe vitreopapillary traction:
Leonardo Provetti Cunha1,2,3, Luciana Virgínia Ferreira Costa-Cunha2, Carolina Ferreira Costa2
1Department of Ophthalmology, School of Medicine, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
Arquivos Brasileiros De Oftalmologia
|October 3, 2019
Summary
Vitreopapillary traction causes vision loss due to the vitreous pulling on the optic disc. Surgical separation of the vitreous (posterior vitrectomy) effectively restored vision and anatomy.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Vitreopapillary traction is an uncommon condition causing optic disc elevation and visual loss.
- It involves strong adhesion and traction of the posterior hyaloid onto the optic disc and peripapillary retina.
Observation:
- An 85-year-old man experienced progressive visual loss and optic disc edema in his left eye over six months.
- Swept-source optical coherence tomography (SS-OCT) showed persistent vitreous strand traction on the optic disc.
- Visual field tests revealed generalized sensitivity loss and enlarged blind spots.
Findings:
- A 25-gauge posterior vitrectomy successfully separated the posterior hyaloid from the optic disc.
- This intervention led to significant anatomical and visual improvements.
Implications:
- SS-OCT is valuable for diagnosing vitreopapillary traction and understanding its mechanism.
- Posterior vitrectomy offers an effective treatment for anatomical and visual recovery in these patients.
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