Anatomical findings of vitreoretinal interface in eyes with asteroid hyalosis |
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Authors: | Yasutaka Mochizuki Yasuaki Hata Takeshi Kita Ri-Ichiro Kohno Yuhei Hasegawa Shuhei Kawahara Ryoichi Arita Tatsuro Ishibashi |
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Institution: | (1) Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan |
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Abstract: | Purpose To investigate the anatomical features of vitreoretinal interface in eyes with asteroid hyalosis (AH) with optical coherence
tomography (OCT) and intravitreal triamcinolone acetonide (TA) during vitreous surgery.
Methods This study was an interventional clinical case series. Records relating to ten eyes from ten patients who underwent a TA-assisted
vitrectomy for the treatment of diverse vitreoretinal diseases complicated with AH. The posterior vitreoretinal interface
was examined by preoperative OCT and by intraoperative visualization of posterior vitreous cortex utilizing TA.
Results In eight of ten AH eyes, preoperative OCT revealed abnormal vitreoretinal adhesions. In four of these eight eyes, posterior
vitreoschisis could be seen on OCT. In the other four of these eight eyes, a clear no posterior vitreous detachment (PVD)
pattern could be seen on OCT. Although posterior vitreous cortex could not be clearly identified with preoperative OCT in
two of ten AH eyes, a complete PVD was refuted by intraoperative visualization of the posterior vitreous cortex with TA identical
to the other eight eyes.
Conclusion These results indicate that complete PVD appears to be unlikely to occur in eyes with AH. In addition, spontaneous PVD in
eyes with AH might lead to vitreoschisis or residual whole layer or posterior vitreous cortex, possibly due to anomalous vitreoretinal
adhesion. |
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Keywords: | Asteroid hyalosis Vitreous cortex Anomalous posterior vitreous detachment Vitreoschisis |
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