Microscopic imaging of a macular hole using the rtx1

R. Spaide Vitreous Retina Macula Consultants of New York, NY, USA

rtx1 adaptive optics retinal cameraCase reportMacular hole

Imagine Eyes rtx1 case report -- macular hole

Combination of several imaging modalitiesMale, 61 yrs old. Epiretinal membrane with pucker and a full-thickness macular hole. Images acquired 2 weeks before operation

Colour fundus camera

rtx1

IR SLO

OCT

Imagine Eyes rtx1 case report -- macular hole

Comparison pre- and post-op

Hyper reflective dots are visible inside the macular hole, not in the periphery

Edema has regressed and cones have become visible in the periphery

2 weeks PRE-OP 2 weeks POST-OP

Imagine Eyes rtx1 case report -- macular hole

Conclusion

• Adaptive optics enables imaging microscopic structures inside macular holes

• Outside the macular hole, cones become visible again when macular edema has regressed and when cone orientation is back to normal

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