Intraoperative OCT of a Full-Thickness Macular Hole Before and After Internal Limiting Membrane Peeling

Abstract
A child with a traumatic full-thickness macular hole was imaged perioperatively using spectral-domain optical coherence tomography (SD-OCT). Intraoperative imaging using a portable SD-OCT device equipped with a handheld probe demonstrated the full-thickness macular hole to be nearly completely closed following vitrectomy and internal limiting membrane peeling. Air was used as a tamponade agent and prone positioning was used postoperatively for 2 days. SD-OCT imaging confirmed closure of the full-thickness macular hole 5 days and 1 month postoperatively. [Ophthalmic Surg Lasers Imaging 2010;41:7–11.]