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Anatomical findings of vitreoretinal interface in eyes with asteroid hyalosis

  • Retinal Disorders
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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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References

  1. Wasano T, Hirokawa H, Tagawa H, Trempe CL, Buzney SM (1987) Asteroid hyalosis: posterior vitreous detachment and diabetic retinopathy. Ann Ophthalmol 19:255–258

    PubMed  CAS  Google Scholar 

  2. Sebag J (2004) Anomalous posterior vitreous detachment: a unifying concept in vitreo-retinal disease. Graefes Arch Clin Exp Ophthalmol 242:690–698, doi:10.1007/s00417-004-0980-1

    Article  PubMed  CAS  Google Scholar 

  3. Yamashita T, Uemura A, Sakamoto T (2008) Intraoperative characteristics of the posterior vitreous cortex in patients with epiretinal membrane. Graefes Arch Clin Exp Ophthalmol 246:333–337, doi:10.1007/s00417-007-0745-8

    Article  PubMed  Google Scholar 

  4. Sebag J (2008) Vitreoschisis. Graefes Arch Clin Exp Ophthalmol 246:329–332, doi:10.1007/s00417-007-0743-x

    Article  PubMed  CAS  Google Scholar 

  5. Kishi S, Hagimura N, Shimizu K (1996) The role of the premacular liquefied pocket and premacular vitreous cortex in idiopathic macular hole development. Am J Ophthalmol 122:622–628

    PubMed  CAS  Google Scholar 

  6. Gandorfer A, Rohleder M, Kampik A (2002) Epiretinal pathology of vitreomacular traction syndrome. Br J Ophthalmol 86:902–909, doi:10.1136/bjo.86.8.902

    Article  PubMed  CAS  Google Scholar 

  7. Kishi S, Shimizu K (1994) Oval defect in detached posterior hyaloid membrane in idiopathic preretinal macular fibrosis. Am J Ophthalmol 118:451–456

    PubMed  CAS  Google Scholar 

  8. Mochizuki Y, Hata Y, Hisatomi T, Kawahara S, Arita R, Enaida H, Ueno A, Ishibashi T (2008) Posterior vitreous cortex characteristics of an eye with asteroid hyalosis. Retin Cases Brief Rep 2(3):184–186, doi:10.1097/ICB.0b013e3180467824

    Article  Google Scholar 

  9. Winkler J, Lunsdorf H (2001) Ultrastructure and composition of asteroid bodies. Invest Ophthalmol Vis Sci 42:902–907

    PubMed  CAS  Google Scholar 

  10. Zaharopoulos P, Schnadig V (2003) Vitreous cytology in asteroid hyalosis and observations on interpretation of cytologic findings in specimens of the posterior (vitreous) compartment of the eye. Diagn Cytopathol 28:88–91, doi:10.1002/dc.10236

    Article  PubMed  Google Scholar 

  11. Foos RY, Wheeler NC (1982) Vitreoretinal juncture: synchysis senilis and posterior vitreous detachment. Ophthalmology 89:1502–1512

    PubMed  CAS  Google Scholar 

  12. Takahashi M, Trempe CL, Schepens CL (1980) Biomicroscopic evaluation and photography of posterior vitreous detachment. Arch Ophthalmol 98:665–668

    PubMed  CAS  Google Scholar 

  13. Browning DJ, Fraser CM (2004) Optical coherence tomography to detect macular edema in the presence of asteroid hyalosis. Am J Ophthalmol 137:959–961, doi:10.1016/j.ajo.2003.11.049

    Article  PubMed  Google Scholar 

  14. Hwang JC, Barile GR, Schiff WM, Ober MD, Smith RT, Del Priore LV, Turano MR, Chang S (2006) Optical coherence tomography in asteroid hyalosis. Retina 26:661–665, doi:10.1097/00006982-200607000-00012

    Article  PubMed  Google Scholar 

  15. Ikeda T, Sawa H, Koizumi K, Yasuhara T, Kinoshita S, Tano Y (1998) Vitrectomy for proliferative diabetic retinopathy with asteroid hyalosis. Retina 18:410–414, doi:10.1097/00006982-199809000-00003

    Article  PubMed  CAS  Google Scholar 

  16. Yamaguchi T, Inoue M, Ishida S, Shinoda K (2006) Detecting vitreomacular adhesions in eyes with asteroid hyalosis with triamcinolone acetonide. Graefes Arch Clin Exp Ophthalmol 13:1–4

    Google Scholar 

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Acknowledgements

The authors thank Lloyd Paul Aiello M.D., Ph.D. of the Beetham Eye Institute at Joslin Diabetes Center and Harvard Medical School Department of Ophthalmology for his review and comments during manuscript preparation.

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Authors and Affiliations

  1. Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Yasutaka Mochizuki, Yasuaki Hata, Takeshi Kita, Ri-Ichiro Kohno, Yuhei Hasegawa, Shuhei Kawahara, Ryoichi Arita & Tatsuro Ishibashi

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  1. Yasutaka Mochizuki
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  2. Yasuaki Hata
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  3. Takeshi Kita
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  4. Ri-Ichiro Kohno
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  5. Yuhei Hasegawa
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  6. Shuhei Kawahara
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  7. Ryoichi Arita
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  8. Tatsuro Ishibashi
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Correspondence to Yasuaki Hata.

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Mochizuki, Y., Hata, Y., Kita, T. et al. Anatomical findings of vitreoretinal interface in eyes with asteroid hyalosis. Graefes Arch Clin Exp Ophthalmol 247, 1173–1177 (2009). https://doi.org/10.1007/s00417-009-1095-5

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  • DOI: https://doi.org/10.1007/s00417-009-1095-5

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