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Br J Ophthalmol 2008;92:713 doi:10.1136/bjo.2007.135319
  • Video Report

Three-dimensional optical coherence tomography of proliferative diabetic retinopathy

  1. T Iwasaki1,3,
  2. M Miura1,2,3,
  3. C Matsushima1,3,
  4. M Yamanari2,3,
  5. S Makita2,3,
  6. Y Yasuno2,3
  1. 1
    Department of Ophthalmology, Tokyo Medical University, Kasumigaura Hospital, Inashiki, Ibaraki, Japan
  2. 2
    Computational Optics Group in the University of Tsukuba, Tsukuba, Ibaraki, Japan
  3. 3
    Computational Optics and Ophthalmology Group
  1. Dr M Miura, Department of Ophthalmology, Tokyo Medical University, Kasumigaura Hospital, 3-20-1 Chuo, Ami, Inashiki, Ibaraki 3000395, Japan; m-miura{at}tokyo-med.ac.jp

    ABSTRACT

    Fourier-domain optical coherence tomography (OCT) was used to image the three-dimensional (3D) structures of the proliferative membrane in proliferative diabetic retinopathy. The case of a 51-year-old man with retinal detachment of the macula in his left eye is reported. The proliferative membrane covered the entire macular area. In the OCT image, the 3D structure of the proliferative membrane could be clearly visualised. The OCT image showed the presence of multiple adhesions between the retina and the proliferative membrane and separation of the proliferative membrane. The patient underwent three-port vitrectomy, and the extent and locations of the adhesions corresponded well with the findings during vitrectomy. Three-dimensional OCT is an effective tool for understanding the 3D structure of the proliferative membrane in diabetic retinopathy and is useful for training and planning of the surgical procedures in vitrectomy.

    To view the full report and accompanying video please go to: http://bjo.bmj.com/cgi/content/full/92/5/713/DC1

    All videos from the BJO video report collection are available from: http://bjo.bmj.com/video/collection.dtl

    Footnotes

    • Funding: Supported in part by the Grant-in-aid for Scientific Research 15760026 from the Japan Society for the Promotion of Science, Japan Science and Technology Agency, and the Special Research Project of Nanoscience at the University of Tsukuba.

    • Competing interests: None.

    • TI and MM contributed equally to this study.

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