Optical coherence tomography angiography using the black-and-white pixel binarization histogram software: a new technique for evaluating healing of macular holes in two surgical techniques

Autor: Oswaldo Ferreira Moura Brasil, Mariana Kawamuro, Denise Pardini Marinho, Bruna Trench Maia, Murilo Ubukata Polizelli, Gabriel Pipolo, Natalia Trench Maia, Rodrigo Dompieri, Natasha Ferreira Santos da Cruz, Mauricio Maia
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Retina and Vitreous, Vol 6, Iss 1, Pp 1-10 (2020)
Druh dokumentu: article
ISSN: 2056-9920
DOI: 10.1186/s40942-020-00229-w
Popis: Abstract Background Many factors can influence the functional outcomes of macular hole surgery and some studies have tried to describe anatomical features that could predict successful treatment. The purpose of this study is to describe a new technique for evaluating the healing of macular holes after two surgical techniques using a black-and-white pixel binarization histogram software by optical coherence tomography angiography and its potential functional implications. Methods This was a retrospective, observational case series of patients who presented with idiopathic full-thickness macular holes and underwent vitreoretinal surgery for successful macular hole closure using the internal limiting membrane peeling technique or the inverted peeling technique or the free internal limiting membrane flap technique. Optical coherence tomography angiography 3.0 × 3.0-mm scans were obtained postoperatively. The outer retina layer was analyzed separately; three different analyses were performed within a 3.0-mm-diameter area central circle, a 1.5-mm-diameter area, and a 0.5-mm-diameter area from the foveal center. The outer retinal layer images were evaluated by counting the number of black and white pixels. The inclusion criteria were patients with idiopathic macular holes who underwent ophthalmologic examinations and swept-source optical coherence tomography 1 week and 1 and 6 months postoperatively. The exclusion criteria were a traumatic macular hole or a history of eye trauma and a diagnosis of glaucoma or any other chronic ocular disease. The Mann–Whitney test was used to determine significance; P
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