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Comparison of posterior hyaloid assessment using preoperative optical coherence tomography and intraoperative triamcinolone acetonide staining during vitrectomy

Albabtain, Budoor ; Mura, Marco ; Schatz, Patrik LU orcid ; Alsulaiman, Sulaiman M. ; Alsakran, Wael A. and Semidey, Valmore A. (2021) In Clinical Ophthalmology 15. p.3939-3945
Abstract

Purpose: To compare the specificity of diagnosing posterior vitreous detachment (PVD) using preoperative optical coherence tomography (OCT) versus intraoperative triamcinolone acetonide (TA) staining in patients undergoing vitrectomy. Patients and Methods: This retrospective cohort study included patients undergoing pars plana vitrectomy for diverse retinal pathologies. Intraoperatively, surgeons evaluated the posterior hyaloid status with TA staining and compared it with preoperative OCT findings. Results: One hundred six patients underwent intraoperative assessments of posterior hyaloid status, with 72% (76/106) of the eyes showing positive staining. Sixty-two patients had also undergone preoperative OCT. Of the patients diagnosed... (More)

Purpose: To compare the specificity of diagnosing posterior vitreous detachment (PVD) using preoperative optical coherence tomography (OCT) versus intraoperative triamcinolone acetonide (TA) staining in patients undergoing vitrectomy. Patients and Methods: This retrospective cohort study included patients undergoing pars plana vitrectomy for diverse retinal pathologies. Intraoperatively, surgeons evaluated the posterior hyaloid status with TA staining and compared it with preoperative OCT findings. Results: One hundred six patients underwent intraoperative assessments of posterior hyaloid status, with 72% (76/106) of the eyes showing positive staining. Sixty-two patients had also undergone preoperative OCT. Of the patients diagnosed with PVD on preoperative OCT, 50% (15/30) showed positive TA staining intraoperatively. The sensitivity of preoperative OCT assessment was 83.3%, and its specificity was 65.9%. Conclusion: Preoperative OCT imaging is associated with lower sensitivity and specificity for diagnosing PVD when compared to intraoperative TA staining.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Optical coherence tomography, Posterior hyaloid, Posterior vitreous detachment, Triamcinolone acetonide, Vitrectomy, Vitreoschisis
in
Clinical Ophthalmology
volume
15
pages
7 pages
publisher
Dove Medical Press Ltd.
external identifiers
  • scopus:85116436679
  • pmid:34616138
ISSN
1177-5467
DOI
10.2147/OPTH.S331700
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 Albabtain et al.
id
a68f7d98-93d9-4d75-914e-74bec71b103b
date added to LUP
2021-10-25 14:34:38
date last changed
2024-06-15 19:05:30
@article{a68f7d98-93d9-4d75-914e-74bec71b103b,
  abstract     = {{<p>Purpose: To compare the specificity of diagnosing posterior vitreous detachment (PVD) using preoperative optical coherence tomography (OCT) versus intraoperative triamcinolone acetonide (TA) staining in patients undergoing vitrectomy. Patients and Methods: This retrospective cohort study included patients undergoing pars plana vitrectomy for diverse retinal pathologies. Intraoperatively, surgeons evaluated the posterior hyaloid status with TA staining and compared it with preoperative OCT findings. Results: One hundred six patients underwent intraoperative assessments of posterior hyaloid status, with 72% (76/106) of the eyes showing positive staining. Sixty-two patients had also undergone preoperative OCT. Of the patients diagnosed with PVD on preoperative OCT, 50% (15/30) showed positive TA staining intraoperatively. The sensitivity of preoperative OCT assessment was 83.3%, and its specificity was 65.9%. Conclusion: Preoperative OCT imaging is associated with lower sensitivity and specificity for diagnosing PVD when compared to intraoperative TA staining.</p>}},
  author       = {{Albabtain, Budoor and Mura, Marco and Schatz, Patrik and Alsulaiman, Sulaiman M. and Alsakran, Wael A. and Semidey, Valmore A.}},
  issn         = {{1177-5467}},
  keywords     = {{Optical coherence tomography; Posterior hyaloid; Posterior vitreous detachment; Triamcinolone acetonide; Vitrectomy; Vitreoschisis}},
  language     = {{eng}},
  pages        = {{3939--3945}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{Clinical Ophthalmology}},
  title        = {{Comparison of posterior hyaloid assessment using preoperative optical coherence tomography and intraoperative triamcinolone acetonide staining during vitrectomy}},
  url          = {{http://dx.doi.org/10.2147/OPTH.S331700}},
  doi          = {{10.2147/OPTH.S331700}},
  volume       = {{15}},
  year         = {{2021}},
}