High-resolution imaging with adaptive optics (AO) could be useful for determining the integrity of the cone mosaic after macular hole repair. An adaptive optics retinal camera was used to measure photoreceptors before and after macular hole (MH) surgery to assess any cone density changes accurately.
The researcher described the results of a small study that used an AO retinal camera (rtx1, Imagine Eyes) and spectral-domain optical coherence tomography (SD-OCT) to evaluate the photoreceptors in patients with various morphologies of MH and the changes following surgical closure when discussing MH and photoreceptor changes using high-resolution imaging with adaptive optics.
AO (rtx1 retinal camera) may be a useful method of assessing the integrity of the cone mosaic following macular hole repair. There was no statistical difference when comparing pre-and post-operative cone density, regularity, and dispersion.
It was a pilot study to evaluate the cone mosaic before and after surgery. Larger studies will be useful to evaluate AO imaging biomarkers with variations in surgical technique for macular hole closure. The AO retinal camera can be time-consuming for clinicians, but it also has clinical applications. This imaging device provides a high-resolution image of the cone mosaic and will work in tandem with SD-OCT.
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