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Journal of Ophthalmology
Volume 2012, Article ID 876472, 7 pages
Review Article

Spectral Domain Optical Coherence Tomography in the Diagnosis and Management of Vitreoretinal Interface Pathologies

Department of Ophthalmology and Visual Sciences, University of Louisville School of Medicine, Kentucky Lions Eye Institute, 301 East Muhammad Ali Boulevard, Louisville, KY 40202, USA

Received 3 February 2012; Revised 19 March 2012; Accepted 5 April 2012

Academic Editor: Stacey S. Choi

Copyright © 2012 Yoreh Barak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The introduction of spectral domain optical coherence tomography (SD-OCT) has enhanced Vitreoretinal Interface (VRI) imaging considerably and facilitated the diagnosis, followup, prognosis determination, and management of VRI-associated pathologies. HR-OCT became a common practical tool seen in almost every ophthalmology practice. Knowledge of SD-OCT image interpretation and recognition of pathologies are required for all ophthalmologists. This paper methodically reviews the normal aging process of the VRI and discusses several commonly encountered VRI pathologies. The role of SD-OCT imaging in VRI-associated disorders such as posterior vitreous detachment, vitreomacular traction syndrome, idiopathic epiretinal membranes, lamellar holes, pseudoholes, and full thickness macular holes is portrayed. Future perspectives of new OCT technologies based on SD-OCT are discussed.