Intraoperative OCT-assisted Surgery for Proliferative Diabetic Retinopathy in the DISCOVER Study

Khan, Mehnaz; Srivastava, Sunil K.; Reese, Jamie; Shwani, Zryan; Ehlers, Justis P.

doi:10.1016/j.oret.2017.08.020

Cited by 21 publications

(9 citation statements)

References 31 publications

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“…Other studies reporting on the impact of iOCT on clinical decision making report similar results as the PIONEER and DISCOVER study [8,14,[22][23][24][25]. The results of these studies suggest that the iOCT fills the gaps in surgical information and these insights may improve quality of care and surgical efficiency.…”

Section: Impact Of Intraoperative Oct On Clinical Decision Makingsupporting

confidence: 60%

Clinical applications for intraoperative optical coherence tomography: a systematic review

Muijzer

Schellekens

Beckers

et al. 2021

Eye

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Section: Impact Of Intraoperative Oct On Clinical Decision Makingsupporting

confidence: 60%

Clinical applications for intraoperative optical coherence tomography: a systematic review

Muijzer

Schellekens

Beckers

et al. 2021

Eye

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“…Additionally, in the case of vitreous haemorrhage (which precludes pre-operative OCT macula evaluation), MI-OCT detected ERM, vitreomacular traction, or macular oedema, helping the surgeon to decide whether to treat them simultaneously or later. Moreover, MI-OCT has been used to confirm complete ERM removal in the case of vitreoschisis and differentiate retinal detachment and retinoschisis [ 84 ].…”

Section: Resultsmentioning

confidence: 99%

What Is the Impact of Intraoperative Microscope-Integrated OCT in Ophthalmic Surgery? Relevant Applications and Outcomes. A Systematic Review

Posarelli

Sartini

Casini

et al. 2020

JCM

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Background: Optical coherence tomography (OCT) has recently been introduced in the operating theatre. The aim of this review is to present the actual role of microscope-integrated optical coherence tomography (MI-OCT) in ophthalmology. Method: A total of 314 studies were identified, following a literature search adhering to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. After full-text evaluation, 81 studies discussing MI-OCT applications in ophthalmology were included. Results: At present, three microscope-integrated optical coherence tomography systems are commercially available. MI-OCT can help anterior and posterior segment surgeons in the decision-making process, providing direct visualization of anatomic planes before and after surgical manoeuvres, assisting in complex cases, and detecting or confirming intraoperative complications. Applications range from corneal transplant to macular surgery, including cataract surgery, glaucoma surgery, paediatric examination, proliferative diabetic retinopathy surgery, and retinal detachment surgery. Conclusion: The use of MI-OCT in ophthalmic surgery is becoming increasingly prevalent and has been applied in almost all procedures. However, there are still limitations to be overcome and the technology involved remains difficult to access and use.

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“…For posterior segment surgery, iOCT appears to be particularly useful during membrane assessment, such as in PDR and ERM surgery. 25, 26 A recent prospective study utilizing microscope-integrated iOCT during membrane peeling procedures confirmed the ability of the technology to enhance visualization of the underlying membranes and subtle post-peel architecture changes. 15 An additional study recently reported membrane peeling with iOCT feedback was able to performed without the use of adjuvant dyes through the identification of membrane edges with the OCT system.…”

Section: Discussionmentioning

confidence: 82%

The DISCOVER Study 3-Year Results

et al. 2018

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Intraoperative OCT-assisted Surgery for Proliferative Diabetic Retinopathy in the DISCOVER Study

Cited by 21 publications

References 31 publications

Clinical applications for intraoperative optical coherence tomography: a systematic review

Clinical applications for intraoperative optical coherence tomography: a systematic review

What Is the Impact of Intraoperative Microscope-Integrated OCT in Ophthalmic Surgery? Relevant Applications and Outcomes. A Systematic Review

The DISCOVER Study 3-Year Results

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