Microscope-integrated optical coherence tomography-aided intraoperative diagnosis and management of peripheral tractional retinoschisis

Sundar, Dheepak; Kumar, Atul; Chawla, Rohan; Sen, Sagnik; Ravani, Raghav; Kakkar, Prateek; Chatra, Kartikeya

doi:10.4103/ijo.ijo_331_18

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Finally, if retinotomy is performed and results are ineffective due to retinoschisis, MI-OCT can highlight residual outer retinal layer adherence to the retinal pigment epithelium, such that the surgeon can extend the incision to release the retinal traction [ 83 ].…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

“…( B ) MI-OCT images confirm inverted ILM flap positioning after fluid-air exchange. Reproduced with the permission from reference [ 83 ].…”

Section: Figurementioning

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

View full text Add to dashboard Cite

show abstract

“…While the utilities and newer insights continue to emerge in more common clinical conditions, the ability to image in more complex and challenging scenarios needs constructive exploration. In isolated instances, peripheral retinal imaging for degenerative and pathological changes, 112 , 113 assessment of closure of suture less sclerotomy wounds, 114 and prototypes to image better, wider, and deeper modifications have been narrated. 115 On the other hand, to refine the technology, customized semitransparent rigid plastic instruments have been experimented on to counter the metallic surgical instrument induced shadowing and other visibility related concerns.…”

Section: Resultsmentioning

confidence: 99%

<p>Intraoperative Optical Coherence Tomography Guided Ocular Surgeries: Critical Analysis of Clinical Role and Future Perspectives</p>

Pujari¹,

Agarwal²,

Chawla³

et al. 2020

OPTH

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Intraoperative imaging of ocular tissues for diagnostic and therapeutic applications has gained immense admiration in recent years. The real time cross-sectional imaging, as well as three and four dimensional reconstruction abilities of intraoperative optical coherence tomography (iOCT), has enhanced our knowledge on many fronts in surgical maneuvers. In this review, we discuss the iOCT discovered constructive knowledge in the cornea, cataract, refractive, glaucoma, pediatric ocular, and various retinal conditions. The practical utility with decision modifying aspects along the specified ocular tissues and with respect to specific ocular entities have been narrated. Moreover, limitations and future directions have also been emphasized to make ophthalmic care more comprehensive in the future.

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Microscope-integrated optical coherence tomography-aided intraoperative diagnosis and management of peripheral tractional retinoschisis

Cited by 2 publications

References 4 publications

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

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

<p>Intraoperative Optical Coherence Tomography Guided Ocular Surgeries: Critical Analysis of Clinical Role and Future Perspectives</p>

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