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

Posarelli, Chiara; Sartini, Francesco; Casini, Giovanni; Passani, Andrea; Toro, Mario Damiano; Vella, Giovanna; Figus, Michele

doi:10.3390/jcm9061682

Cited by 26 publications

(20 citation statements)

References 139 publications

(228 reference statements)

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“…Evaluations of congenital corneal and anterior chamber dysmorphia help to prognose a child's potential vision. If finding factors confirming potency for satisfactory visual acuity, a surgeon can consider a surgical approach for saving vision in infants or older children in, for example, traumatic cases [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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OCT on Anterior Segment Anomalies of the Eye in a Polish Paediatric Cohort: Diagnostic and Therapeutic Challenges

Lepska¹,

Dobrowolski

Krysik

et al. 2021

BioMed Research International

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Purpose. To present applications of anterior segment optical coherent tomography (AS OCT) for anomalies of the eye in a Polish paediatric cohort. Materials and Methods. Seventy-four eyes of infants and older children were examined. The majority of them underwent general anaesthesia to allow OCT to be performed in the operating room, but a few were examined in a routine way. We focused on corneal, anterior chamber, iris, and lens disorders. Measurements included corneal morphology, anatomy of the anterior chamber, and general involvement of surrounding tissues in pathologic lesions. Results. We divided the paediatric patients into several groups by considering the type of disease and involvement of particular tissues. The groups were selected based on OCT usefulness in describing their ocular disorders. Conclusion. The collected anterior segment disorders showed huge usefulness for paediatric diagnosis and treatment planning.

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Section: Discussionmentioning

confidence: 99%

“…Central haze [15] Keratoplasty [8] Poor prognossis [7] Semitransparent cornea [3] Pharmacotherapy observation [3] Paracentral haze [5] Observation [5] Acquired…”

Section: Congenital Corneal Haze [23]mentioning

confidence: 99%

OCT on Anterior Segment Anomalies of the Eye in a Polish Paediatric Cohort: Diagnostic and Therapeutic Challenges

Lepska¹,

Dobrowolski

Krysik

et al. 2021

BioMed Research International

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“…Systemic symptoms and laboratory features of M. chimaera infections are also often non-specific and include unexplained low-grade fever, fatigue and sometimes also dyspnea [ 6 ]. Similarly, to a TB infection, if other organs are infected, additional organ-specific symptoms can occur [ 5 , 13 , 16 , 17 ]. In particular, it has been shown that the infection has a very strong proclivity for the eyes [ 7 , 8 , 9 , 10 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Differences between Mycobacterium chimaera and tuberculosis Using Ocular Multimodal Imaging: A Systematic Review

Zweifel

Foa

Wiest

et al. 2021

JCM

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Due to their non-specific diagnostic patterns of ocular infection, differential diagnosis between Mycobacterium (M.) chimaera and tuberculosis can be challenging. In both disorders, ocular manifestation can be the first sign of a systemic infection, and a delayed diagnosis might reduce the response to treatment leading to negative outcomes. Thus, it becomes imperative to distinguish chorioretinal lesions associated with M. chimaera, from lesions due to M. tuberculosis and other infectious disorders. To date, multimodal non-invasive imaging modalities that include ultra-wide field fundus photography, fluorescein and indocyanine green angiography, optical coherence tomography and optical coherence tomography angiography, facilitate in vivo examination of retinal and choroidal tissues, enabling early diagnosis, monitoring treatment response, and relapse detection. This approach is crucial to differentiate between active and inactive ocular disease, and guides clinicians in their decisional-tree during the patients’ follow-up. In this review, we summarized and compared the available literature on multimodal imaging data of M. chimaera infection and tuberculosis, emphasizing similarities and differences in imaging patterns between these two entities and highlighting the relevance of multimodal imaging in the management of the infections.

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“…6,8 Applications of MIOCT are gaining popularity in the field of cataract surgery as well. 9,10 It is able to provide real-time information related to wound architecture, status of Descemet's membrane, lenticular details, status of posterior capsule and position of the IOL with respect to the posterior capsule. In this study we evaluated the usefulness of MIOCT to quantitatively analyze the dimensions of the IOL-PC space in eyes undergoing routine phacoemulsification.…”

Section: Introductionmentioning

confidence: 99%

Quantitative Analysis of Gap Between the Intraocular Lens and Posterior Capsule Using Microscope-Integrated Optical Coherence Tomography in Eyes Undergoing Phacoemulsification

Nagpal

Agarwal

Bafna

et al. 2021

OPTH

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Purpose:To quantitatively analyze the dimensions of the gap between the intraocular lens (IOL) and the posterior capsule using microscope-integrated optical coherence tomography (MIOCT). Setting: Institutional. Design: Prospective, interventional. Methods: A total of 105 eyes of 105 consecutive patients planned for phacoemulsification with IOL implantation were enrolled. At the end of surgery, the gap between the IOL and the posterior capsule (IOL-PC gap) was measured using MIOCT (RESCAN). The same gap was reassessed at 1 week follow-up visit using the Visante-OCT system. The cases were subgrouped based on the grade of cataract, IOL material, size and design and were analyzed to look for any difference in the IOL-PC gap both intraoperatively and postoperatively. Results: The IOL-PC gap could be successfully measured intra-operatively in all cases, using the RESCAN. The mean gap at the end of phacoemulsification was 385.08±264.58 µm, and at one week follow up this was 120.83± 95.13 µm. Conclusion:MIOCT may be successfully used to quantify the dimensions of the gap between the IOL and the posterior capsule. It can be used as a potential tool to further understand the dynamics of the IOL-PC space and to assess the impact of various IOL and non-IOL parameters implicated in the causation of posterior capsule opacification.

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

Cited by 26 publications

References 139 publications

OCT on Anterior Segment Anomalies of the Eye in a Polish Paediatric Cohort: Diagnostic and Therapeutic Challenges

OCT on Anterior Segment Anomalies of the Eye in a Polish Paediatric Cohort: Diagnostic and Therapeutic Challenges

Differences between Mycobacterium chimaera and tuberculosis Using Ocular Multimodal Imaging: A Systematic Review

Quantitative Analysis of Gap Between the Intraocular Lens and Posterior Capsule Using Microscope-Integrated Optical Coherence Tomography in Eyes Undergoing Phacoemulsification

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