Intraoperative OCT-Assisted DMEK

Saad, Alain; Guilbert, Emmanuel; Grise-Dulac, Alice; Sabatier, Patrick; Gatinel, Damien

doi:10.1097/ico.0000000000000462

Cited by 86 publications

(70 citation statements)

References 11 publications

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“…Using the manual tracking feature described in Section 3.1, some of these systems also allowed the B-scans to be manually tracked to the tip of instruments during surgical maneuvers [118,121,122]. Alternatively, multiple (3-5) parallel B-scans spanning the site of interest could be acquired and displayed simultaneously to monitor motion orthogonal to the B-scan axis [123,132] (Fig. 6(b)).…”

Section: Live Two-dimensional Microscope-integrated Octmentioning

confidence: 99%

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Review of intraoperative optical coherence tomography: technology and applications [Invited]

Carrasco-Zevallos

Viehland

Keller

et al. 2017

Biomed. Opt. Express

133

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During microsurgery, en face imaging of the surgical field through the operating microscope limits the surgeon's depth perception and visualization of instruments and subsurface anatomy. Surgical procedures outside microsurgery, such as breast tumor resections, may also benefit from visualization of the sub-surface tissue structures. The widespread clinical adoption of optical coherence tomography (OCT) in ophthalmology and its growing prominence in other fields, such as cancer imaging, has motivated the development of intraoperative OCT for real-time tomographic visualization of surgical interventions. This article reviews key technological developments in intraoperative OCT and their applications in human surgery. We focus on handheld OCT probes, microscope-integrated OCT systems, and OCT-guided laser treatment platforms designed for intraoperative use. Moreover, we discuss intraoperative OCT adjuncts and processing techniques currently under development to optimize the surgical feedback derivable from OCT data. Lastly, we survey salient clinical studies of intraoperative OCT for human surgery.

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Section: Live Two-dimensional Microscope-integrated Octmentioning

confidence: 99%

“…[118]. (B) Anterior eye surgery imaging protocol using five parallel and laterally offset B-scans spanning the area of interest [132]. The B-scan locations are overlaid on the surgical views.…”

Section: Live Two-dimensional Microscope-integrated Octmentioning

confidence: 99%

Review of intraoperative optical coherence tomography: technology and applications [Invited]

Carrasco-Zevallos

Viehland

Keller

et al. 2017

Biomed. Opt. Express

133

View full text Add to dashboard Cite

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“…9,12,13,22,23,27,29,32,39,41,42 Using intraoperative OCT surgeons are able to obtain immediate feedback on the status of the surgical procedure.…”

Section: Anterior Segmentmentioning

confidence: 99%

“…27,29,41 Intraoperative OCT facilitates identification of graft orientation and appropriate unscrolling during graft manipulation. The DISCOVER study found that in~50% of cases the intraoperative OCT provided information that was discordant to surgeon impression.…”

Section: Anterior Segmentmentioning

confidence: 99%

“…[6][7][8][9][11][12][13][14][15][16][17][18][21][22][23]27,28,[32][33][34][35][36][37][38][39][40][41] The PIONEER study was a large prospective clinical study (n = 531) examining the role of intraoperative OCT with a microscope-mounted portable OCT system in ophthalmic surgery. 13 The DISCOVER study is a subsequent prospective clinical study (n = 227) examining microscope-integrated OCT in ophthalmic surgery.…”

Section: Clinical Use and Impactmentioning

confidence: 99%

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Intraoperative optical coherence tomography: past, present, and future

Ehlers

2015

Eye

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To provide an overview of the current state of intraoperative optical coherence tomography (OCT). Literature review of studies pertaining to intraoperative OCT examining both the technology aspects of the imaging platform and the current evidence for patient care. Over the last several years, there have been significant advances in integrative technology for intraoperative OCT. This has resulted in the development of multiple microscopeintegrated systems and a rapidly expanding field of image-guided surgical care. Multiple studies have demonstrated the potential role for intraoperative OCT in facilitating surgeon understanding of the surgical environment, tissue configuration, and overall changes to anatomy. In fact, the PIONEER and DISCOVER studies, both demonstrated a potential significant percentage of cases that intraoperative OCT alters surgical decision-making in both anterior and posterior segment surgery. Current areas of exploration and development include OCT-compatible instrumentation, automated tracking, intraoperative OCT software platforms, and surgeon feedback/visualization platforms. Intraoperative OCT is an emerging technology that holds promise for enhancing the surgical care of both anterior segment and posterior segment conditions. Hurdles remain for adoption and widespread utilization, including cost, optimized feedback platforms, and more definitive value for individualized surgical care with image guidance.

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