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2016 ; 27
(3
): 201-9
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Clinical utility of intraoperative optical coherence tomography
#MMPMID26918786
Khan M
; Ehlers JP
Curr Opin Ophthalmol
2016[May]; 27
(3
): 201-9
PMID26918786
show ga
PURPOSE OF REVIEW: To explore the clinical utility of intraoperative optical
coherence tomography (iOCT) for the management of vitreoretinal conditions.
RECENT FINDINGS: The role of iOCT in guiding surgical decision-making and
surgical manipulations during vitreoretinal procedures has been evaluated by
multiple studies. This imaging modality is emerging as a valuable asset during
procedures for vitreoretinal interface disorders, retinal detachments, submacular
surgeries and therapeutics, and in pediatric conditions such as retinopathy of
prematurity. iOCT allows the surgeon to assess completion of surgical goals and
to directly monitor the architectural impact of instrument-tissue interactions
that may correlate with eventual prognosis. The technology has gone through
numerous iterations with the eventual goal being the development of a
user-friendly, efficient, and integrated system that provides surgeons with
'real-time' feedback during ophthalmic surgeries to allow for a comprehensive
image-assisted vitreoretinal surgery platform. SUMMARY: The role of iOCT in
ophthalmic surgery has been evolving with the help of ongoing research to define
its utility in the operating room and to develop integrative technologies.
Advancements in OCT-friendly surgical instrumentation and in integrative
capabilities of this technology may help achieve more widespread adoption of this
technology in the vitreoretinal surgical theater. Although the evidence appears
clear that this technology impacts surgical decision-making, additional research
is needed. However, further research is needed to determine the influence of this
technology on overall patient outcomes.