INTRAOPERATIVE USE OF HANDHELD SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY IMAGING IN MACULAR SURGERY

被引：121
作者：
Dayani, Pouya N. [1 ]
Maldonado, Ramiro [1 ]
Farsiu, Sina [1 ]
Toth, Cynthia A. [1 ]
机构：
[1] Duke Univ, Ctr Eye, Dept Ophthalmol, Durham, NC 27710 USA
来源：
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2009年 / 29卷 / 10期
基金：
美国国家卫生研究院;
关键词：
epiretinal membrane; Fourier domain OCT; handheld; intraoperative; macular hole; OCT; optical coherence tomography; spectral domain optical coherence tomography; vitreomacular traction; INTERNAL LIMITING MEMBRANE; HOLE SURGERY; INDOCYANINE GREEN; PATHOLOGICAL FEATURES; CONFIGURATION; MORPHOLOGY; OUTCOMES; REMOVAL;
D O I：
10.1097/IAE.0b013e3181b266bc
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose: To describe the intraoperative use of handheld spectral domain optical coherence tomography (SDOCT) imaging in macular surgery. Design: Prospective, observational case series. Methods: A handheld SDOCT device was used to obtain preincision optical coherence tomography imaging in patients undergoing vitrectomy for macular diseases. After removal of the internal limiting membrane or the epiretinal membrane, repeat intraoperative imaging was obtained. Spectral domain optical coherence tomography findings were characterized. Results: An efficient technique was established for obtaining intraoperative SDOCT imaging. A total of eight patients were included in the study. Four patients underwent surgery for macular hole, three patients for epiretinal membrane, and one for vitreomacular traction. Comparison of the preincision and intraoperative SDOCT images demonstrated distinct changes in retinal contour and macular hole configuration. Intraoperative SDOCT imaging identified additional membranes in two patients. Conclusion: The intraoperative use of handheld SDOCT imaging provides an efficient method for visualizing macular pathology. This technology may, in certain cases, help confirm or identify diseases that may be difficult to visualize during surgery. RETINA 29:1457-1468, 2009
引用
收藏
页码：1457 / 1468
页数：12
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