Microscope-integrated optical coherence tomography: A new surgical tool in vitreoretinal surgery

Abstract

Optical coherence tomography (OCT) has revolutionized imaging of ocular structures and various disease conditions. Though it has been used in the clinic for some decades, the OCT has only recently found its way into the operating theater. Early attempts at intraoperative OCT, hand-held and microscope mounted, have already improved our understanding of the surgical pathology and the role it might play in surgical decision-making. The microscope-integrated OCT now allows seamless, high-resolution, real-time imaging of surgical maneuvers from the incision to wound closure. Visualization of instruments and intraoperative tissue manipulation are possible with this in vivo modality and, therefore, help improve the outcome of surgery. In this article, we describe the advantages it offers during various vitreoretinal procedures.

Keywords

• Community
• digital imaging
• Karnataka Internet-assisted Diagnosis of Retinopathy of Prematurity
• retinopathy of prematurity
• telemedicine
• universal screening
• Age-related macular degeneration
• en-face optical coherence tomography
• polypoidal choroidal vasculopathy
• Choroid
• enhanced depth imaging technique
• swept source optical coherence tomography
• Choroidal imaging
• choroidal thickness
• retinal dystrophies
• Choroidal neovascularization
• idiopathic juxtafoveal telangiectasis
• juxtafoveal retinal telangiectasia
• lutein
• macular edema
• macular pigment
• macular telangiectasia
• Müller cells
• parafoveal telangiectasis
• perifoveal telangiectasis
• retinal angiomatous proliferation
• retinal telangiectasis
• subretinal neovascularization
• zeaxanthin
• Microscope-integrated optical coherence tomography
• RESCAN
• spectral domain optical coherence tomography
• vitreoretinal surgery