Clinical applications for intraoperative optical coherence tomography: a systematic review

M.B. Muijzer*, P.A.W.J. Schellekens, H.J.M. Beckers, J.H. De Boer, S.M. Imhof, R.P.L. Wisse

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

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Abstract

In this systematic review, we provide an overview of the current state of intraoperative optical coherence tomography (iOCT). As iOCT technology is increasingly utilized, its current clinical applications and potential uses warrant attention. Here, we categorize the findings of various studies by their respective fields, including the use of iOCT in vitreoretinal surgery, corneal surgery, glaucoma surgery, cataract surgery, and pediatric ophthalmology. The trend observed in recent decades towards performing minimally invasive ophthalmic surgery has caused practitioners to recognize the limitations of using a conventional surgical microscope for intraoperative visualization. Thus, the superior visualization provided by iOCT can improve the safety of these surgical techniques and promote the development of new minimally invasive ophthalmic surgeries. Landmark prospective studies found that iOCT can significantly affect surgical decision making and can cause a subsequent change in surgical strategy, and the use of iOCT has potential to improve surgical outcome. Despite these advantages, however, iOCT is still a relatively new technique, and beginning users of iOCT can encounter limitations that can preclude their reaching the full potential of iOCT and in this respect several improvements are needed.
Original languageEnglish
Pages (from-to)379-391
Number of pages13
JournalEye
Volume36
Issue number2
Early online date16 Jul 2021
DOIs
Publication statusPublished - Feb 2022

Keywords

  • AUTOMATED ENDOTHELIAL KERATOPLASTY
  • INTRAOCULAR-LENS POSITION
  • IMPLANTABLE COLLAMER LENS
  • HEADS-UP DISPLAY
  • VITREORETINAL SURGERY
  • CATARACT-SURGERY
  • INTERFACE FLUID
  • LAMELLAR KERATOPLASTY
  • EPIRETINAL MEMBRANES
  • RETINAL DETACHMENTS

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