PMID- 26842922
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20161230
IS  - 1755-3768 (Electronic)
IS  - 1755-375X (Linking)
VI  - 94
IP  - 3
DP  - 2016 May
TI  - Use of a new intra-ocular spectral domain optical coherence tomography in 
      vitreoretinal surgery.
PG  - 246-52
LID - 10.1111/aos.12961 [doi]
AB  - PURPOSE: To describe the use of a novel intra-ocular side-scanning probe enabling 
      the acquisition of spectral-domain optical coherence tomography (SD-OCT) images 
      during surgery in a series of patients with complex forms of retinal detachment. 
      METHODS: A 23-gauge, side-scanning SD-OCT probe (C7 System; LightLab Imaging, 
      Inc/St Jude Medical, St. Paul, MN, USA) in a 20-gauge catheter, was used to 
      acquire the intra-operative OCT images in seven patients with vitreoretinal 
      diseases. Twenty-five gauge pars plana vitrectomy (PPV) was performed in every 
      patient in a standard fashion. After enlarging the temporal sclerotomy to a 
      20-gauge port, all the patients were scanned with intra-ocular side-scanning 
      SD-OCT, during different steps of the surgery based on surgeon needs. Scans were 
      recorded real time and directly evaluated on a screen during surgery. Optical 
      coherence tomography (OCT) scans were judged beneficial when they would recognize 
      structures otherwise not seen on biomicroscopy. RESULTS: The intra-ocular SD-OCT 
      has been helpful in acquiring extra information during vitreoretinal surgery such 
      as the detection of the presence of otherwise invisible membranes (epiretinal 
      membrane, subretinal membrane), the location of small tears and the 
      identification of the retinal plane under suboptimal conditions for 
      visualization. CONCLUSION: The use of an intra-ocular SD-OCT can expand upon 
      visual cues during surgery, helping in the decision-making process and allowing 
      additional deliberate surgical manoeuvres aimed at improving surgical outcomes.
CI  - (c) 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & 
      Sons Ltd.
FAU - Mura, Marco
AU  - Mura M
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
FAU - Iannetta, Danilo
AU  - Iannetta D
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
AD  - Department of Ophthalmology, University of Tor Vergata, Rome, Italy.
FAU - Nasini, Francesco
AU  - Nasini F
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
AD  - Department of Surgical, Medical, Molecular and Critical Area Pathology, 
      University of Pisa, Pisa, Italy.
FAU - Barca, Francesco
AU  - Barca F
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
FAU - Peiretti, Enrico
AU  - Peiretti E
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
AD  - Department of Surgical Science, University of Cagliari, Cagliari, Italy.
FAU - Engelbrecht, Leonore
AU  - Engelbrecht L
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
FAU - de Smet, Marc D
AU  - de Smet MD
AD  - MIOS sa, Lausanne, Switzerland.
FAU - Verbraak, Frank
AU  - Verbraak F
AD  - Department of Ophthalmology, Academic Medical Center, University of Amsterdam, 
      Amsterdam, The Netherlands.
AD  - Laser Center, Academic Medical Center, University of Amsterdam, Amsterdam, The 
      Netherlands.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20160204
PL  - England
TA  - Acta Ophthalmol
JT  - Acta ophthalmologica
JID - 101468102
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Macula Lutea/*pathology
MH  - Male
MH  - Middle Aged
MH  - Retinal Detachment/*surgery
MH  - Tomography, Optical Coherence/*instrumentation
MH  - Visual Acuity/physiology
MH  - *Vitreoretinal Surgery
MH  - Vitreoretinopathy, Proliferative/*surgery
OTO - NOTNLM
OT  - image-guided surgery
OT  - intraoperative optical coherence tomography
OT  - optical coherence tomography
OT  - retinal detachment
OT  - retinal surgery
OT  - vitrectomy vitreoretinal disease
EDAT- 2016/02/05 06:00
MHDA- 2016/12/15 06:00
CRDT- 2016/02/05 06:00
PHST- 2015/08/25 00:00 [received]
PHST- 2015/11/24 00:00 [accepted]
PHST- 2016/02/05 06:00 [entrez]
PHST- 2016/02/05 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1111/aos.12961 [doi]
PST - ppublish
SO  - Acta Ophthalmol. 2016 May;94(3):246-52. doi: 10.1111/aos.12961. Epub 2016 Feb 4.