| Autor: |
S, Siebelmann, B, Bachmann, M, Matthaei, J, Horstmann, T, Dietlein, A, Lappas, P, Scholz, C, Cursiefen |
| Jazyk: |
němčina |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft. 115(9) |
| ISSN: |
1433-0423 |
| Popis: |
The therapeutic principle of examinations of children under general anaesthesia using microscope-integrated optical coherence tomography (MI-OCT) is presented. The aim was to assess novel indications as well as limitations for MI-OCT to enhance ophthalmological examinations of neonates and children under general anesthesia.The study was based on a review of the literature from google.scholar.com and PubMed and our own data from a prospective study (Department for Ophthalmology, University of Cologne) of 14 children with anterior and posterior segment anomalies undergoing examinations under anesthesia. Patients were examined using a commercially available MI-OCT device. The study analyzed the general feasibility of MI-OCT for ophthalmological examination of children under general anesthesia for the anterior and posterior eye segments and the benefits of indications and intraoperative findings.The MI-OCT significantly enriched the examinations of children under general anesthesia and delivered additional information not visible with the surgical microscope. Even in situations with a limited anterior chamber view MI-OCT enabled estimation of distances, such as corneal thickness. In addition to influencing therapeutic decisions, in 12/14 children MI-OCT also enabled examination of the thickness of the nerve fibre layer of the optic nerve disc and the retina.The data presented here underline the benefit of the intraoperative MI-OCT in ophthalmological examinations of children under general anesthesia. In particular MI-OCT enables examinations of children with corneal opacification, if an ophthalmological examination under general anesthesia becomes necessary. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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