The State of Intraoperative OCT in Vitreoretinal Surgery: Recent Advances and Future Challenges

Autor: Nicolò Ciarmatori, Marco Pellegrini, Francesco Nasini, Pietro Maria Talli, Laura Sarti, Marco Mura
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Tomography, Vol 9, Iss 5, Pp 1649-1659 (2023)
Druh dokumentu: article
ISSN: 2379-139X
2379-1381
DOI: 10.3390/tomography9050132
Popis: Since its first introduction more than 30 years ago, optical coherence tomography (OCT) has revolutionized ophthalmology practice, providing a non-invasive in vivo cross-sectional view of the structures of the eye. Mostly employed in the clinical setting due to its tabletop configuration requiring an upright patient positioning, the recent advent of microscope-integrated systems now allows ophthalmologists to perform real-time intraoperative OCT (iOCT) during vitreoretinal surgical procedures. Numerous studies described various applications of this tool, such as offering surgeons feedback on tissue–instrument interactions in membrane peeling, providing structural images in macular hole repair, and showing residual subretinal fluid or perfluorocarbon in retinal detachment surgery. This narrative review aims at describing the state of the art of iOCT in vitreoretinal procedures, highlighting its modern role and applications in posterior segment surgery, its current limitations, and the future perspectives that may improve the widespread adoption of this technology.
Databáze: Directory of Open Access Journals