The State of Intraoperative OCT in Vitreoretinal Surgery: Recent Advances and Future Challenges.
Nicolò CiarmatoriMarco PellegriniFrancesco NasiniPietro Maria TalliLaura SartiMarco MuraPublished in: Tomography (Ann Arbor, Mich.) (2023)
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.
Keyphrases
- optical coherence tomography
- minimally invasive
- diabetic retinopathy
- coronary artery bypass
- cross sectional
- optic nerve
- patients undergoing
- primary care
- case report
- high resolution
- percutaneous coronary intervention
- coronary artery disease
- deep learning
- convolutional neural network
- cataract surgery
- atrial fibrillation
- electronic health record
- patient reported outcomes
- acute coronary syndrome