Microscope-integrated optical coherence tomography: A new surgical tool in vitreoretinal surgery

Area of Science:

• Ophthalmology
• Medical Imaging
• Surgical Technology

Background:

• Optical coherence tomography (OCT) is a well-established clinical imaging technique for ocular structures.
• Intraoperative OCT applications have recently emerged, enhancing surgical understanding and decision-making.
• Early intraoperative OCT devices (hand-held, microscope-mounted) demonstrated potential in surgical pathology assessment.

Purpose of the Study:

• To describe the advantages of microscope-integrated OCT in surgical settings.
• To highlight the real-time imaging capabilities of intraoperative OCT during ophthalmic procedures.
• To illustrate the role of OCT in improving surgical outcomes for vitreoretinal surgeries.

Main Methods:

• Utilizing a microscope-integrated Optical Coherence Tomography system.
• Performing real-time, high-resolution in vivo imaging during surgical maneuvers.
• Observing instrument interaction and tissue manipulation during vitreoretinal procedures.

Main Results:

• Microscope-integrated OCT enables seamless, high-resolution imaging from incision to closure.
• Real-time visualization of surgical instruments and intraoperative tissue manipulation is achieved.
• The modality aids in improving surgical decision-making and potentially enhances surgical outcomes.

Conclusions:

• Microscope-integrated OCT offers significant advantages for intraoperative visualization in ophthalmology.
• This technology facilitates real-time assessment of surgical maneuvers and tissue response.
• The application of intraoperative OCT, particularly in vitreoretinal surgery, shows promise for improved patient care.