Intraoperative optical coherence tomography: past, present, and future.

Area of Science:

• Ophthalmology
• Medical Imaging
• Surgical Technology

Background:

• Intraoperative optical coherence tomography (OCT) has seen significant technological advancements.
• Microscope-integrated systems and image-guided surgical care are rapidly expanding.
• OCT provides real-time visualization during surgical procedures.

Purpose of the Study:

• To review the current status of intraoperative OCT.
• To examine technological aspects and clinical evidence for patient care.
• To identify areas for future development in OCT technology.

Main Methods:

• Literature review of studies on intraoperative OCT.
• Analysis of technological aspects of imaging platforms.
• Evaluation of evidence for patient care and surgical decision-making.

Main Results:

• Intraoperative OCT enhances surgeon understanding of the surgical environment and anatomical changes.
• Studies like PIONEER and DISCOVER show OCT alters surgical decisions in anterior and posterior segment surgeries.
• Ongoing developments include OCT-compatible instruments, automated tracking, and improved feedback platforms.

Conclusions:

• Intraoperative OCT shows promise for improving surgical care in anterior and posterior segment eye conditions.
• Hurdles to widespread adoption include cost, optimized feedback systems, and demonstrating definitive value for image-guided care.
• Continued research and development are essential for realizing the full potential of intraoperative OCT.