NOVEL METHOD FOR VISUALIZING PERIPHERAL RETINAL STRUCTURES WITH MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY

Area of Science:

• Ophthalmology
• Medical Imaging
• Retinal Surgery

Background:

• Peripheral retinal imaging with optical coherence tomography (OCT) presents significant challenges.
• Accurate visualization of the peripheral retina is crucial for diagnosing and managing various ocular conditions.

Purpose of the Study:

• To describe a novel method for intraoperative OCT of the peripheral retina.
• To evaluate the utility of a microscope-integrated OCT system with a Goldmann lens for peripheral imaging.

Main Methods:

• Utilized an investigational microscope-integrated OCT system with real-time 4D volumetric imaging.
• Employed a Goldmann style mirrored contact lens intraoperatively in three patients.
• Captured peripheral retinal images during surgical procedures.

Main Results:

• Successfully visualized peripheral retinal structures, including retinoschisis.
• Identified a retinal break using the described peripheral OCT method.
• Detected areas of focal retinal detachment in the peripheral retina.

Conclusions:

• Intraoperative OCT combined with a Goldmann lens provides surgeons enhanced visualization of peripheral retinal pathology.
• This technique facilitates the evaluation of peripheral retinal conditions not easily assessed with conventional OCT.
• The described method offers a valuable tool for improving surgical outcomes in retinal procedures.