Ang Marcus, Dubis Adam M, Wilkins Mark R
Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751 ; Singapore Eye Research Institute, Singapore ; Moorfields Eye Hospital, London, UK.
Moorfields Eye Hospital, London, UK ; University College London, London, UK.
Case Rep Ophthalmol Med. 2015;2015:506251. doi: 10.1155/2015/506251. Epub 2015 Feb 26.
We describe a case report of using the same handheld spectral-domain anterior segment optical coherence tomography (ASOCT) for rapid intraoperative and postoperative imaging in a case of Descemet membrane endothelial keratoplasty (DMEK). A 67-year-old woman, with Fuchs dystrophy and corneal decompensation, underwent DMEK with intraoperative ASOCT imaging using the handheld Envisu spectral domain ASOCT system (Bioptigen, Inc., Morrisville, NC, USA). We found that this easy-to-use portable system with handheld probe allowed for rapid imaging of the anterior segment during donor manipulation to visualize the orientation of the DMEK donor, as well as to confirm the initial adhesion of the DMEK donor. Moreover, the same system may be used for postoperative monitoring of graft adhesion, corneal thickness, and stromal remodeling in the clinic with very high-definition images.
我们描述了一例在Descemet膜内皮角膜移植术（DMEK）中使用同一台手持式光谱域眼前节光学相干断层扫描（ASOCT）进行快速术中及术后成像的病例报告。一名67岁患有Fuchs营养不良和角膜失代偿的女性接受了DMEK手术，术中使用手持式Envisu光谱域ASOCT系统（美国北卡罗来纳州莫里斯维尔市的Bioptigen公司）进行ASOCT成像。我们发现，这种带有手持式探头的易于使用的便携式系统能够在供体操作过程中对眼前节进行快速成像，以观察DMEK供体的方位，并确认DMEK供体的初始黏附情况。此外，同一系统可用于临床术后监测移植物的黏附情况、角膜厚度以及基质重塑，所获得的图像清晰度非常高。
