Pfau Maximilian, Michels Stephan, Binder Susanne, Becker Matthias D
Ophthalmic Surg Lasers Imaging Retina. 2015 Nov-Dec;46(10):1001-8. doi: 10.3928/23258160-20151027-03.
A retrospective, single-center case-series was initiated to evaluate initial clinical experience with the first commercially available intraoperative optical coherence tomography system (iOCT).
The Rescan 700 iOCT (Zeiss, Oberkochen, Germany), a spectral-domain OCT system integrated into a surgical microscope, was used in 40 consecutive cases. A standardized review was used to assess whether iOCT imaging resulted in additional information and/or altered decision-making.
The iOCT system was usable in conjunction with common chromovitrectomy dyes and tamponades. The surgeons reported that iOCT imaging provided additional information in 74.1% of the posterior and combined surgical cases, which resulted in altered decision-making in 41.9% of the cases. The iOCT imaging time, on average, amounted to 167 seconds. In anterior procedures, the surgeons reported gaining additional information in 22.2% of all cases, but no cases of altered decision-making were reported. Hereby, the iOCT imaging time amounted to 117 seconds, on average.
The demonstrated results suggest iOCT has the potential to improve the quality of posterior and anterior segment surgery.
开展一项回顾性单中心病例系列研究，以评估首款商用术中光学相干断层扫描系统（iOCT）的初步临床经验。
连续40例患者使用集成于手术显微镜的光谱域OCT系统Rescan 700 iOCT（德国奥伯科亨蔡司公司）。采用标准化评估方法来判断iOCT成像是否能提供额外信息和/或改变决策。
iOCT系统可与常用的玻璃体视网膜手术染料及眼内填充物联合使用。外科医生报告称，在74.1%的后部及联合手术病例中，iOCT成像提供了额外信息，其中41.9%的病例据此改变了决策。iOCT成像平均时间为167秒。在前部手术中，外科医生报告称在所有病例中有22.2%获得了额外信息，但未报告有改变决策的病例。在此类手术中，iOCT成像平均时间为117秒。
研究结果表明iOCT有潜力提高眼前段和眼后段手术的质量。
