Khan Mehnaz, Ehlers Justis P
Ophthalmic Imaging Center, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Curr Opin Ophthalmol. 2016 May;27(3):201-9. doi: 10.1097/ICU.0000000000000258.
To explore the clinical utility of intraoperative optical coherence tomography (iOCT) for the management of vitreoretinal conditions.
The role of iOCT in guiding surgical decision-making and surgical manipulations during vitreoretinal procedures has been evaluated by multiple studies. This imaging modality is emerging as a valuable asset during procedures for vitreoretinal interface disorders, retinal detachments, submacular surgeries and therapeutics, and in pediatric conditions such as retinopathy of prematurity. iOCT allows the surgeon to assess completion of surgical goals and to directly monitor the architectural impact of instrument-tissue interactions that may correlate with eventual prognosis. The technology has gone through numerous iterations with the eventual goal being the development of a user-friendly, efficient, and integrated system that provides surgeons with 'real-time' feedback during ophthalmic surgeries to allow for a comprehensive image-assisted vitreoretinal surgery platform.
The role of iOCT in ophthalmic surgery has been evolving with the help of ongoing research to define its utility in the operating room and to develop integrative technologies. Advancements in OCT-friendly surgical instrumentation and in integrative capabilities of this technology may help achieve more widespread adoption of this technology in the vitreoretinal surgical theater. Although the evidence appears clear that this technology impacts surgical decision-making, additional research is needed. However, further research is needed to determine the influence of this technology on overall patient outcomes.
探讨术中光学相干断层扫描（iOCT）在玻璃体视网膜疾病治疗中的临床应用价值。
多项研究评估了iOCT在玻璃体视网膜手术中指导手术决策和手术操作的作用。这种成像方式正在成为玻璃体视网膜界面疾病、视网膜脱离、黄斑下手术及治疗，以及早产儿视网膜病变等儿科疾病手术中的一项宝贵资产。iOCT使外科医生能够评估手术目标的完成情况，并直接监测器械与组织相互作用对组织结构的影响，而这种影响可能与最终预后相关。该技术已经历了多次迭代，最终目标是开发一个用户友好、高效且集成的系统，在眼科手术期间为外科医生提供“实时”反馈，以形成一个全面的图像辅助玻璃体视网膜手术平台。
在持续研究的帮助下，iOCT在眼科手术中的作用不断演变，以明确其在手术室中的应用价值并开发整合技术。对OCT友好的手术器械的进步以及该技术的整合能力，可能有助于该技术在玻璃体视网膜手术领域更广泛地应用。尽管有证据表明该技术会影响手术决策，但仍需进一步研究。然而，还需要进一步研究来确定该技术对患者总体预后的影响。
