Ramírez-Estudillo Juan Abel, Sánchez-Ramos Jorge Arturo, Pérez-Montaño Carla Rocío, González-Cortés Jesús Hernán
Departamento de Retina y Vítreo, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México, México.
Departamento de Retina y Vítreo, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México, México.
Cir Cir. 2017 Jan-Feb;85(1):21-26. doi: 10.1016/j.circir.2016.04.002. Epub 2016 Jun 17.
Optical coherence tomography is a useful tool in several diseases. Its intraoperative use with the intention of improving anatomical results has recently been described.
To determine the usefulness and safety of optical coherence tomography during pars plana vitrectomy for several vitreo-retinal diseases.
A prospective case series is reported, in which the decision that influenced the use of the optical coherence tomography imaging during pars plana vitrectomy is evaluated. A RESCAN 700 microscope that includes a spectral domain tomography was used to obtain the images. At the end of each procedure the surgeons completed a questionnaire to determine if the tomographic image had an influence when making decisions during the surgery, or change the decision during the procedure.
Thirteen patients with pars plana vitrectomy were included, with cataract surgery also performed in 6 patients. The surgeon considered that the intraoperative image influenced the decision during the procedure in 8 cases.
Intraoperative optical coherence tomography is helpful for a safe patient diagnosis. It does not affect the surgery time, and in some cases it is useful for optimising the procedure in vitreous-retinal surgery.
光学相干断层扫描在多种疾病中是一种有用的工具。最近已有关于其在手术中使用以改善解剖学结果的描述。
确定光学相干断层扫描在多种玻璃体视网膜疾病的玻璃体切割术中的实用性和安全性。
报告了一个前瞻性病例系列，其中评估了影响在玻璃体切割术中使用光学相干断层扫描成像的决定因素。使用配备光谱域断层扫描的RESCAN 700显微镜获取图像。在每个手术结束时，外科医生填写一份问卷，以确定断层图像在手术决策时是否有影响，或在手术过程中是否改变了决策。
纳入了13例行玻璃体切割术的患者，其中6例还进行了白内障手术。外科医生认为术中图像在8例手术过程中影响了决策。
术中光学相干断层扫描有助于安全地诊断患者。它不影响手术时间，并且在某些情况下对优化玻璃体视网膜手术的操作有用。
