Layton Rahmatullah Benevolent Trust, Lahore, Pakistan.
Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan.
Rom J Ophthalmol. 2022 Jan-Mar;66(1):55-60. doi: 10.22336/rjo.2022.12.
To evaluate the utility of intraoperative OCT and its influence on the surgeon's decision during vitreoretinal surgery. This was a pilot, prospective case series conducted at a tertiary care ophthalmology department in Lahore, Pakistan. Sixteen patients undergoing vitreoretinal surgeries were included using the microscope integrated intraoperative optical coherence tomography (IOCT). We also investigated the changes in surgical decision making based on the findings revealed by IOCT using a questionnaire. 16 patients with a mean age of 40.6 ± 19.0 (range: 11-66) years, were included in the study; one case of acute postoperative endophthalmitis could not be imaged. The surgeon had to modify surgical decisions in four (26.7%) cases. IOCT clearly delineated various tissue planes for efficient and safe surgical dissection in pathologies such as posterior vitreous detachment, vitreomacular traction and epiretinal membranes. Furthermore, it also helped identifying perfluorocarbon-retina interface. The intraoperative OCT modality is a feasible and useful intraoperative imaging technique for various kinds of vitreoretinal disorders. The decision making of the surgeon was modified in a quarter of the cases after the use of this newer modality.
评估术中 OCT 的实用性及其对玻璃体视网膜手术中外科医生决策的影响。这是在巴基斯坦拉合尔的一家三级眼科护理机构进行的一项试点、前瞻性病例系列研究。使用显微镜集成的术中光学相干断层扫描 (IOCT) 纳入了 16 名接受玻璃体视网膜手术的患者。我们还使用问卷调查了基于 IOCT 发现改变手术决策的情况。 研究纳入了 16 名平均年龄为 40.6 ± 19.0（范围：11-66）岁的患者；1 例急性术后眼内炎无法成像。有 4 例（26.7%）需要修改手术决策。在后部玻璃体脱离、玻璃体黄斑牵引和视网膜内膜等病变中，IOCT 可清晰描绘出各种组织平面，有助于进行高效和安全的手术解剖。此外，它还可以帮助识别全氟碳-视网膜界面。 术中 OCT 方式是一种可行且有用的术中成像技术，适用于各种玻璃体视网膜疾病。在使用这种新方法后，四分之一的病例中外科医生的决策发生了改变。
