术中光学相干断层扫描在实际玻璃体视网膜手术中的作用
The Role of the Intraoperative Optical Coherence Tomography for Vitreoretinal Surgery in a Real-Life Setting.
作者信息
Parolini Barbara, Ripa Matteo, Frisina Rino, Matello Veronika, Motta Lorenzo
机构信息
Department of Ophthalmology, Eyecare Clinic, 25124 Brescia, Italy.
Department of Ophthalmology, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford TN24 0LZ, UK.
出版信息
Life (Basel). 2023 Aug 27;13(9):1813. doi: 10.3390/life13091813.
BACKGROUND
To descriptively report the advantages and the feasibility of microscope-integrated intraoperative optical coherence tomography (i-OCT) in managing different vitreoretinal diseases in a real-life setting.
METHODS
We conducted an observational retrospective study involving 265 eyes that underwent elective retinal surgery and intraoperative OCT between 1 September 2018 and 1 October 2022 at Eyecare Clinic (Brescia, Italy).
RESULTS
52 epiretinal membranes, 30 retinal detachments, 60 high myopic eyes, 30 choroidal transplants, 40 macular holes, and 32 vitreo-proliferative retinopathies underwent vitreoretinal surgery and intraoperative OCT scans. The i-OCT was a useful diagnostic exam for all cases and significantly influenced our surgical management.
CONCLUSIONS
i-OCT is a helpful surgical tool in ophthalmic surgery as it provides real-time feedback of tissue anatomy to surgeons, thereby guiding decision-making. Moreover, it provides additional information on the microarchitectural changes after instrument-tissue interactions, further guiding procedures when necessary and possibly reducing unessential surgical maneuvers.
背景
描述性报告显微镜集成术中光学相干断层扫描（i-OCT）在实际临床环境中处理不同玻璃体视网膜疾病的优势和可行性。
方法
我们进行了一项观察性回顾性研究，纳入了2018年9月1日至2022年10月1日期间在意大利布雷西亚眼科诊所接受选择性视网膜手术和术中OCT检查的265只眼。
结果
52例视网膜前膜、30例视网膜脱离、60例高度近视眼、30例脉络膜移植、40例黄斑裂孔和32例玻璃体增殖性视网膜病变接受了玻璃体视网膜手术和术中OCT扫描。i-OCT对所有病例都是一种有用的诊断检查，并显著影响了我们的手术管理。
结论
i-OCT是眼科手术中一种有用的手术工具，因为它能为外科医生提供组织解剖结构的实时反馈，从而指导决策。此外，它还能提供器械与组织相互作用后微观结构变化的额外信息，在必要时进一步指导手术操作，并可能减少不必要的手术操作。
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