The Tony and Leona Campane Center for Excellence in Image-Guided Surgery and Advanced Imaging Research, Cole Eye Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA.
Cole Eye Institute, Cleveland Clinic, 9500 Euclid Ave/i32, Cleveland, OH, 44195, USA.
Sci Rep. 2024 Jul 23;14(1):16959. doi: 10.1038/s41598-024-67700-8.
This study aimed to assess retinal alterations following membrane peeling procedures using novel ILM Forceps with laser ablated surface with the help of intraoperative optical coherence tomography (iOCT). A post-hoc analysis was performed to evaluate iOCT findings in eyes that underwent membrane peeling procedures with the novel ILM Forceps. Pre-peel and post-peel iOCT videos and images were evaluated for each eye to assess for post-peel anatomic alterations. Surgical video/iOCT scan correlation was conducted to evaluate the etiology of anatomic alterations. Thirty-two eyes were included in the analysis. Three eyes (9%) had focal full thickness retinal elevations identified on iOCT following tissue-instrument interaction with the ILM Forceps. Two eyes (6%) had focal inner retinal elevations and one eye (3%) had a full-thickness retinal elevation that were not related to direct tissue-instrument interaction but rather indirect peeling forces. iOCT-identified architectural alterations related to direct-tissue instrument interaction were relatively infrequent (< 10%) with similar frequency to previously reported alterations with other surgical instruments.
本研究旨在借助术中光学相干断层扫描（iOCT）评估新型 ILM 镊（其镊面经激光烧蚀处理）辅助下的膜剥离手术后视网膜的变化。对接受新型 ILM 镊行膜剥离手术的患者进行了一项回顾性分析，以评估 iOCT 检查结果。对每只眼的术前和术后 iOCT 视频和图像进行评估，以评估术后解剖结构的变化。进行手术视频/iOCT 扫描相关性分析以评估解剖结构变化的病因。共纳入 32 只眼进行分析。术中 ILM 镊与组织相互作用后，iOCT 发现 3 只眼（9%）出现局灶性全层视网膜抬高。2 只眼（6%）出现局灶性内层视网膜抬高，1 只眼（3%）出现全层视网膜抬高，这些改变与直接组织-器械相互作用无关，而是与间接剥除力有关。与直接组织-器械相互作用相关的 iOCT 识别的结构改变相对较少（<10%），与其他手术器械报道的改变频率相似。
