Chatzimichail Eleftherios, Chondrozoumakis Georgios, Doroodgar Farideh, Vounotrypidis Efstathios, Panos Georgios D, Gatzioufas Zisis
Department of Ophthalmology, University Hospital of Basel, 4031 Basel, Switzerland.
Department of Ophthalmology, University Hospital of Heraklion, 71500 Heraklion, Greece.
J Clin Med. 2024 Sep 13;13(18):5426. doi: 10.3390/jcm13185426.
Intraoperative OCT (iOCT) is an innovative imaging modality that provides ophthalmic surgeons with real-time cross-sectional views of the surgical field. Recent advances in OCT technology, such as higher acquisition scanning rates, enable real-time video visualization. iOCT systems are widely used in both vitreoretinal and anterior segment surgeries. In corneal surgeries, iOCT imaging aims to optimize efficacy and safety by improving depth perception and enhancing visualization in cases of opaque optical media. iOCT is a valuable tool not only for experienced corneal surgeons, but also for training novice surgeons. This review summarizes the emerging applications of iOCT in corneal surgery, particularly in technically demanding lamellar keratoplasty procedures, as well as in various other corneal diseases and complications that require surgical intervention.
术中光学相干断层扫描（iOCT）是一种创新的成像方式，可为眼科外科医生提供手术视野的实时横截面视图。OCT技术的最新进展，如更高的采集扫描速率，实现了实时视频可视化。iOCT系统广泛应用于玻璃体视网膜手术和眼前节手术。在角膜手术中，iOCT成像旨在通过改善深度感知和增强不透明光学介质情况下的可视化来优化疗效和安全性。iOCT不仅是经验丰富的角膜外科医生的宝贵工具，也是培训新手外科医生的宝贵工具。本综述总结了iOCT在角膜手术中的新兴应用，特别是在技术要求较高的板层角膜移植手术中，以及在需要手术干预的各种其他角膜疾病和并发症中的应用。
