Chang Yin-Hsi, Tan Gavin S W, Chou Hung-Da, Tsai Andrew S H
Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City, Taiwan.
Singapore National Eye Centre, Singapore Eye Research Institute, Singapore.
Taiwan J Ophthalmol. 2024 Dec 5;14(4):619-623. doi: 10.4103/tjo.TJO-D-24-00060. eCollection 2024 Oct-Dec.
Intraoperative optical coherence tomography (iOCT) has been applied and studied in a variety of vitreoretinal surgeries for its feasibility, safety, and outcomes for years. Common scenarios include membrane peeling procedures, retinal detachments, choroidal-retinal biopsies, Argus implants, and subretinal injections. iOCT offers the surgeon a better understanding of the retinal microarchitectural changes and timely intraoperative feedback, directing a future view of precision surgery. However, this technology has not been widely adopted due to its limitations including cost, surgeons' habits, lack of compatible equipment, software limitations, and so on. We aim to highlight the importance of iOCT in guiding clinical-relevant surgical decisions by illustrating two vitreoretinal cases that are complex and less frequently encountered.
多年来，术中光学相干断层扫描（iOCT）因其可行性、安全性及手术效果，已在各种玻璃体视网膜手术中得到应用和研究。常见的手术场景包括膜剥除手术、视网膜脱离、脉络膜-视网膜活检、阿格斯植入术及视网膜下注射。iOCT能让外科医生更好地了解视网膜微观结构变化，并提供及时的术中反馈，为精准手术的未来发展指明方向。然而，由于其存在成本、外科医生习惯、缺乏兼容设备、软件限制等局限性，这项技术尚未得到广泛应用。我们旨在通过阐述两例复杂且较少见的玻璃体视网膜病例，突出iOCT在指导临床相关手术决策中的重要性。
