Use of Handheld Intraoperative Spectral-Domain Optical Coherence Tomography in a Variety of Vitreoretinal Diseases

Ophthalmic Surg Lasers Imaging Retina. 2016 Jan;47(1):49-54. doi: 10.3928/23258160-20151214-07.

Abstract

Background and objective: The use of intraoperative optical coherence tomography (iOCT) has been described with a variety of imaging devices and techniques. The purpose of this investigation is to examine the role of iVue (Optovue, Fremont, CA), a commercially available, handheld spectral-domain iOCT system, in vitreoretinal surgery. PATIENTS AND METHODS For this retrospective, observational case series, patients who underwent a vitreoretinal surgical procedure and were imaged with the iVue were identified. Images were qualitatively assessed.

Results: Five cases were identified, including an examination under anesthesia, epiretinal membrane, macular hole, retinal detachment, and non-clearing vitreous hemorrhage in the setting of proliferative diabetic retinopathy.

Conclusion: Clinically useful images were obtained in all cases, though it was difficult to center the scan on the area of interest in the retina. Further work is necessary to improve system design and investigate the ways in which iOCT can aid in vitreoretinal surgery.

Publication types

  • Case Reports
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Child, Preschool
  • Diabetic Retinopathy / pathology
  • Diabetic Retinopathy / surgery
  • Epiretinal Membrane / pathology
  • Epiretinal Membrane / surgery
  • Eye Diseases / pathology*
  • Eye Diseases / surgery
  • Female
  • Humans
  • Intraoperative Period
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures / instrumentation*
  • Retinal Detachment / pathology
  • Retinal Detachment / surgery
  • Retinal Diseases / pathology*
  • Retinal Diseases / surgery
  • Retinal Neoplasms / pathology
  • Retinal Neoplasms / surgery
  • Retinal Perforations / pathology
  • Retinal Perforations / surgery
  • Retinoblastoma / pathology
  • Retinoblastoma / surgery
  • Retrospective Studies
  • Surgery, Computer-Assisted / methods*
  • Tomography, Optical Coherence / instrumentation*
  • Vitreoretinal Surgery*
  • Vitreous Body / pathology*
  • Vitreous Body / surgery
  • Vitreous Hemorrhage