Scholars@Duke publication: VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY.

VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY.

Publication , Journal Article

Gabr, H; Chen, X; Zevallos-Carrasco, OM; Viehland, C; Dandrige, A; Sarin, N; Mahmoud, TH; Vajzovic, L; Izatt, JA; Toth, CA

Published in: Retina

September 2018

Published version (DOI) Link to item

PURPOSE: To evaluate the use of live volumetric (4D) intraoperative swept-source microscope-integrated optical coherence tomography in vitrectomy for proliferative diabetic retinopathy complications. METHODS: In this prospective study, we analyzed a subgroup of patients with proliferative diabetic retinopathy complications who required vitrectomy and who were imaged by the research swept-source microscope-integrated optical coherence tomography system. In near real time, images were displayed in stereo heads-up display facilitating intraoperative surgeon feedback. Postoperative review included scoring image quality, identifying different diabetic retinopathy-associated pathologies and reviewing the intraoperatively documented surgeon feedback. RESULTS: Twenty eyes were included. Indications for vitrectomy were tractional retinal detachment (16 eyes), combined tractional-rhegmatogenous retinal detachment (2 eyes), and vitreous hemorrhage (2 eyes). Useful, good-quality 2D (B-scans) and 4D images were obtained in 16/20 eyes (80%). In these eyes, multiple diabetic retinopathy complications could be imaged. Swept-source microscope-integrated optical coherence tomography provided surgical guidance, e.g., in identifying dissection planes under fibrovascular membranes, and in determining residual membranes and traction that would benefit from additional peeling. In 4/20 eyes (20%), acceptable images were captured, but they were not useful due to high tractional retinal detachment elevation which was challenging for imaging. CONCLUSION: Swept-source microscope-integrated optical coherence tomography can provide important guidance during surgery for proliferative diabetic retinopathy complications through intraoperative identification of different complications and facilitation of intraoperative decision making.

Duke Scholars

Author Xi Chen Ophthalmology, Vitreoretinal Diseases & Surgery

Author Lejla Vajzovic Ophthalmology, Vitreoretinal Diseases & Surgery

Author Cynthia Ann Toth Ophthalmology, Vitreoretinal Diseases & Surgery

Published In

Retina

DOI

10.1097/IAE.0000000000002021

EISSN

1539-2864

Publication Date

September 2018

Volume

38 Suppl 1

Issue

Suppl 1

Start / End Page

S110 / S120

Location

United States

Related Subject Headings

Vitreous Hemorrhage
Vitrectomy
Visual Acuity
Treatment Outcome
Tomography, Optical Coherence
Retinal Detachment
Prospective Studies
Ophthalmology & Optometry
Middle Aged
Microscopy

Citation

APA

Chicago

ICMJE

MLA

NLM

Gabr, H., Chen, X., Zevallos-Carrasco, O. M., Viehland, C., Dandrige, A., Sarin, N., … Toth, C. A. (2018). VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY. Retina, 38 Suppl 1(Suppl 1), S110–S120. https://doi.org/10.1097/IAE.0000000000002021

Gabr, Hesham, Xi Chen, Oscar M. Zevallos-Carrasco, Christian Viehland, Alexandria Dandrige, Neeru Sarin, Tamer H. Mahmoud, Lejla Vajzovic, Joseph A. Izatt, and Cynthia A. Toth. “VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY.” Retina 38 Suppl 1, no. Suppl 1 (September 2018): S110–20. https://doi.org/10.1097/IAE.0000000000002021.

Gabr H, Chen X, Zevallos-Carrasco OM, Viehland C, Dandrige A, Sarin N, et al. VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY. Retina. 2018 Sep;38 Suppl 1(Suppl 1):S110–20.

Gabr, Hesham, et al. “VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY.” Retina, vol. 38 Suppl 1, no. Suppl 1, Sept. 2018, pp. S110–20. Pubmed, doi:10.1097/IAE.0000000000002021.

Gabr H, Chen X, Zevallos-Carrasco OM, Viehland C, Dandrige A, Sarin N, Mahmoud TH, Vajzovic L, Izatt JA, Toth CA. VISUALIZATION FROM INTRAOPERATIVE SWEPT-SOURCE MICROSCOPE-INTEGRATED OPTICAL COHERENCE TOMOGRAPHY IN VITRECTOMY FOR COMPLICATIONS OF PROLIFERATIVE DIABETIC RETINOPATHY. Retina. 2018 Sep;38 Suppl 1(Suppl 1):S110–S120.