Intraoperative use of handheld spectral domain optical coherence tomography imaging in macular surgery.

Journal Article (Journal Article)

PURPOSE: To describe the intraoperative use of handheld spectral domain optical coherence tomography (SDOCT) imaging in macular surgery. DESIGN: Prospective, observational case series. METHODS: A handheld SDOCT device was used to obtain preincision optical coherence tomography imaging in patients undergoing vitrectomy for macular diseases. After removal of the internal limiting membrane or the epiretinal membrane, repeat intraoperative imaging was obtained. Spectral domain optical coherence tomography findings were characterized. RESULTS: An efficient technique was established for obtaining intraoperative SDOCT imaging. A total of eight patients were included in the study. Four patients underwent surgery for macular hole, three patients for epiretinal membrane, and one for vitreomacular traction. Comparison of the preincision and intraoperative SDOCT images demonstrated distinct changes in retinal contour and macular hole configuration. Intraoperative SDOCT imaging identified additional membranes in two patients. CONCLUSION: The intraoperative use of handheld SDOCT imaging provides an efficient method for visualizing macular pathology. This technology may, in certain cases, help confirm or identify diseases that may be difficult to visualize during surgery.

Full Text

Duke Authors

Cited Authors

  • Dayani, PN; Maldonado, R; Farsiu, S; Toth, CA

Published Date

  • November 2009

Published In

Volume / Issue

  • 29 / 10

Start / End Page

  • 1457 - 1468

PubMed ID

  • 19823107

Pubmed Central ID

  • PMC3515871

Electronic International Standard Serial Number (EISSN)

  • 1539-2864

Digital Object Identifier (DOI)

  • 10.1097/IAE.0b013e3181b266bc


  • eng

Conference Location

  • United States