Skip to main content

Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries.

Publication ,  Journal Article
Pasricha, ND; Bhullar, PK; Shieh, C; Viehland, C; Carrasco-Zevallos, OM; Keller, B; Izatt, JA; Toth, CA; Challa, P; Kuo, AN
Published in: Indian J Ophthalmol
January 2017

We report the first use of swept-source microscope-integrated optical coherence tomography (SS-MIOCT) capable of live four-dimensional (4D) (three-dimensional across time) imaging intraoperatively to directly visualize tube shunt placement and trabeculectomy surgeries in two patients with severe open-angle glaucoma and elevated intraocular pressure (IOP) that was not adequately managed by medical intervention or prior surgery. We performed tube shunt placement and trabeculectomy surgery and used SS-MIOCT to visualize and record surgical steps that benefitted from the enhanced visualization. In the case of tube shunt placement, SS-MIOCT successfully visualized the scleral tunneling, tube shunt positioning in the anterior chamber, and tube shunt suturing. For the trabeculectomy, SS-MIOCT successfully visualized the scleral flap creation, sclerotomy, and iridectomy. Postoperatively, both patients did well, with IOPs decreasing to the target goal. We found the benefit of SS-MIOCT was greatest in surgical steps requiring depth-based assessments. This technology has the potential to improve clinical outcomes.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Indian J Ophthalmol

DOI

EISSN

1998-3689

Publication Date

January 2017

Volume

65

Issue

1

Start / End Page

57 / 59

Location

India

Related Subject Headings

  • Trabeculectomy
  • Tomography, Optical Coherence
  • Surgery, Computer-Assisted
  • Ophthalmology & Optometry
  • Male
  • Intraocular Pressure
  • Imaging, Three-Dimensional
  • Humans
  • Glaucoma
  • Anterior Chamber
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pasricha, N. D., Bhullar, P. K., Shieh, C., Viehland, C., Carrasco-Zevallos, O. M., Keller, B., … Kuo, A. N. (2017). Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries. Indian J Ophthalmol, 65(1), 57–59. https://doi.org/10.4103/ijo.IJO_412_16
Pasricha, Neel Dave, Paramjit Kaur Bhullar, Christine Shieh, Christian Viehland, Oscar Mijail Carrasco-Zevallos, Brenton Keller, Joseph Adam Izatt, Cynthia Ann Toth, Pratap Challa, and Anthony Nanlin Kuo. “Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries.Indian J Ophthalmol 65, no. 1 (January 2017): 57–59. https://doi.org/10.4103/ijo.IJO_412_16.
Pasricha ND, Bhullar PK, Shieh C, Viehland C, Carrasco-Zevallos OM, Keller B, et al. Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries. Indian J Ophthalmol. 2017 Jan;65(1):57–9.
Pasricha, Neel Dave, et al. “Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries.Indian J Ophthalmol, vol. 65, no. 1, Jan. 2017, pp. 57–59. Pubmed, doi:10.4103/ijo.IJO_412_16.
Pasricha ND, Bhullar PK, Shieh C, Viehland C, Carrasco-Zevallos OM, Keller B, Izatt JA, Toth CA, Challa P, Kuo AN. Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries. Indian J Ophthalmol. 2017 Jan;65(1):57–59.

Published In

Indian J Ophthalmol

DOI

EISSN

1998-3689

Publication Date

January 2017

Volume

65

Issue

1

Start / End Page

57 / 59

Location

India

Related Subject Headings

  • Trabeculectomy
  • Tomography, Optical Coherence
  • Surgery, Computer-Assisted
  • Ophthalmology & Optometry
  • Male
  • Intraocular Pressure
  • Imaging, Three-Dimensional
  • Humans
  • Glaucoma
  • Anterior Chamber