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Intraoperative OCT in der ophthalmologischen Mikrochirurgie

Intraoperative OCT in ophthalmic microsurgery

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Zusammenfassung

Durch rezente technologische Weiterentwicklungen ist es gelungen, die hochauflösende SD-OCT-Bildgebung in den Strahlengang von Operationsmikroskopen zu integrieren. In einem Überblick werden mögliche Anwendungsbereiche der sog. iOCT („intraoperative optical coherence tomography“) im Rahmen von netzhaut-, glaukom- und hornhautchirurgischen Eingriffen dargestellt. Die Visualisierung mittels SD-OCT kann bei bestimmten Eingriffen die Sicherheit und Qualität der Operation potentiell verbessern sowie zur operativen Ausbildung beitragen. Bei der Makulachirurgie, Trabekulektomien und lamellierenden Hornhauttransplantationsverfahren kann durch Darstellung von aufgrund Transparenz kaum sichtbarer Strukturen ein Vorteil erzielt werden. Weitere systematische Evaluationen im operativen Einsatz sind erforderlich, um sinnvolle Einsatzbereiche der iOCT näher zu präzisieren.

Abstract

Recent improvements in technology have enabled integration of SD-OCT into the optical path of an operating microscope. Here we present an overview of possible applications of iOCT (intraoperative optical coherence tomography) for retinal, glaucoma and corneal surgery. iOCT-based imaging can not only improve safety and quality of the surgery but also the learning curve of the surgeon. The ability to visualize barely visible or transparent structures with iOCT has achieved a significant added value intraoperatively, particularly in macular surgery, trabeculectomy and lamellar keratoplasty. Further, systematic assessment is warranted to define the usefulness of the iOCT more precisely.

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Authors and Affiliations

  1. Universitäts-Augenklinik Bonn, Ernst-Abbe-Straße 2, 53127, Bonn, Deutschland

    B. V. Stanzel, A. Gagalick, C. K. Brinkmann, R. Brinken, M. C. Herwig & F. G. Holz

  2. Singapore National Eye Center, 11 Third Hospital Ave, 168751, Singapur, Singapur

    B. V. Stanzel

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  1. B. V. Stanzel
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  2. A. Gagalick
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  3. C. K. Brinkmann
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  4. R. Brinken
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  5. M. C. Herwig
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  6. F. G. Holz
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Correspondence to B. V. Stanzel.

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Interessenkonflikt

B.V. Stanzel, A. Gagalick, C.K. Brinkmann, R. Brinken, M.C. Herwig und F.G. Holz geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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B.V. Stanzel und A. Gagalick teilen sich die Erstautorenschaft.

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Stanzel, B.V., Gagalick, A., Brinkmann, C.K. et al. Intraoperative OCT in der ophthalmologischen Mikrochirurgie. Ophthalmologe 113, 435–442 (2016). https://doi.org/10.1007/s00347-016-0250-8

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