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Echtzeit-optische Kohärenztomographie-assistierte Hochpräzisionsvitreoretinalchirurgie in der klinischen Routine

Real-time optical coherence tomography-assisted high-precision vitreoretinal surgery in the clinical routine

  • Das diagnostische und therapeutische Prinzip
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Zusammenfassung

Durch die vollständige Integration der SD-OCT (Spectral-Domain-optische Kohärenztomographie) in das Operationsmikroskop bietet die intraoperative optische Kohärenztomographie (iOCT) die Möglichkeit einer gezielten hochauflösenden Bildgebung in Echtzeit. Der Operateur erhält neben dem En-Face-Bild eine Live-Darstellung aller Netzhautschichten, des Glaskörpers sowie der Instrument-Gewebe-Interaktion, die für intraoperative Entscheidungen genutzt werden kann. Im Vergleich zur herkömmlichen Operationsmikroskopie ermöglicht die iOCT eine weitaus höhere Präzision vitreoretinalchirurgischer Maßnahmen und ist essenzielle Voraussetzung zur Umsetzung Echtzeit-kontrollierter Operationstechniken im Mikrometerbereich.

Abstract

The complete integration of spectral domain optical coherence tomography (SD-OCT) into an operating microscope now enables targeted, high-resolution imaging-guided vitreoretinal surgery. This provides real-time visualization of retinal layers, vitreous body and instrument-tissue interactions, which can be used for intraoperative decision making. Compared to conventional surgical microscopes, intraoperative OCT enables a greatly enhanced precision of vitreoretinal surgical maneuvers and is an essential prerequisite for the implementation of real-time guided surgical techniques at the micrometer level.

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Authors and Affiliations

  1. Augenklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland

    M. Maier FEBO, J. Klein, A. Nasseri, C. P. Lohmann & N. Feucht

  2. Augenklinik des Klinikums Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen, Deutschland

    L. O. Hattenbach FEBO, A. Chronopoulos & M. Strobel

Authors
  1. M. Maier FEBO
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  2. L. O. Hattenbach FEBO
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  3. J. Klein
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  4. A. Nasseri
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  5. A. Chronopoulos
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  6. M. Strobel
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  7. C. P. Lohmann
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  8. N. Feucht
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Correspondence to M. Maier FEBO or L. O. Hattenbach FEBO.

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Interessenkonflikt

M. Maier, L.O. Hattenbach, J. Klein, A. Nasseri, A. Chronopoulos, M. Strobel, C.P. Lohmann und N. Feucht geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Die Autoren M. Maier und L.O. Hattenbach haben zu gleichen Teilen zum Manuskript beigetragen.

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Maier, M., Hattenbach, L.O., Klein, J. et al. Echtzeit-optische Kohärenztomographie-assistierte Hochpräzisionsvitreoretinalchirurgie in der klinischen Routine. Ophthalmologe 117, 158–165 (2020). https://doi.org/10.1007/s00347-019-01007-2

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  • DOI: https://doi.org/10.1007/s00347-019-01007-2

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