Clinical evaluation and development trend of intraoperative optical coherence tomography in vitrectomy for fundus dieases_Chinese Journal of Ocular Fundus Diseases

Authors：

 Shen Lijun

Department of Ophthalmology, Zhejiang Provincial People’s Hospital, HangZhou 310014, China;

Corresponding author：

Shen Lijun, Email: slj@mail.eye.ac.cn

Keywords：

Tomography, optical coherence; Vitrectomy; Editorial

DOI：

10.3760/cma.j.cn511434-20221025-00569

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

With the increasing popularity of intraoperative optical coherence tomography (iOCT) equipment, the use of iOCT for a variety of fundus diseases is gradually increasing. Most clinical studies on iOCT have a small number of samples and lack of control, and the level and quality of evidence are generally not good. Therefore, the evaluation of the clinical value of iOCT is mainly based on whether it is helpful for surgical manipulation and whether it has influence on intraoperative decision-making. Currently, membrane peeling during vitrectomy is the most common use of iOCT. The current iOCT does not have the automatic tracking function, which requires the surgeon to stop the operation and manually adjust the position of the probe to track the scanning site to obtain the image. The synchronous automatic tracking cannot be achieved. In the future, it is necessary to develop an automatic tracking system to reduce the workload of the surgeon during the operation.

Citation： Shen Lijun. Clinical evaluation and development trend of intraoperative optical coherence tomography in vitrectomy for fundus dieases. Chinese Journal of Ocular Fundus Diseases, 2022, 38(11): 876-879. doi: 10.3760/cma.j.cn511434-20221025-00569 Copy

1.	Huang D, Swanson EA, Lin CP, et al. Optical coherence tomography[J]. Science, 1991, 254(5035): 1178-1181. DOI: 10.1126/science.1957169.
2.	Gabr H, Chen X, Zevallos-Carrasco OM, et al. Visualization from intraoperative swept-source microsocope-integrated optical coherence tomographt in vitrectomy for proliferative diabetic retinopathy[J]. Retina, 2018, 38(9): 110-120. DOI: 10.1097/IAE.0000000000002021.
3.	Ehlers JP, Dupps WJ, Kaiser PK, et al. The Prospective Intraoperative and Perioperative Ophthalmic Imaging with Optical Coherence Tomography (PIONEER) Study: 2-year results[J]. Am J Ophthalmol, 2014, 158(5): 999-1007. DOI: 10.1016/j.ajo.2014.07.034.
4.	Ehlers JP, Modi YS, Pecen PE, et al. The DISCOVER study 3-year results: feasibility and usefulness of microscope-integrated intraoperative OCT during ophthalmic surgery[J]. Ophthalmology, 2018, 125(7): 1014-1027. DOI: 10.1016/j.ophtha.2017.12.037.
5.	Ehlers JP, Khan M, Petkovsek D, et al. Outcomes of intraoperative OCT-assisted epiretinal membrane surgery from the PIONEER Study[J]. Ophthalmol Retina, 2018, 2(4): 263-267. DOI: 10.1016/j.oret.2017.05.006.
6.	陶继伟, 王辰茜, 沈丽君, 等. iOCT在病理性近视黄斑病变手术中的应用[J]. 中华眼视光学与视觉科学杂志, 2020, 22(6): 415-420. DOI: 10.3760/cma.j.cn115909-20190701-00190.Tao JW, Wang CQ, Shen LJ, et al. The application of intraoperative optical coherence tomography for vitreomacular surgery in pathological myopic macular diseases[J]. Chin J Ophthalmol Vis Sci, 2020, 22(6): 415-420. DOI: 10.3760/cma.j.cn115909-20190701-00190.
7.	Falkner-Radler CI, Glittenberg C, Gabriel M, et al. Intrasurgical microscope-integrated spectral domain optical coherence tomography-assisted membrane peeling[J]. Retina, 2015, 35(10): 2100-2106. DOI: 10.1097/IAE.0000000000000596.
8.	Hattenbach LO, Framme C, Junker B, et al. Intraoperative real-time OCT in macular surgery[J]. Ophthalmologe, 2016, 113(8): 656-662. DOI: 10.1007/s00347-016-0297-6.
9.	Tuifua TS, Sood AB, Abraham JR, et al. Epiretinal membrane surgery using intraoperative OCT-guided membrane removal in the DISCOVER Study versus conventional membrane removal[J]. Ophthalmol Retina, 2021, 5(12): 1254-1262. DOI: 10.1016/j.oret.2021.02.013.
10.	Bruyère E, Philippakis E, Dupas B, et al. Benefit of intraoperative optical coherence tomography for vitreomacular surgery in highly myopic eyes[J]. Retina, 2018, 38(10): 2035-2044. DOI: 10.1097/IAE.0000000000001827.
11.	Ehlers JP, Xu D, Kaiser PK, et al. Intrasurgical dynamics of macular hole surgery: an assessment of surgery-induced ultrastructural alterations with intraoperative optical coherence tomography[J]. Retina, 2014, 34(2): 213-221. DOI: 10.1097/IAE.0b013e318297daf3.
12.	张淳, 陈秀菊, 刘明威, 等. 联合3D手术视频系统和手术中光相干断层扫描辅助玻璃体切割手术治疗高度近视黄斑劈裂的疗效观察[J]. 中华眼底病杂志, 2019, 35(6): 529-533. DOI: 10.3760/cma.j.issn.1005-1015.2019.06.002.Zhang C, Chen XJ, Liu MW, et al. Combining 3D heads-up display viewing system and intraoperative optical coherence tomography-assisted vitrectomy for myopic foveoschisis[J]. Chin J Ocul Fundus Dis, 2019, 35(6): 529-533. DOI: 10.3760/cma.j.issn.1005-1015.2019.06.002.
13.	Ehlers JP, Tam T, Kaiser PK, et al. Utility of intraoperative optical coherence tomography during vitrectomy surgery for vitreomacular traction syndrome[J]. Retina, 2014, 34(7): 1341-1346. DOI: 10.1097/IAE.0000000000000123.
14.	黄欣, 许欢. 术中光学相干层析成像辅助玻璃体手术治疗高度近视黄斑劈裂[J]. 中国眼耳鼻喉科杂志, 2018, 18(5): 307-308. DOI: 10.14166/j.issn.1671-2420.2018.05.005.Huang X, Xu H. Intraoperative optical coherence tomography assisted vitrectomy for the treatment of macular cleft in high myopia[J]. Chin J Ophthalmol and Otorhinolaryngol, 2018, 18(5): 307-308. DOI: 10.14166/j.issn.1671-2420.2018.05.005.
15.	Huang HJ, Sevgi DD, Srivastava SK, et al. Vitreomacular traction surgery from the DISCOVER Study: intraoperative OCT utility, ellipsoid zone dynamics, and outcomes[J]. Ophthalmic Surg Lasers Imaging Retina, 2021, 52(10): 544-550. DOI: 10.3928/23258160-20210913-01.
16.	Lee LB, Srivastava SK. Intraoperative spectral-domain optical coherence tomography during complex retinal detachment repair[J]. Ophthalmic Surg Lasers Imaging, 2011, 42(8): 71-74. DOI: 10.3928/15428877-20110804-05.
17.	Muni RH, Kohly RP, Charonis AC, et al. Retinoschisis detected with handheld spectral-domain optical coherence tomography in neonates with advanced retinopathy of prematurity[J]. Arch Ophthalmol, 2010, 128(1): 57-62. DOI: 10.1001/archophthalmol.2009.361.
18.	Ehlers JP, Goshe J, Dupps WJ, et al. Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study Rescan results[J]. JAMA Ophthalmol, 2015, 133(10): 1124-1132. DOI: 10.1001/jamaophthalmol.2015.2376.
19.	Abraham JR, Srivastava SK, K Le T, et al. Intraoperative OCT-assisted retinal detachment repair in the DISCOVER Study: impact and outcomes[J]. Ophthalmol Retina, 2020, 4(4): 378-383. DOI: 10.1016/j.oret.2019.11.002.
20.	Ehlers JP, Petkovsek DS, Yuan A, et al. Intrasurgical assessment of subretinal tPA injection for submacular hemorrhage in the pioneer study utilizing intraoperative OCT[J]. Ophthalmic Surg Lasers Imaging Retina, 2015, 46(3): 327-332. DOI: 10.3928/23258160-20150323-05.
21.	Xue K, Groppe M, Salvetti AP, et al. Technique of retinal gene therapy: delivery of viral vector into the subretinal space[J]. Eye (Lond), 2017, 31(9): 1308-1316. DOI: 10.1038/eye.2017.158.
22.	陶继伟, 褚梦琪, 王奇骅, 等. 术中OCT在致密玻璃体积血玻璃体切割手术中的应用[J]. 中华眼视光学与视觉科学杂志, 2017, 19(11): 686-690. DOI: 10.3760/cma.j.issn.1674-845X.2017.11.010.Tao JW, Chu MQ, Wang QY, et al. Intraoperative optical coherence tomography during vitreoretinal surgery for dense vitreous hemorrhage[J]. Chin J Ophthalmol Vis Sci, 2017, 19(11): 686-690. DOI: 10.3760/cma.j.issn.1674-845X.2017.11.010.
23.	王文战, 宋德弓, 邓先明, 等. 术中 OCT 导航下的视网膜手术[J]. 中华眼外伤职业眼病杂志, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.Wang WZ, Song DG, Deng XM, et al. Intraoperative navigating with optical coherence tomography in retinal surgery[J]. Chin J Ocul Traum Occupat Eye Dis, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.
24.	Chen X, Viehland C, Carrasco-Zevallos OM, et al. Microscope-integrated optical coherence tomography angiography in the operating room in young children with retinal vascular disease[J]. JAMA Ophthalmol, 2017, 135(5): 483-486. DOI: 10.1001/jamaophthalmol.2017.0422.
25.	Ehlers JP, Uchida A, Srivastava SK. Intraoperative optical coherence tomography-compatible surgical instruments for real-time image-guided ophthalmic surgery[J]. Br J Ophthalmol, 2017, 101(10): 1306-1308. DOI: 10.1136/bjophthalmol-2017-310530.

1. Huang D, Swanson EA, Lin CP, et al. Optical coherence tomography[J]. Science, 1991, 254(5035): 1178-1181. DOI: 10.1126/science.1957169.
2. Gabr H, Chen X, Zevallos-Carrasco OM, et al. Visualization from intraoperative swept-source microsocope-integrated optical coherence tomographt in vitrectomy for proliferative diabetic retinopathy[J]. Retina, 2018, 38(9): 110-120. DOI: 10.1097/IAE.0000000000002021.
3. Ehlers JP, Dupps WJ, Kaiser PK, et al. The Prospective Intraoperative and Perioperative Ophthalmic Imaging with Optical Coherence Tomography (PIONEER) Study: 2-year results[J]. Am J Ophthalmol, 2014, 158(5): 999-1007. DOI: 10.1016/j.ajo.2014.07.034.
4. Ehlers JP, Modi YS, Pecen PE, et al. The DISCOVER study 3-year results: feasibility and usefulness of microscope-integrated intraoperative OCT during ophthalmic surgery[J]. Ophthalmology, 2018, 125(7): 1014-1027. DOI: 10.1016/j.ophtha.2017.12.037.
5. Ehlers JP, Khan M, Petkovsek D, et al. Outcomes of intraoperative OCT-assisted epiretinal membrane surgery from the PIONEER Study[J]. Ophthalmol Retina, 2018, 2(4): 263-267. DOI: 10.1016/j.oret.2017.05.006.
6. 陶继伟, 王辰茜, 沈丽君, 等. iOCT在病理性近视黄斑病变手术中的应用[J]. 中华眼视光学与视觉科学杂志, 2020, 22(6): 415-420. DOI: 10.3760/cma.j.cn115909-20190701-00190.Tao JW, Wang CQ, Shen LJ, et al. The application of intraoperative optical coherence tomography for vitreomacular surgery in pathological myopic macular diseases[J]. Chin J Ophthalmol Vis Sci, 2020, 22(6): 415-420. DOI: 10.3760/cma.j.cn115909-20190701-00190.
7. Falkner-Radler CI, Glittenberg C, Gabriel M, et al. Intrasurgical microscope-integrated spectral domain optical coherence tomography-assisted membrane peeling[J]. Retina, 2015, 35(10): 2100-2106. DOI: 10.1097/IAE.0000000000000596.
8. Hattenbach LO, Framme C, Junker B, et al. Intraoperative real-time OCT in macular surgery[J]. Ophthalmologe, 2016, 113(8): 656-662. DOI: 10.1007/s00347-016-0297-6.
9. Tuifua TS, Sood AB, Abraham JR, et al. Epiretinal membrane surgery using intraoperative OCT-guided membrane removal in the DISCOVER Study versus conventional membrane removal[J]. Ophthalmol Retina, 2021, 5(12): 1254-1262. DOI: 10.1016/j.oret.2021.02.013.
10. Bruyère E, Philippakis E, Dupas B, et al. Benefit of intraoperative optical coherence tomography for vitreomacular surgery in highly myopic eyes[J]. Retina, 2018, 38(10): 2035-2044. DOI: 10.1097/IAE.0000000000001827.
11. Ehlers JP, Xu D, Kaiser PK, et al. Intrasurgical dynamics of macular hole surgery: an assessment of surgery-induced ultrastructural alterations with intraoperative optical coherence tomography[J]. Retina, 2014, 34(2): 213-221. DOI: 10.1097/IAE.0b013e318297daf3.
12. 张淳, 陈秀菊, 刘明威, 等. 联合3D手术视频系统和手术中光相干断层扫描辅助玻璃体切割手术治疗高度近视黄斑劈裂的疗效观察[J]. 中华眼底病杂志, 2019, 35(6): 529-533. DOI: 10.3760/cma.j.issn.1005-1015.2019.06.002.Zhang C, Chen XJ, Liu MW, et al. Combining 3D heads-up display viewing system and intraoperative optical coherence tomography-assisted vitrectomy for myopic foveoschisis[J]. Chin J Ocul Fundus Dis, 2019, 35(6): 529-533. DOI: 10.3760/cma.j.issn.1005-1015.2019.06.002.
13. Ehlers JP, Tam T, Kaiser PK, et al. Utility of intraoperative optical coherence tomography during vitrectomy surgery for vitreomacular traction syndrome[J]. Retina, 2014, 34(7): 1341-1346. DOI: 10.1097/IAE.0000000000000123.
14. 黄欣, 许欢. 术中光学相干层析成像辅助玻璃体手术治疗高度近视黄斑劈裂[J]. 中国眼耳鼻喉科杂志, 2018, 18(5): 307-308. DOI: 10.14166/j.issn.1671-2420.2018.05.005.Huang X, Xu H. Intraoperative optical coherence tomography assisted vitrectomy for the treatment of macular cleft in high myopia[J]. Chin J Ophthalmol and Otorhinolaryngol, 2018, 18(5): 307-308. DOI: 10.14166/j.issn.1671-2420.2018.05.005.
15. Huang HJ, Sevgi DD, Srivastava SK, et al. Vitreomacular traction surgery from the DISCOVER Study: intraoperative OCT utility, ellipsoid zone dynamics, and outcomes[J]. Ophthalmic Surg Lasers Imaging Retina, 2021, 52(10): 544-550. DOI: 10.3928/23258160-20210913-01.
16. Lee LB, Srivastava SK. Intraoperative spectral-domain optical coherence tomography during complex retinal detachment repair[J]. Ophthalmic Surg Lasers Imaging, 2011, 42(8): 71-74. DOI: 10.3928/15428877-20110804-05.
17. Muni RH, Kohly RP, Charonis AC, et al. Retinoschisis detected with handheld spectral-domain optical coherence tomography in neonates with advanced retinopathy of prematurity[J]. Arch Ophthalmol, 2010, 128(1): 57-62. DOI: 10.1001/archophthalmol.2009.361.
18. Ehlers JP, Goshe J, Dupps WJ, et al. Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study Rescan results[J]. JAMA Ophthalmol, 2015, 133(10): 1124-1132. DOI: 10.1001/jamaophthalmol.2015.2376.
19. Abraham JR, Srivastava SK, K Le T, et al. Intraoperative OCT-assisted retinal detachment repair in the DISCOVER Study: impact and outcomes[J]. Ophthalmol Retina, 2020, 4(4): 378-383. DOI: 10.1016/j.oret.2019.11.002.
20. Ehlers JP, Petkovsek DS, Yuan A, et al. Intrasurgical assessment of subretinal tPA injection for submacular hemorrhage in the pioneer study utilizing intraoperative OCT[J]. Ophthalmic Surg Lasers Imaging Retina, 2015, 46(3): 327-332. DOI: 10.3928/23258160-20150323-05.
21. Xue K, Groppe M, Salvetti AP, et al. Technique of retinal gene therapy: delivery of viral vector into the subretinal space[J]. Eye (Lond), 2017, 31(9): 1308-1316. DOI: 10.1038/eye.2017.158.
22. 陶继伟, 褚梦琪, 王奇骅, 等. 术中OCT在致密玻璃体积血玻璃体切割手术中的应用[J]. 中华眼视光学与视觉科学杂志, 2017, 19(11): 686-690. DOI: 10.3760/cma.j.issn.1674-845X.2017.11.010.Tao JW, Chu MQ, Wang QY, et al. Intraoperative optical coherence tomography during vitreoretinal surgery for dense vitreous hemorrhage[J]. Chin J Ophthalmol Vis Sci, 2017, 19(11): 686-690. DOI: 10.3760/cma.j.issn.1674-845X.2017.11.010.
23. 王文战, 宋德弓, 邓先明, 等. 术中 OCT 导航下的视网膜手术[J]. 中华眼外伤职业眼病杂志, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.Wang WZ, Song DG, Deng XM, et al. Intraoperative navigating with optical coherence tomography in retinal surgery[J]. Chin J Ocul Traum Occupat Eye Dis, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.
24. Chen X, Viehland C, Carrasco-Zevallos OM, et al. Microscope-integrated optical coherence tomography angiography in the operating room in young children with retinal vascular disease[J]. JAMA Ophthalmol, 2017, 135(5): 483-486. DOI: 10.1001/jamaophthalmol.2017.0422.
25. Ehlers JP, Uchida A, Srivastava SK. Intraoperative optical coherence tomography-compatible surgical instruments for real-time image-guided ophthalmic surgery[J]. Br J Ophthalmol, 2017, 101(10): 1306-1308. DOI: 10.1136/bjophthalmol-2017-310530.

Previous Article
Expanding the analysis of optical coherence tomography images
Next Article
Macular vessel defects for Coats' disease associated with subfoveal fibrotic nodule

Chinese Journal of Ocular Fundus Diseases

Clinical evaluation and development trend of intraoperative optical coherence tomography in vitrectomy for fundus dieases

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content