Universität zu Köln

Siebelmann, Sebastian, Matthaei, Mario, Heindl, Ludwig M., Bachmann, Bjoern O. and Cursiefen, Claus (2018). Intraoperative Optical Coherence Tomography (MI-OCT) for the Treatment of Corneal Dystrophies. Klinische Monatsblat. Augenheilkunde, 235 (6). S. 714 - 721. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3999

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Abstract

Background The surgical treatment of corneal dystrophies develops rapidly as the use of lamellar corneal grafting techniques continue. While penetrating keratoplasty was the gold standard for treating a variety of dystrophies a few years ago, the affected layers of the cornea can, nowadays, be selectively replaced or ablated using laser technology. Of particular importance for these methods is optical coherence tomography, which has recently been integrated into surgical microscopes (MI-OCT). Methods Literature overview from PubMed and Google.scholar.de supplemented with own imaging data. Results The MI-OCT enables the intraoperative real-time monitoring of different ophthalmic surgical procedures, such as deep anterior lamellar keratoplasty, Descemets membrane endothelial keratoplasty, as well as minimally-invasive procedures, such as phototherapeutic keratectomy. In addition, it enables an evaluation of the cornea, but also of structures of the anterior chamber, in situations in which the cornea, for example, is clouded by an edema. Conclusion Microscope-integrated, intraoperative optical coherence tomography (MI-OCT) represents a useful supplement to the normal surgical microscope. It is superior to the sole surgical microscope, especially in already severely clouded corneas, and represents a sensible supplement, especially for novel lamellar transplantation procedures. Prospective randomized trials are necessary to increase safety and efficacy when using MI-OCT for different indications.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Siebelmann, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Matthaei, Mario UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, Ludwig M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, Bjoern O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, Claus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-184845
DOI:	10.1055/a-0587-5374
Journal or Publication Title:	Klinische Monatsblat. Augenheilkunde
Volume:	235
Number:	6
Page Range:	S. 714 - 721
Date:	2018
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3999
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MEMBRANE ENDOTHELIAL KERATOPLASTY; ANTERIOR LAMELLAR KERATOPLASTY; IC3D CLASSIFICATION; DESCEMETS-MEMBRANE; INTERFACE FLUID; SURGERY; PIONEER; DALK; DISCOVER; INFANTS Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18484