Universität zu Köln

Steven, Philipp, Le Blanc, Carolin, Lankenau, Eva, Krug, Marc, Oelckers, Stefan, Heindl, Ludwig M., Gehlsen, Uta ORCID: 0000-0001-9057-9199, Huettmann, Gereon and Cursiefen, Claus (2014). Optimising deep anterior lamellar keratoplasty (DALK) using intraoperative online optical coherence tomography (iOCT). Br. J. Ophthalmol., 98 (7). S. 900 - 905. LONDON: BMJ PUBLISHING GROUP. ISSN 1468-2079

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Abstract

Background/aims To describe the use of intraoperative online optical coherence tomography (iOCT) for improving deep anterior lamellar keratoplasty (DALK) surgery. Methods Retrospective case series of 6 eyes of 6 male patients with keratokonus, corneal dystrophy or herpetic stromal scars undergoing DALK were investigated using intraoperative optical coherence tomography and postsurgical image/video analysis. Main outcome measures were: visibility of surgical steps, especially, assessment of placement depth of injection needle, preparation of bare Descemet's membrane and drainage of interface fluid. Results iOCT enables real-time visualisation of all surgical steps of DALK procedure in all patients. Placement of air injection needle above Descemet's membrane was reliably monitored as was presence of bare Descemet's membrane and potential interface fluid. Conclusions iOCT assists with visualisation of injection needle placement and with assessment of bare Descemet's membrane as well as interface fluid during the DALK procedure. Overall iOCT may be a helpful device that supports surgeons in all steps of DALK procedure.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Steven, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Le Blanc, Carolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Lankenau, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Krug, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Oelckers, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, Ludwig M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gehlsen, Uta UNSPECIFIED orcid.org/0000-0001-9057-9199 UNSPECIFIED Huettmann, Gereon UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, Claus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-434864
DOI:	10.1136/bjophthalmol-2013-304585
Journal or Publication Title:	Br. J. Ophthalmol.
Volume:	98
Number:	7
Page Range:	S. 900 - 905
Date:	2014
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	1468-2079
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BIG-BUBBLE TECHNIQUE; MEMBRANE ENDOTHELIAL KERATOPLASTY; DESCEMETS-MEMBRANE; DMEK; OCT Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43486