Universität zu Köln

Siebelmann, S., Bachmann, B., Lappas, A., Dietlein, T., Hermann, M., Roters, S., Cursiefen, C. and Steven, P. (2016). Intraoperative optical coherence tomography in corneal and glaucoma surgical procedures. Ophthalmologe, 113 (8). S. 646 - 651. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0423

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Abstract

Optical coherence tomography (OCT) is the clinical gold standard for anterior and posterior segment imaging. Since OCT devices have been integrated into surgical microscopes, this technique is also available intraoperatively in anterior segment surgery. OCT is well established in imaging very thin or transparent structures as they appear in corneal or glaucoma surgery. Therefore, intraoperative OCT can deliver important information for the surgeon which is superior to the normal surgical microscope. In the present work, an overview about the opportunities of intraoperative OCT in cornea and glaucoma surgery are presented. The recent literature (PubMed) and our own experience at the Center for Ophthalmology, University Hospital of Cologne are analysed. Intraoperative OCT enables real-time imaging during corneal and glaucoma surgery. Several clinical studies exist, indicating its benefit, e. g. in DMEK, DALK, DSAEK, Boston Keratoprosthesis, canaloplasty or trabectome surgery. Several structures, not visible in the surgical microscope, can be visualized using intraoperative OCT. As a real-time and high-resolution imaging device, intraoperative online OCT delivers additional information in glaucoma and corneal surgery, compared to the normal operating microscope. Nonetheless one of the main problems is the shadowing produced by surgical instruments. Today the main limitation is the lack of randomized-controlled clinical trials, evaluating the benefit of microscope-integrated intraoperative OCT, compared to the microscope.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Siebelmann, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lappas, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dietlein, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hermann, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roters, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Steven, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-267783
DOI:	10.1007/s00347-016-0320-y
Journal or Publication Title:	Ophthalmologe
Volume:	113
Number:	8
Page Range:	S. 646 - 651
Date:	2016
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MEMBRANE ENDOTHELIAL KERATOPLASTY; SURGERY; OCT; VISUALIZATION; DSAEK; TOOL Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26778