Intraoperative use of handheld spectral domain optical coherence tomography imaging in macular surgery.
OBJECTIVE
To describe the intraoperative use of handheld spectral domain optical coherence tomography (SDOCT) imaging in macular surgery.


METHODS
Prospective, observational case series.


METHODS
A handheld SDOCT device was used to obtain preincision optical coherence tomography imaging in patients undergoing vitrectomy for macular diseases. After removal of the internal limiting membrane or the epiretinal membrane, repeat intraoperative imaging was obtained. Spectral domain optical coherence tomography findings were characterized.


RESULTS
An efficient technique was established for obtaining intraoperative SDOCT imaging. A total of eight patients were included in the study. Four patients underwent surgery for macular hole, three patients for epiretinal membrane, and one for vitreomacular traction. Comparison of the preincision and intraoperative SDOCT images demonstrated distinct changes in retinal contour and macular hole configuration. Intraoperative SDOCT imaging identified additional membranes in two patients.


CONCLUSIONS
The intraoperative use of handheld SDOCT imaging provides an efficient method for visualizing macular pathology. This technology may, in certain cases, help confirm or identify diseases that may be difficult to visualize during surgery.
Dayani
Pouya N
PN
Department of Ophthalmology, Duke University Eye Center, Durham, NC 27710, USA.
Maldonado
Ramiro
R
Farsiu
Sina
S
Toth
Cynthia A
CA
D000368:Aged; D000369:Aged, 80 and over; D019773:Epiretinal Membrane / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012167:Retinal Perforations / Q000175:diagnosis* / Q000601:surgery*; D041623:Tomography, Optical Coherence / Q000295:instrumentation* / Q000379:methods; D014792:Visual Acuity; D014821:Vitrectomy