title: The use of optical coherence tomography in intraoperative ophthalmic imaging.
abstract: Optical coherence tomography (OCT) has transformed diagnostic ophthalmic imaging but until recently has been limited to the clinic setting. The development of spectral-domain OCT (SD-OCT), with its improved speed and resolution, along with the development of a handheld OCT scanner, enabled portable imaging of patients unable to sit in a conventional tabletop scanner. This handheld SD-OCT unit has proven useful in examinations under anesthesia and, more recently, in intraoperative imaging of preoperative and postoperative manipulations. Recently, several groups have pioneered the development of novel OCT modalities, such as microscope-mounted OCT systems. Although still immature, the development of these systems is directed toward real-time imaging of surgical maneuvers in the intraoperative setting. This article reviews intraoperative imaging of the posterior and anterior segment using the handheld SD-OCT and recent advances toward real-time microscope-mounted intrasurgical imaging.
authors.affiliation: Departments of Ophthalmology and Biomedical Engineering, Duke University, Durham, North Carolina, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Hahn
authors.forename: Justin
authors.initials: J
authors.lastname: Migacz
authors.forename: Rachelle
authors.initials: R
authors.lastname: O'Connell
authors.forename: Ramiro S
authors.initials: RS
authors.lastname: Maldonado
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Izatt
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Toth
mesh_terms: D003941:Diagnostic Techniques, Ophthalmological / Q000295:instrumentation*; D005128:Eye Diseases / Q000601:surgery; D006801:Humans; D016343:Monitoring, Intraoperative / Q000295:instrumentation* / Q000379:methods; D013508:Ophthalmologic Surgical Procedures; D041623:Tomography, Optical Coherence / Q000295:instrumentation*