[Intraoperative use of coherence tomography in vitreoretinal surgery].
BACKGROUND
Optical coherence tomography is a useful tool in several diseases. Its intraoperative use with the intention of improving anatomical results has recently been described.


OBJECTIVE
To determine the usefulness and safety of optical coherence tomography during pars plana vitrectomy for several vitreo-retinal diseases.


METHODS
A prospective case series is reported, in which the decision that influenced the use of the optical coherence tomography imaging during pars plana vitrectomy is evaluated. A RESCAN 700 microscope that includes a spectral domain tomography was used to obtain the images. At the end of each procedure the surgeons completed a questionnaire to determine if the tomographic image had an influence when making decisions during the surgery, or change the decision during the procedure.


RESULTS
Thirteen patients with pars plana vitrectomy were included, with cataract surgery also performed in 6 patients. The surgeon considered that the intraoperative image influenced the decision during the procedure in 8 cases.


CONCLUSIONS
Intraoperative optical coherence tomography is helpful for a safe patient diagnosis. It does not affect the surgery time, and in some cases it is useful for optimising the procedure in vitreous-retinal surgery.
Departamento de Retina y Vítreo, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México, México.
Juan Abel
JA
Ramírez-Estudillo
Departamento de Retina y Vítreo, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México, México. Electronic address: jorgesr84@hotmail.com.
Jorge Arturo
JA
Sánchez-Ramos
Departamento de Retina y Vítreo, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México, México.
Carla Rocío
CR
Pérez-Montaño
Departamento de Oftalmología, Hospital Universitario Dr. José E. González, Monterrey, Nuevo León, México.
Jesús Hernán
JH
González-Cortés
D000293:Adolescent; D000328:Adult; D000368:Aged; D002387:Cataract Extraction / Q000379:methods*; D000066491:Clinical Decision-Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods; D011446:Prospective Studies; D012164:Retinal Diseases / Q000601:surgery; D066231:Surgeons / Q000523:psychology; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods*; D041623:Tomography, Optical Coherence / Q000295:instrumentation; D014821:Vitrectomy / Q000379:methods*; D057586:Vitreoretinal Surgery / Q000379:methods*; D014822:Vitreous Body / Q000601:surgery; D055815:Young Adult
Internal limiting membrane rupture; Limitorrexis; Optical coherence tomography; Tomografía de coherencia óptica; Vitrectomy; Vitrectomía