Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme

Continuous intraoperative optical coherence tomography (iOCT) integrated into the operating microscope is a new modification in the current operating microscope to aid in the surgical procedures involving both the anterior and the posterior segment. This helps in intraoperative planning, modificatio...

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Main Authors: Namrata Sharma, Neelima Aron, Prateek Kakkar, Jeewan S. Titiyal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-04-01
Series:Saudi Journal of Ophthalmology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1319453416000023
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spelling doaj-53cc055268bd470d8e00e31a9ef910de2021-04-02T21:22:55ZengWolters Kluwer Medknow PublicationsSaudi Journal of Ophthalmology1319-45342016-04-0130213313610.1016/j.sjopt.2016.01.001Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachmeNamrata SharmaNeelima AronPrateek KakkarJeewan S. TitiyalContinuous intraoperative optical coherence tomography (iOCT) integrated into the operating microscope is a new modification in the current operating microscope to aid in the surgical procedures involving both the anterior and the posterior segment. This helps in intraoperative planning, modification of the surgical steps if required and confirmation of the surgical endpoint in the operating room itself. iOCT was used for the successful management of descemet’s membrane detachment (DMD) following deep anterior lamellar keratoplasty (DALK) with intracameral injection of 20% Sulphur hexafluoride. The gas was injected under direct visualization through the microscope with continuous real time monitoring of the change in height of the detached Descemet’s membrane (DM). Additionally stab incisions were given through the anterior cornea due to the presence of residual fluid above the DM which was visible on continuous iOCT images. This led to the successful apposition of the DM which otherwise would have remained detached due to the residual fluid. This highlights the importance of continuous iOCT monitoring of the ophthalmic surgical procedures in order to produce a successful anatomical outcome of the surgery without disruption of the surgical procedure.http://www.sciencedirect.com/science/article/pii/S1319453416000023Descemet’s membrane detachmentContinuous intraoperative OCTRESCAN 700Deep anterior lamellar keratoplasty
collection DOAJ
language English
format Article
sources DOAJ
author Namrata Sharma
Neelima Aron
Prateek Kakkar
Jeewan S. Titiyal
spellingShingle Namrata Sharma
Neelima Aron
Prateek Kakkar
Jeewan S. Titiyal
Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
Saudi Journal of Ophthalmology
Descemet’s membrane detachment
Continuous intraoperative OCT
RESCAN 700
Deep anterior lamellar keratoplasty
author_facet Namrata Sharma
Neelima Aron
Prateek Kakkar
Jeewan S. Titiyal
author_sort Namrata Sharma
title Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
title_short Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
title_full Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
title_fullStr Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
title_full_unstemmed Continuous intraoperative OCT guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
title_sort continuous intraoperative oct guided management of post-deep anterior lamellar keratoplasty descemet’s membrane detachme
publisher Wolters Kluwer Medknow Publications
series Saudi Journal of Ophthalmology
issn 1319-4534
publishDate 2016-04-01
description Continuous intraoperative optical coherence tomography (iOCT) integrated into the operating microscope is a new modification in the current operating microscope to aid in the surgical procedures involving both the anterior and the posterior segment. This helps in intraoperative planning, modification of the surgical steps if required and confirmation of the surgical endpoint in the operating room itself. iOCT was used for the successful management of descemet’s membrane detachment (DMD) following deep anterior lamellar keratoplasty (DALK) with intracameral injection of 20% Sulphur hexafluoride. The gas was injected under direct visualization through the microscope with continuous real time monitoring of the change in height of the detached Descemet’s membrane (DM). Additionally stab incisions were given through the anterior cornea due to the presence of residual fluid above the DM which was visible on continuous iOCT images. This led to the successful apposition of the DM which otherwise would have remained detached due to the residual fluid. This highlights the importance of continuous iOCT monitoring of the ophthalmic surgical procedures in order to produce a successful anatomical outcome of the surgery without disruption of the surgical procedure.
topic Descemet’s membrane detachment
Continuous intraoperative OCT
RESCAN 700
Deep anterior lamellar keratoplasty
url http://www.sciencedirect.com/science/article/pii/S1319453416000023
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