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Intraoperative OCT for inverted ILM flap technique
Author(s) -
Lytvynchuk L.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.03514
Subject(s) - internal limiting membrane , vitrectomy , pars plana , optical coherence tomography , macular hole , medicine , surgery , ophthalmology , visual acuity
Purpose To evaluate the use of intraoperative spectral‐domain optical coherence tomography ( iSD ‐ OCT ) for large macular hole ( MH ) surgery using inverted internal limiting membrane ( ILM ) flap technique. Methods We analyzed 7 consecutive cases of iSD ‐ OCT assisted pars plana vitrectomy ( PPV ) with inverted ILM flap technique for large and chronic MH s. iSD ‐ OCT was performed using Rescan 700 (Zeiss, Oberkochen, Germany). iSD ‐ OCT data were post‐processed and analyzed postoperatively (study of tissue behavior). Results In all cases iSD ‐ OCT imaging allowed the surgeon to carry on the procedure without significant time consumption. The iSD ‐ OCT imaging assisted: 1) to find the safe place on the retina while starting ILM peeling; 2) to control the formation of the inverted ILM flap; 3) to conduct the inversion of the ILM flap over MH . iSD ‐ OCT allowed to keep safe positioning of the vitreoretinal instruments. Conclusions iSD ‐ OCT is a strong supporting tool during PPV , that gives prompt information about tissue behavior and surgical maneuvers. Inverted ILM flap technique for large MH can be performed in more controlled and save way without interruption of the surgical workflow.