Open AccessReal-time optical coherence tomography incorporated in the operating microscope during cataract surgery
Author(s) -
Mohammed AlMutlak,
Turki Aloniazan,
William N. May
Publication year - 2017
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/meajo.meajo_132_16
Subject(s) - medicine , phacoemulsification , optical coherence tomography , operating microscope , cataract surgery , intraocular lens , ophthalmology , lens capsule , surgery , visual acuity
A 55-year-old male presented with reduced vision due to senile cataract. The patient consented to undergo real-time intraoperative anterior segment-optical coherence tomography (AS-OCT) during phacoemulsification with intraocular lens (IOL) implantation. Images were captured at various points during the surgery. The use of AS-OCT incorporated into the surgical microscope was evaluated as an adjunct to cataract surgery. We were able to successfully evaluate, in real-time, wound architecture, the attachment of Descemet's membrane, the posterior capsule, and IOL position. Real-time AS-OCT can be used to proactively address potential complications and verify IOL placement intraoperatively.