REVIEW OF THE USE OF INTRA-OPERATIVE OCT IN ANTERIOR AND POSTERIOR SEGMENT SURGERIES

Abstract

As OCT has revolutionized the clinical management of ophthalmic diseases, intraoperative OCT is potentially a game-changing technology in the operating room. Over the past few years, significant advances in integrative technology have paved the way to first generation commercial systems. Intraoperative OCT has been performed for numerous anterior segment procedures, including lamellar keratoplasty, full-thickness penetrating keratoplasty, cataract surgery, corneal inlay procedures, and glaucoma surgical procedures. Using intraoperative OCT surgeons are able to obtain immediate feedback on the status of the surgical procedure and improve the results. Numerous vitreoretinal surgical diseases have been described with iOCT. These include macular hole, epiretinal membrane, retinal detachment, vitreomacular traction, and others. In these conditions, iOCT has identified significant architectural alterations that occur following surgical manipulations. Emerging therapies, such as gene therapy and stem cell therapy, may provide unique opportunities for targeted image-guided delivery with confirmatory imaging of optimal placement. Immediate surgeo