Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Falkner-Radler, CI; Glittenberg, C; Gabriel, M; Binder, S.
INTRASURGICAL MICROSCOPE-INTEGRATED SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY-ASSISTED MEMBRANE PEELING.
Retina. 2015; 35(10): 2100-6.
Doi: 10.1097/IAE.0000000000000596
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Gabriel Maximilian
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- Abstract:
- PURPOSE: To evaluate microscope-integrated intrasurgical spectral domain optical coherence tomography during macular surgery in a prospective monocenter study. METHODS: Before pars plana vitrectomy and before, during, and after membrane peeling, 512 × 128 macular cube scans were performed using a Carl Zeiss Meditec Cirrus high-definition OCT system adapted to the optical pathway of a Zeiss OPMI VISU 200 surgical microscope and compared with retinal staining. RESULTS: The study included 51 patients with epiretinal membranes, with 8 of those having additional lamellar macular holes, 11 patients with vitreomacular traction, and 8 patients with full-thickness macular holes. Intraoperative spectral domain optical coherence tomography allowed performing membrane peeling without using retinal dyes in 40% of cases (28 of 70 patients). No residual membranes were found in 94.3% of patients (66 of 70 patients) in intrasurgical spectral domain optical coherence tomography and subsequent (re)staining. In patients with vitreomacular traction, intrasurgical spectral domain optical coherence tomography scans facilitated decisions on the need for an intraocular tamponade after membrane peeling. CONCLUSION: Intraoperative spectral domain optical coherence tomography was comparable with retinal dyes in confirming success after membrane peeling. However, the visualization of flat membranes was better after staining.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Aged - administration & dosage
- Aged, 80 and over - administration & dosage
- Coloring Agents - administration & dosage
- Controlled Before-After Studies - administration & dosage
- Endotamponade - administration & dosage
- Epiretinal Membrane - physiopathology, surgery
- Female - administration & dosage
- Humans - administration & dosage
- Male - administration & dosage
- Microscopy - instrumentation
- Middle Aged - administration & dosage
- Prospective Studies - administration & dosage
- Retinal Detachment - physiopathology, surgery
- Retinal Perforations - physiopathology, surgery
- Surgery, Computer-Assisted - administration & dosage
- Tomography, Optical Coherence - instrumentation
- Visual Acuity - physiology
- Vitrectomy - administration & dosage
- Find related publications in this database (Keywords)
- intrasurgical optical coherence tomography
- membrane peeling
- intraoperative optical coherence tomography
- intrasurgical microscope-integrated optical coherence tomography
- epiretinal membranes
- macular holes
- vitreomacular traction