Research recently published in Quantitative Imaging in Medicine and Surgery evaluated the intraoperative visualization of delicate membranous structures during cataract surgery using swept-source intraoperative optical coherence tomography (SS-iOCT).
Six complicated cataract surgeries were retrospectively studied. With fine penetration through opaque media such as corneal edema and scarring, high-resolution, real-time SS-iOCT enabled precise visualization of delicate membranous structures in all cases that were undetectable under traditional optical microscopes, including detached Descemet’s membrane and the transparent anterior hyaloid membrane. The ability of SS-iOCT to delineate the exact plane of separation and identify hidden lesions, such as synechiae and posterior capsule ruptures, directly guided intraoperative decision-making, leading to optimized surgical management and enhanced procedural safety.
An innovative digital navigation microscope (#FOcean, @TowardPi Medical), integrated with 100 kHz intraoperative full-range SS-OCT, was used in this study, offering full-field, real-time visualization in both complex and routine cataract surgeries. This significant advancement over conventional microscope systems illustrates the potential of full-range SS-iOCT in optimizing surgical strategy for efficiency and safety.
This research was authored by Dr. Jianxia Fang, Dr. Ce Shi, and the team of Prof. Wen Xu from the Second Affiliated Hospital, School of Medicine, Zhejiang University.
Link to original text:
https://qims.amegroups.org/article/view/151365/html
TowardPi microscope is not yet cleared by CE/MDR or FDA.