Dr. Miller says iOCT is helpful during cases
when the vitreous membrane has multiple lay-
ers. "Being able to rely on the microscopic
detail provided by OCT to tell exactly which
plane you're working in is a plus," he says.
Dr. Hsu finds iOCT helpful when he treats
vitreomacular traction syndrome, which can
result in small holes forming in the macula.
Surgeons who perform vitrectomies to treat
the condition typically err on the side of cau-
tion by inserting a temporary gas bubble into
the eye to put pressure on macular holes and
allow them time to heal. The insertion of the
bubble causes blurred vision and requires
patients to remain in a head-down position
for 2 weeks post-op. Dr. Hsu says intraopera-
tive OCT lets surgeons visualize the retina to
ensure no holes formed. They use that key
information to avoid inserting the gas bubble
and subjecting patients to a grueling recovery.
Surgeons currently work with intraoperative
OCT as an overlay of their surgical view in
microscopes, and it takes up a large area of
the screen, says Dr. Miller. "Surgeons often
check the OCT, resume surgery and then
check the OCT again," he says. "It's a pause-
and-play technique." He foresees integrating
intraoperative OCT into the large screens of
heads-up displays. "You can imagine a user-
friendly, picture-in-picture format," he says.
N O V E M B E R 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 1 0 9
9 Orchard, Suite 111
Lake Forest, CA 92630
www.optisurgical.com
info@optisurgical.com
Call AOI for Information
800.576.1266 or
949.580.1266
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