Back to Search
Start Over
Errata: Advantages of microscope-integrated intraoperative online optical coherence tomography: usage in Boston keratoprosthesis type I surgery
- Source :
- Journal of Biomedical Optics. 21:029801
- Publication Year :
- 2016
- Publisher :
- SPIE-Intl Soc Optical Eng, 2016.
-
Abstract
- Boston keratoprosthesis (KPro) type I is a technique to treat patients with corneal diseases that are not amenable to conventional keratoplasty. Correct assembly and central implantation of the prosthesis are crucial for postoperative visual recovery. This study investigates the potential benefit of intraoperative optical coherence tomography (OCT) to monitor KPro surgery. Retrospective case series are presented for two patients who underwent Boston KPro type I implantation. The surgery in both patients was monitored intraoperatively using a commercially available intraoperative OCT (iOCT) device mounted on a surgical microscope. Microscope-integrated intraoperative OCT was able to evaluate the correct assembly and implantation of the KPro. All parts of the prosthesis were visible, and interfaces between the corneal graft and titanium backplate or anterior optics were clearly depictable. Moreover, iOCT visualized a gap between the backplate and graft in one case, and in the other case, a gap between the anterior optic and graft. Neither gap was visible with a conventional surgical microscope. The gap between the anterior optic and the graft could easily be corrected. Microscope-integrated iOCT delivers enhanced information, adding to the normal surgical microscope view during KPro surgery. Correct assembly can be controlled as well as the correct placement of the Boston KPro into the anterior chamber.
- Subjects :
- medicine.medical_specialty
Microscope
genetic structures
medicine.medical_treatment
Biomedical Engineering
Corneal graft
01 natural sciences
Prosthesis
law.invention
010309 optics
Biomaterials
03 medical and health sciences
0302 clinical medicine
Optical coherence tomography
law
Cornea
0103 physical sciences
medicine
Surgical microscope
medicine.diagnostic_test
business.industry
eye diseases
Atomic and Molecular Physics, and Optics
Electronic, Optical and Magnetic Materials
Surgery
medicine.anatomical_structure
030221 ophthalmology & optometry
sense organs
Boston keratoprosthesis
business
Ophthalmologic Surgical Procedure
Subjects
Details
- ISSN :
- 10833668
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Journal of Biomedical Optics
- Accession number :
- edsair.doi...........cc62287fcdcbced3295316446479e125