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Future Prospects: Assessment of Intraoperative Optical Coherence Tomography inAb InternoGlaucoma Surgery
- Source :
- Current Eye Research. 40:1288-1291
- Publication Year :
- 2014
- Publisher :
- Informa UK Limited, 2014.
-
Abstract
- Ab interno glaucoma surgery, such as trabecular aspiration or ab interno trabeculotomy, has been introduced as an alternative, non-filtering procedure to lower intraocular pressure in glaucoma patients. The purpose of the present study was to assess the feasibility of intraoperative spectral domain optical coherence tomography (iOCT) for improving ab interno glaucoma surgery.Intraoperative optical coherence tomography was performed to visualize the anterior chamber angle, the aspiration canula during trabecular aspiration, and the trabectome device during ab interno trabeculotomy. A commercially available 840-nm iOCT was used in a clinical setting, a 1310-nm spectral-domain OCT in an experimental setting.In the clinical setting using the 840-nm iOCT, visualization of the aspiration canula and the trabectome device was possible, however, with rather limited visibility of the chamber angle and the trabecular meshwork. In the experimental setting, the 1310-nm OCT enabled excellent visualization of the chamber angle and detailed evaluation of the instrument-trabecular meshwork relation.Intraoperative use of optical coherence tomography may be helpful for ab interno glaucoma surgery. Adjustments of the commercially available iOCT, including longer wavelengths and oblique scanning options, are necessary for the clinical use.
- Subjects :
- Male
medicine.medical_specialty
Intraocular pressure
genetic structures
medicine.medical_treatment
Glaucoma
Trabeculectomy
Spectral domain
Exfoliation Syndrome
Cellular and Molecular Neuroscience
Optical coherence tomography
Monitoring, Intraoperative
Ophthalmology
medicine
Glaucoma surgery
Humans
Trabectome
Intraocular Pressure
Aged
Phacoemulsification
medicine.diagnostic_test
business.industry
Middle Aged
medicine.disease
Trabeculotomy
eye diseases
Sensory Systems
medicine.anatomical_structure
Surgery, Computer-Assisted
Feasibility Studies
Female
sense organs
Trabecular meshwork
business
Glaucoma, Open-Angle
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 14602202 and 02713683
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Current Eye Research
- Accession number :
- edsair.doi.dedup.....382d0205ac94603a2fc77baa27c3f22c