Intraoperative Use of Three-Dimensional Spectral-Domain Optical Coherence Tomography OPHTHALMIC SURGERY LASERS & IMAGING Ide, T., Wang, J., Tao, A., Leng, T., Kymionis, G. D., O'Brien, T. P., Yoo, S. H. 2010; 41 (2): 250-254


To develop a prototype three-dimensional anterior segment spectral-domain optical coherence tomography (SD-OCT) device and demonstrate the feasibility of its use in the operating room.Single-institution interventional case series including six consecutive patients undergoing Descemet's stripping automated endothelial keratoplasty (DSAEK). The prototype anterior segment SD-OCT was used intraoperatively to search for the presence of interface fluid between the host cornea and the DSAEK graft.Anterior segment SD-OCT was successfully used intraoperatively during DSAEK. After the initial placement of the graft, no fluid was clinically apparent; however, interface fluid was identified by anterior segment SD-OCT in two of the six cases. After additional aspiration, all patients were fluid-free on follow-up anterior segment SD-OCT scanning.Intraoperative anterior segment SD-OCT was used successfully to find interface fluid that was clinically undetectable under the microscope. As such, all patients were able to leave the operating room with a fully attached graft.

View details for DOI 10.3928/15428877-20100303-15

View details for Web of Science ID 000275606400015

View details for PubMedID 20307045