The role of intraoperative optical coherence tomography in pediatric hyphema: a case report

2018 ◽  
Vol 28 (1) ◽  
pp. 127-130 ◽  
Author(s):  
Michele Coppola ◽  
Maria Vittoria Cicinelli ◽  
Alessandro Rabiolo ◽  
Giuseppe Querques ◽  
Francesco Bandello
Keyword(s):  
Optical Coherence Tomography ◽  
Case Report ◽  
General Anesthesia ◽  
Anterior Chamber ◽  
Vitreoretinal Surgery ◽  
Posterior Pole ◽  
Integrated System ◽  
Optical Coherence ◽  
Intraoperative Optical Coherence Tomography

Purpose: Intraoperative optical coherence tomography (iOCT) is a valuable tool during vitreoretinal surgery, helping the decision-making process. It is particularly useful in pediatric cases to evaluate the macular anatomy intraoperatively, avoiding further potentially dangerous surgery in children. The aim of this report is to describe the role of integrated iOCT in the management of traumatic hyphema in a pediatric patient. Case report: A 5-year-old girl was referred to our department with a history of recent domestic trauma in her right eye. Massive bleeding in the anterior chamber without visualization of the posterior segment was evident. Surgery was planned for the next day under general anesthesia. A 25-G irrigation cannula and 25-G vitrectome were inserted at the limbus into the anterior chamber for removal of the anterior chamber clot. Careful inspection of the posterior pole and retinal periphery to exclude pathologic findings was carried out. A real-time OCT integrated system was used to assess the macular anatomy and the corneal state. The postoperative course was uneventful and full visual recovery was achieved. Conclusions: The objective confirmation of macular integrity by means of iOCT after anterior chamber clearing had great prognostic value, excluding the need for surgical revision with a second general anesthesia in this young patient.

scholarly journals The Role of Optical Coherence Tomography in an Atypical Case of Oculocutaneous Albinism: A Case Report

2012 ◽  
Vol 3 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Settimio Rossi ◽  
Francesco Testa ◽  
Annagiusi Gargiulo ◽  
Valentina Di Iorio ◽  
Raffaella Brunetti Pierri ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Case Report ◽  
Oculocutaneous Albinism ◽  
Optical Coherence ◽  
Atypical Case

scholarly journals Effect of Hemodialysis on Anterior Chamber Angle Measured by Anterior Segment Optical Coherence Tomography

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Yong Un Shin ◽  
Ji Hong Kim ◽  
Heeyoon Cho ◽  
Dae Sung Kim ◽  
Joo-Hark Yi ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Anterior Chamber ◽  
Anterior Segment ◽  
Posterior Pole ◽  
Wide Field ◽  
Inner Plexiform Layer ◽  
Optical Coherence ◽  
Anterior Chamber Angle ◽  
Fiber Layer ◽  
Chamber Angle

Purpose. To investigate the effect of hemodialysis (HD) on the anterior chamber angle by anterior segment optical coherence tomography (ASOCT) and other ophthalmologic parameters in patients with end-stage kidney disease (ESKD). Methods. A prospective observational study was performed on 20 patients who underwent HD for ESKD. Anterior chamber angle images were obtained by 16 mm line scan of ASOCT. The angle opening distance (AOD) and the trabecular-iris space area (TISA) were determined using the ImageJ program. Additional 12 mm horizontal and 9 mm vertical wide-field scans centered on the posterior pole were performed for the measurement of peripapillary retinal nerve fiber layer (pRNFL) thickness and macular ganglion cell-inner plexiform layer (mGCIPL) thickness. Changes in intraocular pressure (IOP), AOD, TISA, pRNFL thickness, and mGCIPL thickness before and after HD were statistically analyzed. Results. The IOP decreased significantly from 17.5 ± 3.4 before HD to 16.2 ± 2.3 after HD (P=0.017). There was a statistically significant decrease in AOD 750 and TISA 750 (P=0.005 and P=0.007, respectively). AOD 500 and TISA 500 also decreased, which was almost statistically significant (P=0.061 and P=0.081, respectively). Mean pRNFL thickness and mGCIPL thickness did not show significant change after HD. Conclusion. We observed a significant decrease in IOP and anterior chamber angle measurements after HD. Our study suggests that HD can influence the anterior segment structure of eyes.

INTRAOPERATIVE OPTICAL COHERENCE TOMOGRAPHY (OCT) GUIDANCE OF VITREORETINAL SURGERY

2020 ◽  
Vol 71 (3) ◽  
pp. 513-526
Author(s):  
Hesham Gabr ◽  
SherifZaki Mansour ◽  
Sherif Embabi ◽  
Tamer Mahmoud ◽  
Cynthia Toth
Keyword(s):  
Optical Coherence Tomography ◽  
Vitreoretinal Surgery ◽  
Optical Coherence ◽  
Intraoperative Optical Coherence Tomography

scholarly journals Feasibility and utility of intraoperative optical coherence tomography during vitreoretinal surgery: A 4-year report in Chinese population

2020 ◽  
pp. 2140004
Author(s):  
Jiwei Tao ◽  
Huan Chen ◽  
Jiafeng Yu ◽  
Dan Cheng ◽  
Yiqi Chen ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Macular Hole ◽  
Chinese Population ◽  
Operative Procedure ◽  
Case Series ◽  
Vitreoretinal Surgery ◽  
Vitreous Hemorrhage ◽  
Optical Coherence ◽  
Surgical Methods ◽  
Intraoperative Optical Coherence Tomography

Purpose: To introduce the application of intraoperative optical coherence tomography (iOCT) in pars plana vitrectomy (PPV) for various vitreoretinal diseases, and to report the 4-year assessment of feasibility and utility in Chinese population. Methods: Retrospective case series of patients who underwent PPV and iOCT scan at Eye Hospital of Wenzhou Medical College from January 2016 to January 2020. Clinical characteristics were documented before operation, and we intraoperatively recorded the time and results of iOCT scanning, specific surgical maneuvers performed, the consistency with the planned strategies before surgery, the type of OCT images obtained, and adverse events (AEs). The surgeon feedback was collected to evaluate the utility of iOCT during surgery. Results: 339 eyes successfully completed iOCT scan, with an average scanning time of [Formula: see text][Formula: see text]min, including 59 cases of idiopathic macular hole (iMH), 134 cases of idiopathic epiretinal membrane (iERM), 33 cases of lamellar macular hole (LMH), 40 cases of high myopic maculopathy, 13 cases of vitreous macular traction (VMT), 60 cases of dense vitreous hemorrhage (VH). The iOCT findings were not consistent with examination under the operating microscope in 49 cases (14.5%), including 29 cases (8.6%) which changed the operation strategies during surgery. The Hole-door phenomenon arose in 20 cases (33.9%) of iMH and 3 cases (25%) of high myopic MH after ILMs peeling. Moreover, the residue ERM was observed in nine cases (6.7%) of iERM and two cases (14.3%) in high myopic ERM after ILMs peeling. Some new surgical methods could also be confirmed using iOCT. Conclusion: The application of iOCT has a significant clinical functionality in vitreoretinal surgery, providing the surgeon with a new surgical understanding, guiding the selection of a more reasonable operative procedure during surgery, predicting postoperative recovery and improving postoperative outcomes.

Sign in / Sign up

Export Citation Format

Share Document