Emerging Applications of Intraoperative Optical Coherence Tomography in Corneal Surgery: A Narrative Review

Author:

Chatzimichail Eleftherios1ORCID,Chondrozoumakis Georgios2,Doroodgar Farideh3,Vounotrypidis Efstathios4ORCID,Panos Georgios D.56ORCID,Gatzioufas Zisis1

Affiliation:

1. Department of Ophthalmology, University Hospital of Basel, 4031 Basel, Switzerland

2. Department of Ophthalmology, University Hospital of Heraklion, 71500 Heraklion, Greece

3. Translational Ophthalmology Research Center, Tehran University of Medical Sciences, Tehran QF86+QC7, Iran

4. Department of Ophthalmology, Ulm University, Prittwitzstraße 43, 89075 Ulm, Germany

5. Department of Ophthalmology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece

6. Division of Ophthalmology & Visual Sciences, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK

Abstract

Intraoperative OCT (iOCT) is an innovative imaging modality that provides ophthalmic surgeons with real-time cross-sectional views of the surgical field. Recent advances in OCT technology, such as higher acquisition scanning rates, enable real-time video visualization. iOCT systems are widely used in both vitreoretinal and anterior segment surgeries. In corneal surgeries, iOCT imaging aims to optimize efficacy and safety by improving depth perception and enhancing visualization in cases of opaque optical media. iOCT is a valuable tool not only for experienced corneal surgeons, but also for training novice surgeons. This review summarizes the emerging applications of iOCT in corneal surgery, particularly in technically demanding lamellar keratoplasty procedures, as well as in various other corneal diseases and complications that require surgical intervention.

Publisher

MDPI AG

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