Objective:
To review the clinical usage and application of intraoperative optical coherence tomography (iOCT) in vitreoretinal surgery.
Key Findings:
- iOCT influenced intraoperative decisions in up to 50% of cases.
- iOCT-guided ERM removal achieved comparable outcomes to conventional methods without ILM peeling.
- iOCT provides real-time guidance in MH surgeries, aiding in closure confirmation and reducing postoperative positioning needs.
- In VMT cases, iOCT findings led to modifications in surgical approaches in 42% of cases.
Interpretation:
iOCT enhances surgical precision and decision-making in vitreoretinal procedures, offering less invasive alternatives without compromising outcomes.
Limitations:
- The studies reviewed may have limited sample sizes.
- Long-term outcomes of iOCT-guided surgeries need further investigation.
Conclusion:
iOCT represents a significant advancement in vitreoretinal surgery, improving visualization and surgical outcomes across various conditions.
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