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Article

Clinical Advances of Intraoperative OCT in Vitreoretinal Surgery

Innovations in iOCT technology are shaping surgery in significant ways.

By: Eric W. Lai, MD, Timothy S. Lee, MD, Sidney A. Schechet, MD

Retinal Physician January 1, 2025 Vol 22, Issue January/February 2025 Page(s): 15-17

5 Key Takeaways

1

Intraoperative optical coherence tomography (iOCT) enhances real-time visualization during vitreoretinal surgeries, improving surgical precision.
2

iOCT has been integrated into surgical practices since the 2010s, with major companies developing advanced systems for enhanced usability.
3

Studies like PIONEER and DISCOVER demonstrated that iOCT influences surgical decisions in up to 50% of cases, showcasing its clinical utility.
4

iOCT-guided surgeries for epiretinal membrane removal showed comparable outcomes to conventional methods, indicating a less invasive approach.
5

iOCT assists in complex procedures, such as macular hole surgeries, by providing real-time feedback and improving surgical technique precision.

Eric W. Lai, MD

Specialties: Retinal imaging

Bio: Eric W. Lai, MD, writes on retinal imaging topics, including the clinical use of optical coherence tomography angiography as a noninvasive modality for depth-resolved visualization of retinal and choroidal vascular networks.

Contributions:

https://www.retinalphysician.com/issues/2026/january/octa-in-the-retina-clinic

https://retinalphysician.com/issues/2026/january/octa-in-the-retina-clinic/

Timothy S. Lee

Specialties: Retinal imaging

Bio: Timothy S. Lee, MD, is an ophthalmology author whose work includes discussion of optical coherence tomography angiography in the retina clinic. His published content focuses on noninvasive, depth-resolved vascular imaging and the role of OCTA in improving clinical workflow and patient comfort.

Contributions:

https://www.retinalphysician.com/issues/2026/january/octa-in-the-retina-clinic

https://retinalphysician.com/issues/2026/january/octa-in-the-retina-clinic/

Sidney A. Schechet, MD

Specialties: Vitreoretinal surgery

Bio: Sidney A. Schechet, MD, is a physician author focused on retina and vitreoretinal surgery. His work in Retinal Physician addresses intraoperative optical coherence tomography and its role in surgical technique, management, and decision-making for vitreoretinal procedures.