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    Intraoperative OCT faces prime time, but added technology needed

    Dr. EhlersIntraoperative optical coherence tomography (OCT) is becoming widely available, and its adoption is increasing, but improvements in the technology are needed to maximize its readiness for prime time, according to Justis P. Ehlers, MD.

    “Current intraoperative OCT systems provide real-time and rapid static feedback on retinal and ophthalmic anatomy during surgery,” Dr. Ehlers said. “In select cases, this information clearly impacts surgical decision-making as well as surgical maneuvers. The development of microscope integration has significantly enhanced the efficiency and the workflow for the utilization of intraoperative OCT.”Figure 1: Real-time intraoperative OCT feedback during membrane peeling with a diamond dusted membrane scraper. Visualization of the instrument-tissue interaction is achieved. (Images courtesy of Justis P. Ehlers, MD)

    Dr. Ehlers is The Norman C. and Donna L. Harbert Endowed Chair for Ophthalmic Research at the Cole Eye Institute, Cleveland Clinic, Cleveland.

    “Multiple studies have shown that it has promise for enhancing surgery in a variety of ways,” Dr. Ehlers added. “We will continue to work forward to advance intraoperative OCT to get it ready for tomorrow. However, there are still unmet needs.”

    Current capabilities and performance

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