Swept source intraoperative OCT angiography

To accurately guide surgical instruments during ophthalmic procedures,some necessary intraoperative depth perception is required,which standard surgical microscopes supply limit-edly.Intraoperative optical coherence tomography(iOCT),combining optical coherence to-mography(OCT)technology and surgical microscope,enables noninvasive,real-time and high-resolution cross-sectional imaging.Currently,though iOCT enables structural imaging,little research has been done on intraoperative angiography.In this work,we presented a swept-source intraoperative OCT angiography(SS-iOCTA)system based on a standard surgical microscope,which provides both structural and angiographic images.The feasibility of the proposed SS-iOCTA was confirmed through deep anterior lamellar keratoplasty(DALK)of ex vivo porcine eyes and blood perfusion imaging of in vivo rat cortex.High-resolution intraoperative feedback,including sub-surface structure and angiogram of biological tissue,can be visualized simulta-neously with the SS-iOCTA system,which expand the surgeon's capabilities and could be widely used in clinical surgery.

Surgical Treatment for the Proliferative Retinal Detachment Associated with Macular Hole in the Morning Glory Syndrome

Purpose: To evaluate the efficacy of vitrectomy with peripapillary photocoagulation and silicone oil tamponade for the proliferative retinal detachment associated with macular hole in children with morning glory syndrome. Methods: Eight children with morning glory syndrome (mean age 8.0±2.8 years; range 5～13 years) were included; all patients had unilateral eye disease and were initially misdiagnosed as having bilateral squint or amblyopia, with best corrected visual acuity <6/60. Five patients could not cooperate with the fundus examination and one patient had lens opacities.B-ultrasound confirmed that all eight patients had retinal detachment and optic disc dysplasia.All patients underwent standard 3-port pars plana vitrectomy surgery . (20G for three cases and 23G for five cases).At surgery,all patients were confirmed to have morning glory syndrome,macular hole, and proliferative retinal detachment;.two cases had a funnel shaped bulge. All the retinal detachments involved the macular area, and macular hole was detected in the abnormal expansion excavation of the optic disk. The epiretinal membrane and subretinal membrane were completely removed during surgery. Combined photocoagulation in the abnormal expansion excavation of the optic disk, and silicone oil tamponade were also performed. Results:All eyes achieved anatomical resolution of retinal detachment.After follow-ups ranging from eight months to four years,the visual function for all patients was improved by postoperative refractive correction associated with vision training. Best corrected visual acuity was 6/600 to 6/30 at the final follow-up, no retinal detachment recurred, and no silicone oil fluid entered the subretinal space. The silicone oil was successfully removed postoperatively after a mean of 1.5 years. Conclusion:Vitrectomy with peripapillary photocoagulation and silicone oil tamponade is effective in treating the proliferative retinal detachment associated with macular hole in children with morning glory syndrome. (Eye Science 2013;28:7-10)