Analysis of Retinal Alterations Utilizing Intraoperative OCT Following Surgical Interventions with Novel ILM Forceps in the DISCOVER Study

Overview

Journal Sci Rep

Specialty Science

Date 2024 Jul 23

PMID 39043729

Authors

Yavuz Cakir

Antoine G Sassine

Reem Amine

Karen Matar

Katherine E Talcott

Sunil K Srivastava

Jamie L Reese

Justis P Ehlers

Affiliations

Soon will be listed here.

Abstract

This study aimed to assess retinal alterations following membrane peeling procedures using novel ILM Forceps with laser ablated surface with the help of intraoperative optical coherence tomography (iOCT). A post-hoc analysis was performed to evaluate iOCT findings in eyes that underwent membrane peeling procedures with the novel ILM Forceps. Pre-peel and post-peel iOCT videos and images were evaluated for each eye to assess for post-peel anatomic alterations. Surgical video/iOCT scan correlation was conducted to evaluate the etiology of anatomic alterations. Thirty-two eyes were included in the analysis. Three eyes (9%) had focal full thickness retinal elevations identified on iOCT following tissue-instrument interaction with the ILM Forceps. Two eyes (6%) had focal inner retinal elevations and one eye (3%) had a full-thickness retinal elevation that were not related to direct tissue-instrument interaction but rather indirect peeling forces. iOCT-identified architectural alterations related to direct-tissue instrument interaction were relatively infrequent (< 10%) with similar frequency to previously reported alterations with other surgical instruments.

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