|Year : 2019 | Volume
| Issue : 1 | Page : 116-117
Intraoperative optical coherence tomography of a dislocated intraocular lens
Sid A Schechet, Liliya Golas, Seenu M Hariprasad
The University of Chicago, Department of Ophthalmology and Visual Sciences, Chicago, IL, USA
|Date of Submission||06-Dec-2017|
|Date of Acceptance||05-Feb-2018|
|Date of Web Publication||04-Feb-2019|
Sid A Schechet
4309 Davis Street, Skokie, IL 60076
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Schechet SA, Golas L, Hariprasad SM. Intraoperative optical coherence tomography of a dislocated intraocular lens. J Ophthalmic Vis Res 2019;14:116-7
|How to cite this URL:|
Schechet SA, Golas L, Hariprasad SM. Intraoperative optical coherence tomography of a dislocated intraocular lens. J Ophthalmic Vis Res [serial online] 2019 [cited 2019 Feb 20];14:116-7. Available from: http://www.jovr.org/text.asp?2019/14/1/116/251525
| Presentation|| |
An 88-year-old female with pseudoexfoliation syndrome presented with sudden vision loss and was found to have a dislocated one piece intraocular lens (IOL) that was resting on the retina. She underwent 23-gauge pars plana vitrectomy, IOL explantation, and anterior chamber IOL insertion. Intraoperative optical coherence tomography (EnFocus iOCT; Leica, Wetzlar, Germany) was used to assess the position and vault of the IOL on the retinal surface [Figure 1]a. Utilization of iOCT enabled the surgeon to safely grasp the IOL with forceps in the location with the greatest vault in order to minimize any potential trauma to the retina [Figure 1]b.
|Figure 1: (a) Still image from iOCT showing the position of the IOL (yellow arrow) on the retinal surface (green arrow). (b) Still image from iOCT showing the haptic of the IOL being safely grasped by intraocular forceps IOL (yellow arrow).|
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| Discussion|| |
Intraoperative optical coherence tomography (iOCT) is an exciting new tool in the ophthalmology surgical realm. In the past few years, its clinical value has been demonstrated in both posterior and anterior segment surgeries., The PIONEER study showed that while iOCT adds 4.9 minutes to a procedure, it alters decision making in 48% of lamellar keratoplasty cases and 43% of membrane peeling cases. Similarly, the DISCOVER study showed that iOCT altered surgeon decision making in 38% of lamellar keratoplasty cases and 19% of membrane peeling cases. Our case is the first reported case of using iOCT to successfully explant a dislocated IOL without causing any retinal breaks.
Declaration of Patient Consent
The authors certify that all appropriate patient consent forms were obtained.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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