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 Table of Contents  
PHOTO ESSAY
Year : 2019  |  Volume : 14  |  Issue : 1  |  Page : 116-117

Intraoperative optical coherence tomography of a dislocated intraocular lens


The University of Chicago, Department of Ophthalmology and Visual Sciences, Chicago, IL, USA

Date of Submission06-Dec-2017
Date of Acceptance05-Feb-2018
Date of Web Publication04-Feb-2019

Correspondence Address:
Sid A Schechet
4309 Davis Street, Skokie, IL 60076
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jovr.jovr_261_17

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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 Top


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 Top


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.[1],[2] 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.[3] Similarly, the DISCOVER study showed that iOCT altered surgeon decision making in 38% of lamellar keratoplasty cases and 19% of membrane peeling cases.[4] 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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ehlers JP. Intraoperative optical coherence tomography: past, present, and future. Eye (Lond) 2016;30:193-201.  Back to cited text no. 1
    
2.
Carrasco-Zevallos OM, Viehland C, Keller B, Draelos M, Kuo AN, Cynthia A. et al. Review of intraoperative optical coherence tomography: technology and applications [Invited]. Biomed Opt Express 2017;8:1607-1637.  Back to cited text no. 2
    
3.
Ehlers JP, Goshe J, Dupps WJ, Kaiser PK, Singh RP, Gans R, et al. Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study RESCAN Results. JAMA Ophthalmol 2015 Oct;133:1124-1132.  Back to cited text no. 3
    
4.
Ehlers JP, Dupps WJ, Kaiser PK, Goshe J, Singh RP, Petkovsek D, Srivastava SK. The Prospective Intraoperative and Perioperative Ophthalmic ImagiNg with Optical CoherEncE TomogRaphy (PIONEER) Study: 2-year results. Am J Ophthalmol 2014 Nov;158:999-1007.  Back to cited text no. 4
    


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