DR.SHRUTI KOCHAR, Dr.Mathew Kurian
Purpose: To describe the use of microscope integrated Spectral Domain Optical Coherence Tomography (SD-OCT) for image acquisition during Implantable Collamer Lens (ICL) implantation. Methods: This is a retrospective review of the operative technique for phakic IOL (ICL) implantation. Microscope mounted SD-OCT (ZEISS OPMI LUMERA 700 and ZEISS RESCAN 700) was used to record real time images and video. The technique could also be directly evaluated on the screen during surgery. Results: The imaging modality is helpful in acquisition of extra information like wound depth and morphology, anterior chamber stability, lens-iris diaphragm movement, unfolding of the lens and visualization of the vault after ICL implantation. OCT scans were beneficial in recognizing structures otherwise not seen through microscope. Conclusions: Image-guided surgery can be helpful in decision making which allows additional deliberate measures to avoid complications and improve the surgical outcomes.