DR.HASANAIN SHIKARI, Dr.PREETAM SAMANT
The advances in MIVS techniques have long been overshadowed by limitations in visualization of the surgical field. By providing an intraoperative high-resolution optical biopsy of the surgical anatomy and pathology, intraoperative OCT (iOCT) has become an indispensable aide during VR surgery. In this video montage we demonstrate how iOCT assists us in management of ERMs & planning membrane segmentation in cases with neovascular membranes, thereby preventing iatrogenic complications. We also showcase use of iOCT in seemingly innocuous situations such as anterior vitrectomy and clearing heme off the posterior lens capsule. iOCT also facilitates visualization of closure of sutureless sclerotomy ports as well as peripheral anterior synechiae intraop. What’s more, iOCT is effective even after fluid-air exchange when the surgeon’s view may be compromised! Over the past few years, iOCT has become a viable adjunct in VR surgery, with intrasurgical feedback that keeps us one-step ahead always.