Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives
Background: Non-invasive diagnostic technologies in ophthalmology have substantially transformed contemporary clinical practice. Intraoperative optical coherence tomography (iOCT) systems have recently been used for various surgical interventions, including the treatment of full-thickness macular ho...
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| Format: | Article |
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MDPI AG
2022-11-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/10/11/2873 |
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| author | Filippo Confalonieri Hanna Haave Ragnheidur Bragadottir Ingar Stene-Johansen Xhevat Lumi Lyubomyr Lytvynchuk Goran Petrovski |
| author_facet | Filippo Confalonieri Hanna Haave Ragnheidur Bragadottir Ingar Stene-Johansen Xhevat Lumi Lyubomyr Lytvynchuk Goran Petrovski |
| author_sort | Filippo Confalonieri |
| collection | DOAJ |
| description | Background: Non-invasive diagnostic technologies in ophthalmology have substantially transformed contemporary clinical practice. Intraoperative optical coherence tomography (iOCT) systems have recently been used for various surgical interventions, including the treatment of full-thickness macular holes (FTMHs). Materials and Methods: We conducted a systematic review on the use of iOCT and its possible benefits in the management of FTMHs, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA). The level of evidence according to the Oxford Centre for Evidence-Based Medicine (OCEM) 2011 guidelines, and the quality of evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, were assessed for all included articles. Results: 1131 articles were initially extracted, out of which 694 articles were obtained after duplicates were removed and their abstracts screened. A total of 65 articles was included for full-text review. Finally, 17 articles remained that fulfilled the inclusion criteria. Conclusions: Even though there is just a small number of studies with solid results, the use of iOCT in FTMH surgery may be a helpful tool for both novice and experienced surgeons planning and managing difficult cases. Additionally, it could be used for teaching reasons and for exploring novel surgical techniques. |
| first_indexed | 2024-03-09T19:15:02Z |
| format | Article |
| id | doaj.art-42b3ac19831748938a3dca75126249ee |
| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-09T19:15:02Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj.art-42b3ac19831748938a3dca75126249ee2023-11-24T03:52:05ZengMDPI AGBiomedicines2227-90592022-11-011011287310.3390/biomedicines10112873Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future PerspectivesFilippo Confalonieri0Hanna Haave1Ragnheidur Bragadottir2Ingar Stene-Johansen3Xhevat Lumi4Lyubomyr Lytvynchuk5Goran Petrovski6Department of Ophthalmology, Oslo University Hospital, Kirkeveien 166, 0450 Oslo, NorwayCenter for Eye Research and Innovative Diagnostics, Department of Ophthalmology, Institute for Clinical Medicine, University of Oslo, Kirkeveien 166, 0450 Oslo, NorwayDepartment of Ophthalmology, Oslo University Hospital, Kirkeveien 166, 0450 Oslo, NorwayDepartment of Ophthalmology, Oslo University Hospital, Kirkeveien 166, 0450 Oslo, NorwayCenter for Eye Research and Innovative Diagnostics, Department of Ophthalmology, Institute for Clinical Medicine, University of Oslo, Kirkeveien 166, 0450 Oslo, NorwayDepartment of Ophthalmology, Justus Liebig University Giessen, University Hospital Giessen and Marburg GmbH, 35392 Giessen, GermanyDepartment of Ophthalmology, Oslo University Hospital, Kirkeveien 166, 0450 Oslo, NorwayBackground: Non-invasive diagnostic technologies in ophthalmology have substantially transformed contemporary clinical practice. Intraoperative optical coherence tomography (iOCT) systems have recently been used for various surgical interventions, including the treatment of full-thickness macular holes (FTMHs). Materials and Methods: We conducted a systematic review on the use of iOCT and its possible benefits in the management of FTMHs, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA). The level of evidence according to the Oxford Centre for Evidence-Based Medicine (OCEM) 2011 guidelines, and the quality of evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, were assessed for all included articles. Results: 1131 articles were initially extracted, out of which 694 articles were obtained after duplicates were removed and their abstracts screened. A total of 65 articles was included for full-text review. Finally, 17 articles remained that fulfilled the inclusion criteria. Conclusions: Even though there is just a small number of studies with solid results, the use of iOCT in FTMH surgery may be a helpful tool for both novice and experienced surgeons planning and managing difficult cases. Additionally, it could be used for teaching reasons and for exploring novel surgical techniques.https://www.mdpi.com/2227-9059/10/11/2873intraoperative OCTmacular holevitreoretinal surgerysurgical technique |
| spellingShingle | Filippo Confalonieri Hanna Haave Ragnheidur Bragadottir Ingar Stene-Johansen Xhevat Lumi Lyubomyr Lytvynchuk Goran Petrovski Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives Biomedicines intraoperative OCT macular hole vitreoretinal surgery surgical technique |
| title | Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives |
| title_full | Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives |
| title_fullStr | Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives |
| title_full_unstemmed | Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives |
| title_short | Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives |
| title_sort | intraoperative optical coherence tomography in the management of macular holes state of the art and future perspectives |
| topic | intraoperative OCT macular hole vitreoretinal surgery surgical technique |
| url | https://www.mdpi.com/2227-9059/10/11/2873 |
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