国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (4): 289-295.doi: 10.3760/ cma.j.issn.1673-5803.2023.04.001

• 综述 •    下一篇

术中相干光断层扫描在眼科的应用进展

张熙若 曲申 毕燕龙   

  1. 同济大学附属同济医院眼科, 上海 200065
  • 收稿日期:2023-02-01 出版日期:2023-08-22 发布日期:2023-08-22
  • 通讯作者: National Natural Science Fundation of China (82070920); 2022 Tongji University Education and Teaching Reform Key Project (4250104080/042)
  • 基金资助:
     国家自然科学基金(82070920);2022年同济大学教育教学改革重点项目(425010 4080/042)

Applications of intraoperative optical coherence tomography in ophthalmic surgery

Zhang Xiruo, Qu Shen, Bi Yanlong   

  1. Department of Ophthalmology, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China
  • Received:2023-02-01 Online:2023-08-22 Published:2023-08-22
  • Contact: Bi Yanlong, Email: biyanlong@tongji.edu.cn
  • Supported by:
    National Natural Science Fundation of China (82070920); 2022 Tongji University Education and Teaching Reform Key Project (4250104080/042) 

摘要: OCT能够提供高分辨率组织图像,具有实时性、无创性、可活体检查等优点,术中OCT(intraoperative OCT,iOCT)在角膜、白内障、青光眼、玻璃体视网膜等多种眼前、后节手术中得以应用,使得术者对于组织解剖结构的判断、定位和实时变化达到新的认识高度,能够辅助术中决策,提高手术的安全性和准确性,促进微创眼科手术的发展。但同时,设备昂贵、跟踪扫描困难、成像视野较小等不足限制了其更广泛的应用。(国际眼科纵览,2023, 47:289-295)

关键词: 相干光断层扫描, 术中OCT, 眼科手术

Abstract: Optical coherence tomography ( OCT ) is gradually becoming widely used in the field of ophthalmology because of its ability to provide high-resolution tissue images that are real-time, noninvasive and can be examined in vivo. This article summarizes the application scenarios of intraoperative OCT (iOCT) in a wide range of anterior and posterior segment surgeries, including corneal surgery, cataract surgery, glaucoma surgery and vitreoretinal surgery. iOCT facilitates a profound understanding of intraoperative tissue anatomy, localization, and dynamic changes. It aids surgeons in making informed decisions during surgery, thereby enhancing surgical safety and precision, and fostering the progression of minimally invasive ophthalmic procedures. However, limitations such as expensive equipment, challenges in tracking scanning, and limited imaging field of view restrict its further development and wider application. (Int Rev Ophthalmol, 2023, 47: 289-295)

Key words: optical coherence tomography, intraoperative OCT, ophthalmic surgery