Research Papers: Imaging

Advantages of microscope-integrated intraoperative online optical coherence tomography: usage in Boston keratoprosthesis type I surgery

[+] Author Affiliations
Sebastian Siebelmann, Philipp Steven

University of Cologne, Department of Ophthalmology, Kerpener Strasse 62, Cologne 50924, Germany

University of Cologne, Cluster of Excellence: Cellular Stress Responses in Aging-associated Diseases, Joseph-Stelzmann-Straße 26, Cologne 50931, Germany

Deniz Hos, Björn Bachmann, Claus Cursiefen

University of Cologne, Department of Ophthalmology, Kerpener Strasse 62, Cologne 50924, Germany

Gereon Hüttmann

University of Lübeck, Institute for Biomedical Optics, Peter-Monnik-Weg 4, Lübeck 23562, Germany

Eva Lankenau

OptoMedical Technologies GmbH (OPmedT), Maria-Goeppert-Straße 1, Luebeck 23562, Germany

J. Biomed. Opt. 21(1), 016005 (Jan 18, 2016). doi:10.1117/1.JBO.21.1.016005
History: Received July 8, 2015; Accepted December 14, 2015
Text Size: A A A

Abstract.  Boston keratoprosthesis (KPro) type I is a technique to treat patients with corneal diseases that are not amenable to conventional keratoplasty. Correct assembly and central implantation of the prosthesis are crucial for postoperative visual recovery. This study investigates the potential benefit of intraoperative optical coherence tomography (OCT) to monitor KPro surgery. Retrospective case series are presented for two patients who underwent Boston KPro type I implantation. The surgery in both patients was monitored intraoperatively using a commercially available intraoperative OCT (iOCT) device mounted on a surgical microscope. Microscope-integrated intraoperative OCT was able to evaluate the correct assembly and implantation of the KPro. All parts of the prosthesis were visible, and interfaces between the corneal graft and titanium backplate or anterior optics were clearly depictable. Moreover, iOCT visualized a gap between the backplate and graft in one case, and in the other case, a gap between the anterior optic and graft. Neither gap was visible with a conventional surgical microscope. The gap between the anterior optic and the graft could easily be corrected. Microscope-integrated iOCT delivers enhanced information, adding to the normal surgical microscope view during KPro surgery. Correct assembly can be controlled as well as the correct placement of the Boston KPro into the anterior chamber.

Figures in this Article
© 2016 Society of Photo-Optical Instrumentation Engineers

Citation

Sebastian Siebelmann ; Philipp Steven ; Deniz Hos ; Gereon Hüttmann ; Eva Lankenau, et al.
"Advantages of microscope-integrated intraoperative online optical coherence tomography: usage in Boston keratoprosthesis type I surgery", J. Biomed. Opt. 21(1), 016005 (Jan 18, 2016). ; http://dx.doi.org/10.1117/1.JBO.21.1.016005


Access This Article
Sign in or Create a personal account to Buy this article ($20 for members, $25 for non-members).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Book Chapters

Topic Collections

Advertisement


 

  • Don't have an account?
  • Subscribe to the SPIE Digital Library
  • Create a FREE account to sign up for Digital Library content alerts and gain access to institutional subscriptions remotely.
Access This Article
Sign in or Create a personal account to Buy this article ($20 for members, $25 for non-members).
Access This Proceeding
Sign in or Create a personal account to Buy this article ($15 for members, $18 for non-members).
Access This Chapter

Access to SPIE eBooks is limited to subscribing institutions and is not available as part of a personal subscription. Print or electronic versions of individual SPIE books may be purchased via SPIE.org.