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Klin Monbl Augenheilkd
DOI: 10.1055/a-2149-0025
Kasuistik

Intraoperative OCT-Guided Catheter-Assisted Combined 360-Degree Trabeculotomy and Trabeculectomy in a Case of Aphakic Glaucoma

Intraoperative OCT-geführte, kathetergestützte kombinierte 360°-Trabekulotomie und Trabekulektomie bei Aphakieglaukom
Lukas Juergens 
1   Department of Ophthalmology, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
2   Augenzentrum Jülich, Jülich, Germany
,
Rémi Yaïci 
1   Department of Ophthalmology, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
,
Franz Grehn
3   Department of Ophthalmology, Julius-Maximilian University Würzburg, Würzburg, Germany
,
Gerd Geerling
1   Department of Ophthalmology, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
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Conclusion Box

Already known:

  • Intraoperative optical coherence tomography (iOCT) can be used in a variety of glaucoma surgical techniques.

  • The currently commercially available iOCTs with a wavelength of 840 nm are optimised for examination of the cornea and retina.

  • The penetration depth of iOCTs using an 840 nm wavelength in the chamber angle remains limited due to scleral shadowing. Higher wavelengths (e.g., 1310 nm) and swept-source technology OCTs seem to be more capable of visualising the trabecular meshwork.

Newly described:

  • iOCT can be used during a catheter-assisted 360-degree trabeculotomy and trabeculectomy.

  • iOCT was able to identify the formation of a fluid reservoir under the scleral flap as a marker of success and can thus be considered a helpful tool in trabeculotomy surgery.



Publication History

Received: 30 April 2023

Accepted: 04 August 2023

Article published online:
06 September 2023

© 2023. Thieme. All rights reserved.

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