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Menezes Palácios R, Vieira Kayat K, Eid Farah M, Devin F. Heads-up Digitally Assisted Surgical Viewing with Intraoperative Optical Coherence Tomography for Myopic Schisis Repair. JOVR [Internet]. 2021Jan.20 [cited 2024May5];16(1):127–130. Available from: https://knepublishing.com/index.php/JOVR/article/view/8259

https://doi.org/10.18502/jovr.v16i1.8259

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authors

  • Renato Menezes Palácios

    Renato Menezes Palácios

    Department of Ophthalmology-Retina, Federal University of São Paulo, São Paulo, Brazil
  • Kim Vieira Kayat

    Kim Vieira Kayat

    Department of Ophthalmology-Retina, Federal University of São Paulo, São Paulo, Brazil
  • Michel Eid Farah

    Michel Eid Farah

    Department of Ophthalmology-Retina, Federal University of São Paulo, São Paulo, Brazil
  • François Devin

    François Devin

    Department of Ophthalmology-Retina, Centre Monticelli Paradis d’Ophtalmologie, Marseille, France

Published Date

  • Jan 20, 2021
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Heads-up Digitally Assisted Surgical Viewing with Intraoperative Optical Coherence Tomography for Myopic Schisis Repair

Journal of Ophthalmic and Vision Research (JOVR) / January–March 2021, Volume 16, Issue 1 / Pages 127–130

Abstract

Purpose: To describe the surgical approach with a screen-based heads-up, threedimensional (3-D) digital viewing with intraoperative optical coherence tomography (IOCT) for the successful repair of a myopic macular schisis (MMS) case.


Case Report: A 62-year-old woman with vision loss in the left eye was scheduled for pars plana vitrectomy (PPV) and MMS repair. Surgery was performed using the NGENUITY® system for surgical viewing, and foveal-sparing internal limiting membrane (fs-ILM) peeling was performed without gas tamponade, after confirming the absence of iatrogenic macular hole with I-OCT. There were no intraoperative or postoperative complications. Visual acuity improved to 20/40 and the subfoveal macular thickness improved from 706 μm (preoperative) to 221 μm after seven months of follow-up.


Conclusion: Heads-up digitally assisted viewing technology with I-OCT may be useful or preferred for patients requiring vitreoretinal surgery in the setting of MMS.

Keywords:

Heads-up surgery, 3-D, Intraoperative Optical Coherence Tomography, Myopic Macular Schisis, Foveal-sparing Internal Limiting Membrane Peeling

References
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