Cargando…

Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices

OCT (optical coherence tomography) is widely used in ophthalmology and pediatric ophthalmology, but limited research has been done on the use of OCT in strabismus. This study investigates the use of different OCT machines to image rectus muscle insertions pre-, intra-, and post-operatively in pediat...

Descripción completa

Detalles Bibliográficos
Autores principales: Pihlblad, Matthew S., Troia, Andrew, Tibrewal, Sapna, Shah, Parth R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832951/
https://www.ncbi.nlm.nih.gov/pubmed/31635030
http://dx.doi.org/10.3390/jcm8101732
_version_ 1783466264504565760
author Pihlblad, Matthew S.
Troia, Andrew
Tibrewal, Sapna
Shah, Parth R.
author_facet Pihlblad, Matthew S.
Troia, Andrew
Tibrewal, Sapna
Shah, Parth R.
author_sort Pihlblad, Matthew S.
collection PubMed
description OCT (optical coherence tomography) is widely used in ophthalmology and pediatric ophthalmology, but limited research has been done on the use of OCT in strabismus. This study investigates the use of different OCT machines to image rectus muscle insertions pre-, intra-, and post-operatively in pediatric strabismus patients. The OCT machines used in the study were a Bioptigen (Leica Microsystems Inc., Buffalo Grove, IL, USA), Spectralis HRA+OCT with Anterior Segment Module (Heidelberg Engineering, Heidelberg, Germany), Visante (Carl Zeiss, Oberkochen, Germany), and Zeiss Rescan 700 (Carl Zeiss, Oberkochen, Germany). Measurements from the machines were compared with the caliper distance measured during the strabismus surgery before disinsertion or after reattachment. The OCT machines had moderate (Bioptigen: 0.62) to good intraclass correlation coefficients (Rescan: 0.83, Spectralis: 0.85, Visante: 0.88) with intra-operative measurements. To our knowledge, this is the first study to use an operating microscope with integrated intra-operative OCT to image rectus muscle insertions. OCT is a useful tool in strabismus surgical patients in the pre-, intra-, and post-operative settings, particularly in patients who have had previous surgery, when the muscle insertion is unknown. The ability to accurately image rectus muscle insertions has significant implications for the management of strabismus patients.
format Online
Article
Text
id pubmed-6832951
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-68329512019-11-25 Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices Pihlblad, Matthew S. Troia, Andrew Tibrewal, Sapna Shah, Parth R. J Clin Med Article OCT (optical coherence tomography) is widely used in ophthalmology and pediatric ophthalmology, but limited research has been done on the use of OCT in strabismus. This study investigates the use of different OCT machines to image rectus muscle insertions pre-, intra-, and post-operatively in pediatric strabismus patients. The OCT machines used in the study were a Bioptigen (Leica Microsystems Inc., Buffalo Grove, IL, USA), Spectralis HRA+OCT with Anterior Segment Module (Heidelberg Engineering, Heidelberg, Germany), Visante (Carl Zeiss, Oberkochen, Germany), and Zeiss Rescan 700 (Carl Zeiss, Oberkochen, Germany). Measurements from the machines were compared with the caliper distance measured during the strabismus surgery before disinsertion or after reattachment. The OCT machines had moderate (Bioptigen: 0.62) to good intraclass correlation coefficients (Rescan: 0.83, Spectralis: 0.85, Visante: 0.88) with intra-operative measurements. To our knowledge, this is the first study to use an operating microscope with integrated intra-operative OCT to image rectus muscle insertions. OCT is a useful tool in strabismus surgical patients in the pre-, intra-, and post-operative settings, particularly in patients who have had previous surgery, when the muscle insertion is unknown. The ability to accurately image rectus muscle insertions has significant implications for the management of strabismus patients. MDPI 2019-10-19 /pmc/articles/PMC6832951/ /pubmed/31635030 http://dx.doi.org/10.3390/jcm8101732 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pihlblad, Matthew S.
Troia, Andrew
Tibrewal, Sapna
Shah, Parth R.
Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices
title Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices
title_full Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices
title_fullStr Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices
title_full_unstemmed Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices
title_short Pre-, Intra-, and Post-Operative Evaluation of Extraocular Muscle Insertions Using Optical Coherence Tomography: A Comparison of Four Devices
title_sort pre-, intra-, and post-operative evaluation of extraocular muscle insertions using optical coherence tomography: a comparison of four devices
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832951/
https://www.ncbi.nlm.nih.gov/pubmed/31635030
http://dx.doi.org/10.3390/jcm8101732
work_keys_str_mv AT pihlbladmatthews preintraandpostoperativeevaluationofextraocularmuscleinsertionsusingopticalcoherencetomographyacomparisonoffourdevices
AT troiaandrew preintraandpostoperativeevaluationofextraocularmuscleinsertionsusingopticalcoherencetomographyacomparisonoffourdevices
AT tibrewalsapna preintraandpostoperativeevaluationofextraocularmuscleinsertionsusingopticalcoherencetomographyacomparisonoffourdevices
AT shahparthr preintraandpostoperativeevaluationofextraocularmuscleinsertionsusingopticalcoherencetomographyacomparisonoffourdevices