Expert commentary on panel questions: I-OCT in lamellar keratoplasties

May 1, 2025Haryana Journal of OphthalmologyOpen Access

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Key Points

This commentary aims to discuss the role of microscope-integrated optical coherence tomography (I-OCT) in enhancing the safety and efficacy of lamellar keratoplasties.
Evaluation of air cannula placement using real-time I-OCT visualization.
Assessment of micro-perforations in Descemet's membrane during surgery.
Monitoring stromal thickness and graft dynamics during procedures.
Differentiation of big-bubble types using cross-sectional OCT imaging.
Integration of I-OCT into surgical workflow for real-time decision making.
I-OCT provides immediate feedback for adjusting cannula depth, reducing perforation risk.
Early detection of micro-perforations enables timely intervention during surgery.
Real-time monitoring enhances the safety of big-bubble formation and graft apposition.
Distinction between big-bubble types allows for tailored surgical strategies.
Visualization of graft-host relationship improves intraoperative accuracy.

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Expert commentary discusses how I-OCT improves surgical safety and outcomes in lamellar keratoplasties, guiding intraoperative decision-making.

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Kelkar et al. (2025) studied this question.

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