February 15, 2010
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OCT-assisted anterior segment surgery safe, accurate

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BUDAPEST, Hungary — The use of intraoperative online optical coherence tomography imaging with a modified Carl Zeiss Meditec Visante anterior segment OCT connected to an operating microscope and video recorder allows for safer, more accurate surgery, according to one surgeon speaking here.

"Between 2007 and 2009, we performed many different surgeries with this method, including phacoemulsification, canaloplasty, keratoplasty, phakic IOL implantation and corneal refractive procedures. The intraoperative, dynamic visualization of the internal structures of the eye makes surgery easier and more controlled," Gábor B. Scharioth, MD, of the Aurelios Eye Center of Recklinghausen, Germany, said at the winter meeting of the European Society of Cataract and Refractive Surgeons.

"At each stage of surgery, we are able to see where we are and what we are doing in the capsular bag, into the Schlemm's canal or with the positioning of a phakic IOL. This direct view of the dynamics of surgery is extremely reassuring, particularly for complicated cases," Dr. Scharioth said. "It could also help in the development and improvement of implants, surgical instruments and machines."

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