Intraoperative OCT-Assisted Surgical Management of Proliferative Vitreoretinopathy (PVR) скачать в хорошем качестве

Intraoperative OCT-Assisted Surgical Management of Proliferative Vitreoretinopathy (PVR)

Robert A. Sisk, MD, FACS of Cincinnati Eye Institute demonstrates how he uses the new Proveo 8 with built-in EnFocus OCT to treat proliferative vitreoretinopathy (PVR), which remains a major obstacle for long term success in retinal detachment surgery. Dr. Sisk explains how Intraoperative OCT is a critical tool for surgical decision making in PVR surgery through identification of membrane location, tractional effects on the retina, and surgical planes for membrane peeling. The opinions expressed in this video are those of the physician. Their statements do not necessarily reflect the opinion of any institution with whom they are affiliated. #ophthalmology​ #IntraoperativeOCT​ #retina #PVR #ProliferativeVitreoretinopathy 00:00 – Intraoperative OCT-Assisted Surgical Management of Proliferative Vitreoretinopathy 00:15 – Patient history 00:36 - Intraoperative OCT-assisted PVR surgery 01:58 – Benefits of using Leica Proveo 8 with intraoperative OCT ▬ Learn more ▬▬▬▬▬▬▬▬▬▬▬▬ Proveo 8 microscope https://www.leica-microsystems.com/pr... EnFocus intraoperative OCT https://www.leica-microsystems.com/pr... Ophthalmic Surgery Microscopy Solutions https://www.leica-microsystems.com/ap... ▬ Follow us ▬▬▬▬▬▬▬▬▬▬▬▬ Discover us on LinkedIn:   / leica-microsystems   Discover our LinkedIn Medical Channel:   / leica-microsystems-medical   Find us on Facebook:   / leicamicrosystems   Follow us on Twitter:   / leicamicro   Follow us on Instagram:   / leica.microsystems   ▬ More Videos ▬▬▬▬▬▬▬▬▬▬▬▬ Subscribe @LeicaMicrosystems @LeicaMicrosystemsTutorials ▬ About Leica Microsystems ▬▬▬▬▬▬▬▬▬▬▬▬ Leica Microsystems develops and manufactures microscopes and scientific instruments for the analysis of microstructures and nanostructures. Ever since the company started as a family business in the nineteenth century, its instruments have been widely recognized for their optical precision and innovative technology. It is one of the market leaders in compound and stereo microscopy, digital microscopy, confocal laser scanning microscopy with related imaging systems, electron microscopy sample preparation, and surgical microscopes. Leica Microsystems has six major plants and product development sites around the world. The company is represented in over 100 countries, has sales and service organizations in 20 countries, and an international network of distribution partners. Its headquarters are located in Wetzlar, Germany. ▬ Video Transcript ▬▬▬▬▬▬▬▬▬▬▬▬ Intraoperative OCT-Assisted Surgical Management of Proliferative Vitreoretinopathy (PVR) Robert A. Sisk, MD, FACS *** Multiple opacified bands of vitreous and PVR are observed with radial extensions from a contracted partially separated hyaloid face. The optic nerve and fovea are initially obscured. Core vitrectomy is performed to reduce anterior to posterior traction and segment vitreous bands. A radial retinal fold is seen nasally due to retinal shortening. Triamcinolone acetonide stain facilitated identification of the split posterior hyaloid face. Intraoperative OCT was utilized to identify tractional forces in multiple planes, demonstrate retained posterior hyaloid and epiretinal membranes, and to monitor foveal integrity during membrane removal. The retina was scanned extensively after membrane removal to confirm all epiretinal and vitreous traction was released. The Leica Proveo 8 with EnFocus HD OCT is a critical new tool for intraoperative surgical decision making and improving my outcomes in PVR surgery. Serial volume scans help the surgeon identify all membranes, even if invisible to traditional microscope optics or biologic stains. The EnFocus HD OCT provides high resolution images that demonstrate the tractional effects on the retina and the surgical planes for membrane peeling. Real-time OCT scanning can monitor for stress on the retina during membrane peeling and confirm the adequacy of membrane removal to reach a surgical endpoint.