Dr. J. S. TITIYAL

DR.MANPREET KAUR

Abstract

We evaluated the role of intraoperative optical coherence tomography (iOCT) to enhance our understanding of surgical dynamics during phacoemulsification. The real-time visualization of anterior segment ultrastructure helps to assess the incision architecture and intralenticular pressure during capsulorhexis. The dynamics during hydrodissection and hydrodelineation can be visualized on iOCT along with the thickness of epinuclear cushion, PC distension and any inadvertent PC dehiscence. It is a useful guide to assess the depth of trenching or efficacy of chops during nuclear emulsification and evaluate the posterior capsule integrity at all steps of surgery. iOCT helps to assess the IOL position at the end of the surgery and detect tilt or displacement of the IOL. It is a useful teaching tool for resident training as it enables trainee surgeons to visualize the surgical steps and tissue-instrument interactions in real-time and enhances their understanding of intraoperative dynamics.