Intra-Operative Ocular Coherence Tomography in Retinal Detachment Surgery

Background: To evaluate the outcomes of using intraoperative optical coherence tomography (OCT) during retinal detachment surgeries and to determine whether it influenced surgical outcomes. Methods: A case series of fifteen patients underwent retinal detachment surgery utilizing the Leica Enfocus microscope with integrated intraoperative optical coherence tomography (IOCT). The study assessed the impact of IOCT on surgical decision-making. It was conducted at the Layton Rahmatullah Benevolent Trust (LRBT) Eye Hospital, Lahore, Pakistan. Data were collected using a questionnaire as a tool for analysis. Results: Fifteen patients with a mean age of 35.33 ± 8.27 years (95% confidence interval) underwent retinal detachment surgery and were included in the study. The questionnaire revealed that the surgeon altered their decisions in four cases (26%). Intraoperative OCT was instrumental in identifying critical structures such as sites of vitreomacular traction, thick epiretinal membranes, and various interfaces. Conclusions: The application of intraoperative OCT proved to be highly beneficial in retinal procedures. Its use enhanced the surgeon's confidence and influenced decision-making in specific cases, demonstrating its value in improving surgical outcomes.