Internal limiting membrane layer visualization and vitreoretinal surgery guidance using a common-path OCT integrated microsurgical tool

Xuan Liu, Eric Meisne, Jae Ho Han, Kang Zhang, Peter Gehlbach, Russell Taylor, Jin U. Kang

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)

Abstract

Contemporary retinal microsurgery is performed by skilled surgeons through operating microscopes, utilizing free hand techniques and manually operated micro-instruments. One technically challenging procedure is the incising and peeling of the internal limiting membrane (ILM) while minimizing damage to the underlying retina. One strategy for minimizing damage is to improve visualization of the ILM layer. Here we present a preliminary evaluation of a prototype tool that integrates an ultra high resolution Fourier domain common path Optical Coherence Tomography (OCT) with an intelligent microsurgical instrument. The tool provides OCT guided visualization of the ILM layer at the point of tissue contact by the surgical tool. We have evaluated the imaging properties of the common path OCT system. The common path OCT system used in this study has a maximum imaging depth of 1.3mm and a sensitivity of 91dB. We have achieved an experimental axial resolution of 3μm in air and this appears to be sufficient to both identify the ILM and to perform surgical maneuvers. We scanned the single mode fiber probe using an intelligent microsurgical instrument to form B-Mode images. We imaged a porcine eye with both anterior eye segment and the vitreous removed. The image obtained show distinct functional layers of retina.

Original languageEnglish
Title of host publicationOphthalmic Technologies XX
DOIs
Publication statusPublished - 2010
Externally publishedYes
EventOphthalmic Technologies XX - San Francisco, CA, United States
Duration: 2010 Jan 232010 Jan 25

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume7550
ISSN (Print)1605-7422

Other

OtherOphthalmic Technologies XX
CountryUnited States
CitySan Francisco, CA
Period10/1/2310/1/25

Keywords

  • Common path
  • Optical coherence tomography
  • Surgical tool
  • Vitreoretinal surgery

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Liu, X., Meisne, E., Han, J. H., Zhang, K., Gehlbach, P., Taylor, R., & Kang, J. U. (2010). Internal limiting membrane layer visualization and vitreoretinal surgery guidance using a common-path OCT integrated microsurgical tool. In Ophthalmic Technologies XX [755003] (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 7550). https://doi.org/10.1117/12.840976