23/04/2026
Real-time detection of anterior segment membranes during cataract surgery with SS-iOCT!
Research recently published in evaluated the intraoperative visualization of delicate membranous structures during cataract surgery using swept-source intraoperative optical coherence tomography (SS-iOCT).
6 complicated cataract surgeries were retrospectively studied. With fine pe*******on through opaque media like corneal edema and scar, the high-resolution real-time SS-iOCT enabled precise visualization of delicate membranous structures in all cases that were undetectable under traditional optical microscopes, including detached Descemet’s membrane and transparent anterior hyaloid membrane. The ability of SS-iOCT to delineate exact plane of separation and hidden lesions, such as the presence of synechiae and posterior capsule ruptures, directly guided intraoperative decision-making, leading to optimized surgical management and enhanced procedural safety.
An innovative digital navigation microscope ( , Medical), integrated with 100kHz intraoperative full range SS-OCT was used in this study, offering full-field real-time visualization in both complex and routine cataract surgeries. The significant advancement over conventional microscope systems illustrated the potential of full range SS-iOCT in optimizing surgical strategy for efficiency and safety.
This research is authored by Dr. Jianxia Fang, Dr. Ce Shi, etc. team of Prof. Wen Xu from the Second Affiliated Hospital, School of Medicine, Zhejiang University.
Link to original text:
https://qims.amegroups.org/article/view/151365/html
*TowardPi microscope is not cleared by CE/MDR or FDA yet.