Microscope integrated OCT (Mi-OCT) guided retrieval of intrastromal corneal foreign body.

Ashish Markan, Kiran Chandra, Ramandeep Singh, Mohit Dogra
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Abstract

Introduction: To describe the role of microscope integrated optical tomography (Mi-OCT) in removal of intrastromal corneal foreign body.

Methodology: A young male presented with trauma to the right eye with sugarcane stick. Ocular examination revealed two sugarcane particles, approximately 3.5 mm in greatest dimension, embedded in the corneal stroma. For removal of foreign body, Mi-OCT was switched on and the area of interest was focused. Sugarcane particles appeared as hyperreflective structures embedded in the corneal stroma with everted edges of the overlying corneal epithelium and anterior stroma.

Results: Both the sugarcane particles were removed successfully under real time images provided by Mi-OCT without causing any inadvertent damage to the corneal stroma.

Conclusion: Mi-OCT can be used as an adjunct in emergency surgical procedures like removal of intrastromal corneal foreign bodies with accurate precision.

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显微集成OCT (Mi-OCT)引导下角膜基质内异物取出术。
目的:描述显微镜综合光学断层扫描(Mi-OCT)在角膜基质内异物去除中的作用。方法:一位年轻男性,右眼被甘蔗棒刺伤。眼部检查发现2个甘蔗颗粒,最大尺寸约3.5 mm,嵌在角膜基质中。为了去除异物,打开Mi-OCT并聚焦感兴趣的区域。甘蔗颗粒表现为嵌入角膜基质的高反射结构,其上覆角膜上皮和前基质的边缘呈外翻状。结果:在Mi-OCT提供的实时图像下,两种甘蔗颗粒都被成功去除,没有对角膜基质造成任何无意的损伤。结论:在角膜基质内异物取出等急诊手术中,Mi-OCT可作为辅助手段,具有准确的精度。
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