Evidence map›Paper›PMID 27538478›Full record

ArticleScientific reports2016

Live volumetric (4D) visualization and guidance of in vivo human ophthalmic surgery with intraoperative optical coherence tomography.

O M Carrasco-Zevallos, B Keller, C Viehland, L Shen, G Waterman, B Todorich, C Shieh, P Hahn, S Farsiu, A N Kuo and 2 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01588041 completednot on this map

Intraoperative OCT Guidance of Intraocular Surgery

TypeobservationalSponsorDuke UniversityRan2009 to 2018Enrolled269ConditionsEye Manifestations
NCT07024719 narecruitingnot on this mapstarted 2025, after this paper: background citation

First Use of Duke 4D Microscope Integrated OCT (MIOCT) Integrated Into Zeiss Artevo 800 Ophthalmic Surgical Microscope in the Operating Room

TypeinterventionalSponsorDuke UniversityRan2025 to 2026Enrolled5ConditionsCorneal Diseases, Retinal Diseases, Ocular DiseasesArms4D MIOCT integrated into a Zeiss Artevo 800
3 · Its place in the literature

Who cites it

62 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. New Directions for Ophthalmic OCT - Handhelds, Surgery, and Robotics.Translational vision science & technology · 2025
    Review
  6. Review
  7. Article
  8. Molecular and cellular imaging of the eye.Biomedical optics express · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Robotic Optical Coherence Tomography of Human Subjects with Posture-Invariant Head and Eye Alignment in Six Degrees of Freedom.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

O M Carrasco-ZevallosDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
B KellerDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
C ViehlandDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
L ShenDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
G WatermanDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
B TodorichDepartment of Ophthalmology, Duke University Medical Center, Durham, NC 27710, USA.
C ShiehDepartment of Ophthalmology, Duke University Medical Center, Durham, NC 27710, USA.
P HahnDepartment of Ophthalmology, Duke University Medical Center, Durham, NC 27710, USA.
S FarsiuDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
A N KuoDepartment of Ophthalmology, Duke University Medical Center, Durham, NC 27710, USA.
C A TothDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
J A IzattDepartment of Biomedical Engineering, Duke University, Durham, NC 27708, USA.

Funding

Intraoperative OCT Guidance of Intraocular SurgeryR01EY023039 · NEI · DUKE UNIVERSITY · PI IZATT, JOSEPH A, TOTH, CYNTHIA ANN · 2013 to 2016
$3.9M
NEI NIH HHS R01 EY023039
6 · The paper itself

Abstract

Minimally-invasive microsurgery has resulted in improved outcomes for patients. However, operating through a microscope limits depth perception and fixes the visual perspective, which result in a steep learning curve to achieve microsurgical proficiency. We introduce a surgical imaging system employing four-dimensional (live volumetric imaging through time) microscope-integrated optical coherence tomography (4D MIOCT) capable of imaging at up to 10 volumes per second to visualize human microsurgery. A custom stereoscopic heads-up display provides real-time interactive volumetric feedback to the surgeon. We report that 4D MIOCT enhanced suturing accuracy and control of instrument positioning in mock surgical trials involving 17 ophthalmic surgeons. Additionally, 4D MIOCT imaging was performed in 48 human eye surgeries and was demonstrated to successfully visualize the pathology of interest in concordance with preoperative diagnosis in 93% of retinal surgeries and the surgical site of interest in 100% of anterior segment surgeries. In vivo 4D MIOCT imaging revealed sub-surface pathologic structures and instrument-induced lesions that were invisible through the operating microscope during standard surgical maneuvers. In select cases, 4D MIOCT guidance was necessary to resolve such lesions and prevent post-operative complications. Our novel surgical visualization platform achieves surgeon-interactive 4D visualization of live surgery which could expand the surgeon's capabilities.

Indexed as

MicrosurgeryMonitoring, IntraoperativeOphthalmologic Surgical ProceduresSurgery, Computer-AssistedTomography, Optical CoherenceHumans

Identifiers

PMID27538478
PMCPMC4990849

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.