Residual Fragment Assessment with the Proveo 8 with EnFocus Intraoperative OCT

In this video, Dr. Rachid Tahiri shares his impressions of using the Proveo 8 with EnFocus intraoperative OCT imaging system in cataract surgery. Specifically, Dr. Tahiri highlights the advantage of using this imaging solution in detecting and addressing residual lens fragments, which can be difficult to visualize due to being hidden behind surgical incisions or edema. He explains that using Proveo 8 with EnFocus intraoperative OCT is useful in locating residual lens fragments, improving patient outcomes, and reducing the risk of postoperative complications and readmission for secondary surgery.
Dr. Rachid Tahiri is an ophthalmic surgeon at the Centre d’Ophtalmologie in Granville, France.

► Proveo 8 | Ophtalmic microscope: https://fcld.ly/ixwzdcp
► EnFocus| Intraoperative OCT imaging system: https://fcld.ly/4uyd39h
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Disclaimer: The statements and explanations of the healthcare professional in this video reflect only his opinion and personal experience. His statements don’t necessarily reflect the opinion of any institution with whom he is affiliated.

#Proveo8 #ophthalmology #cataract #intraoperativeOCT

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▬ Transcript ▬▬▬▬▬▬▬▬▬▬▬▬

00:00 Intro
Hi, my name is Rachid Tahiri. I am an ophthalmic surgeon from Granville in Normandy, France. My main topics are cataract and retinal surgery.

00:17 Intraoperative OCT
Beyond retinal surgery, which is a classical indication, intraoperative OCT may be useful in cataract surgery, especially to access residual lens fragments.

00:33 Residual fragment
In this example, at the end of the surgery, I have a doubt about the presence of a residual fragment. Thanks to intraoperative OCT, I was able to highlight a residual fragment. It was quite a big fragment hidden behind the edema of the main incision.

00:57 Residual fragment - second example
In this second example, the smaller residual fragment was hidden behind the secondary incision. The problem is that corneal edema at the level of the incisions may reduce their visibility. That’s why using intraoperative OCT could be very useful.

01:20 Anterior segment
What I usually do is to perform a 360° circular scan of the anterior segment. Using the microscope pedal, it is possible to go back over the sections to analyze the images. In this case, there was a residual fragment hidden behind the secondary incision edema.

01:45 Anterior segment - second case
And in this other case, there was a little residual fragment in the iridocorneal angle.

01:55 Outro
In my experience, intraoperative OCT could be very interesting in cataract surgery. We can visualize residual fragments; we can avoid readmission for secondary surgery a few days and weeks later, and we can reduce many postoperative complications. So, intraoperative OCT is a great tool to improve the quality and perfection of cataract surgery. Thank you for your attention.

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