The authors describe a case in which swept-source microscope-integrated OCT (SS-MIOCT) was used to directly visualise and evaluate key suturing-related steps of strabismus surgery in real time. Using SS-MIOCT, the surgeons could visualise the precise depth of the needle through the muscle and sclera to provide real-time guidance and feedback to ensure proper anchoring and locking of muscle passes and allow for strong but sufficiently superficial scleral passes. The authors propose this may help improve speed and confidence with strabismus surgery and potentially decrease rates of complications.

Four-dimensional microscope-integrated optical coherence tomography to visualise suture depth in strabismus surgery.
Pasricha ND, Bhullar PK, Shieh C, et al.
JOURNAL OF PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2017;54(1):e1-5.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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