Intraoperative OCT in Lamellar Corneal Transplants (DALK, DSAEK, DMEK)

An explanation of this new technology, consisting of optical coherence tomography integrated to the microscope in both anterior and posterior lamellar corneal transplants (DALK, DSAEK, DMEK). The advantages of visualizing the different layers of the host and donor cornea, with specific emphasis in the Descemet-stroma interphase, are explained in the written work and captured in the intraoperative images. This technology makes the procedure safer, increases the surgery success rate and consequently improves the postoperative results in the patient. The surgical technique of the lamellar transplants and its benefits are explained. The advantages of this new technology are analyzed, including visualizing the corneal planes, checking the tissue orientation and ensuring the correct execution of critical surgical steps; all of these help in reducing the technical difficulty of the procedure. Likewise, it is explained that by providing direct transurgical visualization in a screen, there is a potential teaching and academic advantage.