Aleksandra Rachitskaya, MD: Use of Novel Imaging and Surgical Techniques

So, here at the Academy I had a privilege
to talk about some novel imaging techniques that we use both in the
clinic and in the operating room—as well as some of the new techniques of how we
actually operate. So, in particular I focused on OCT angiography and how
useful it can be in clinic when you have a patient that might present was more of
a complex presentation and when you need to see if there is a choroidal vascular
membrane. I find that particularly helpful in those cases. I also talked
about using intraoperative OCT in cases where I find it benefits the patients and
improve patient care. For example, I showed a patient where there was a small
small macular hole that was discovered in a retinal detachment because we did
intraoperative OCT that was not appreciated on preoperative imaging and also I
talked about using 3D visualization—where you can have improved ergonomics,
improved teaching, as well as pretty outstanding view of the macula for
macula work. So, I focused on that and I also introduced the idea of gene
therapy and how we can utilize all these modalities for patients that might need
gene therapy. There has been big strides in the gene therapy world and there’s a
lot of ongoing trials that hopefully will have some exciting results that
could benefit our patients. I think that’s a very good
point, right. I haven’t been in practice for that long and the way I
take care of patients has changed in the span of 5 years and I think it’s very
exciting to be practicing at a time where we do have these new modalities
and we’re studying and providing evidence-based reasons why these
modalities are important. So, whether they are allowing us to diagnose the patient
better or whether they changed the treatment course. I think all of the
modalities that I mentioned OCTA, intraoperative OCT really do
benefit patient care and also we want to teach the new generations and I think 3D
viewing is is very helpful in that because when I’m operating in the OR and
I use 3D viewing and not only the trainees but also all my whole staff
including the scrub tech and even anesthesiology sometimes can participate
in the experience and the scrub tech and then anticipate what I need next because
she can see the surgery she is immersed in it. So, I think it’s really the
advancements that are happening and being here at academy there’s so
much exciting staff happening it really takes our patient care to the next level.

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