Surgical decisions in modern ophthalmology are rarely made by looking directly at the eye alone; they are driven by the data and images captured before, during, and after a procedure. In his latest presentation, Dr. Alberto Bellone explores the shift from static single-frame diagnostics to dynamic, multi-window surgical imaging.
The Three Windows of Surgical Decision-Making
Every critical surgical intervention relies on three continuous stages of imaging:
- Pre-operative: Selecting the precise surgical strategy.
- Intra-operative: Supporting real-time verification and adjustments inside the operating room.
- Post-operative: Creating an objective, documented record of healing and progress.
Key Clinical Highlights
- Intraoperative OCT in Retina Surgery: Real-time visualization guiding a free ILM patch for a complex, recurrent macular hole.
- Oncological Collaboration: Identifying MEK inhibitor-associated retinopathy to balance ocular side effects against essential cancer treatments.
- The Bellone Vision Protocol for ICL Surgery: Integrating pre-operative Casia 2 vault simulations with intraoperative OCT verification. If the measured vault falls outside the safe range during surgery, the lens is exchanged immediately within the same session—saving the patient from a second surgery, additional anesthesia, and emotional distress.
- Corneal Ring Segments (ICRS): Demonstrating why flawless surgical execution cannot overcome an incorrect primary indication.
Watch the full video below to view the presentation, surgical footage of an intraoperative ICL exchange, and the Q&A session on clinical judgment versus technology dependency.
