Intraoperative optical coherence tomography-assisted superficial keratectomy: A novel surgical technique for Salzmann nodular degeneration

Purpose To describe a technique for Salzmann Nodule removal assisted by Microscope-Integrated Intraoperative Optical Coherence Tomography (iOCT). Methods The study describes a novel approach utilizing iOCT for enhanced visualization and accurate dissection of difficult-to-see nodules, while clarifying their relation to anterior stromal haze. Results This method leverages iOCT for effective nodule identification and removal, ensuring minimal disruption to surrounding tissue. It provides real-time feedback on dissection depth, facilitating precise excision without extensive keratectomy, and is particularly beneficial for surgeons with limited experience or in cases of reduced visibility. Conclusions Utilizing iOCT during superficial keratectomy for Salzmann Nodular Degeneration allows for precise detection and removal of degenerated nodules. iOCT- guided keratectomy allows the corneal surgeon to preserve surrounding healthy corneal tissue and improves surgical results in Salzmann Nodular Degeneration.