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.