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Optical Coherence Tomography OCT Dennis M. West, CRA
What is OCT? ,[object Object],[object Object]
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How does it work? ,[object Object],[object Object]
Resolution ,[object Object],[object Object]
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Protocols ,[object Object],[object Object]
 
Scan Protocol Types   ,[object Object],[object Object],[object Object]
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Not All OCT Scans Are Created Equally  ,[object Object],[object Object],[object Object]
Fast OCT 3 scan  The same eye scanned with maximum resolution
Retinal Anatomy Compared to OCT ,[object Object],[object Object],[object Object]
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Regions   ,[object Object],[object Object],[object Object],[object Object],[object Object]
The pre-retinal profile   ,[object Object],[object Object],[object Object],[object Object]
Anomalous structures  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The over-all retinal profile
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a pigment epithelial detachment is causing the convexity
Aside from the retinal detachment, notice the underlying  concave  curvature of the retina,  suggesting the long eye of a significant myope
The foveal profile   ,[object Object]
Deformations in the foveal profile  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Macular cyst
Macular hole, stage 2
Macular hole, stage 3
Macular hole, stage 4, operculum suspended by the hyaloid membrane
The macular profile   ,[object Object]
Deformations in the macular profile  ,[object Object],[object Object],[object Object]
Serous retinal pigment epithelial detachment (PED)
Intra-retinal anomalies in the macular profile  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Choroidal neovascular membrane
Cystoid macular edema cause by diabetic maculopathy
Sub-retinal fibrosis
OCT and Fluorescein Angiography in retinal diagnosis   ,[object Object],[object Object]
 
 
OCT scans for qualitative analysis of the retina ,[object Object],[object Object],[object Object]
The Fast Macular Thickness Scan   ,[object Object]
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The Line Scan   ,[object Object]
The Cross Hair Scan   ,[object Object],[object Object]
Scan analysis protocols for qualitative analysis   ,[object Object]
The Align Process   ,[object Object]
Proportional analysis  ,[object Object]
Retinal Thickness Analysis   ,[object Object],[object Object]
Each of the six scans can be reviewed by clicking on the slider bar to the left, and any or all of them can be printed out for the patient's record
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Serial FMT scans over time   ,[object Object]
Retinal Thickness/Volume Change Analysis   ,[object Object]
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Glaucoma Scans   ,[object Object],[object Object],[object Object]
The Fast Optic Disc scan    ,[object Object],[object Object]
 
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The Fast RNFL Thickness scan   ,[object Object]
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Is it Perfect? ,[object Object]
What makes a good OCT scan?   ,[object Object],[object Object],[object Object]
Scanning Tips ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Scanning Tips   ,[object Object],[object Object],[object Object],[object Object]
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Alignment and focus   ,[object Object]
 
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Freezing and selecting the scan   ,[object Object],[object Object],[object Object]
When you click on the thumbnail at the bottom, the current set of scans is displayed in the windows above.  The software also tells you what the signal strength was for that particular scan, on a scale from 1 to 10, with 10 being maximum signal strength. You can only save one scan from the group
Noise   ,[object Object]
Noise   ,[object Object]
What’s New ,[object Object],[object Object],[object Object],[object Object]
Questions? References:   Brancato R. and Lumbroso B. Guide to Optical Coherence Tomography Interpretation. Rome: Innovation-News-Communication, 2004.   Schuman J., Puliafito C., and Fujimoto J. Ocular Coherence Tomography of Ocular Diseases. Thorofare NJ: Slack Inc., 2004.

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Optical coherence tomography