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Dikici O, Özmen S, Dikici GK, Muluk NB, Akkuzu ÇÇ. Does Septorhinoplasty-Related Periorbital Edema Affect Intraocular Pressure and Retina? EAR, NOSE & THROAT JOURNAL 2019; 100:116-123. [PMID: 31547702 DOI: 10.1177/0145561319875734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Open rhinoplasty has been performed for over 50 years. Rhinoplasty procedures have a risk of complications and it is important to follow each step diligently in order to avoid complications. Periorbital edema is the most common complication of septorhinoplasty. As far as we are aware, there are no studies in the available literature examining the impact of the septorhinoplasty on intraocular pressure and the retina. OBJECTIVES The aim of this study was to evaluate the effects of septorhinoplasty-related periorbital edema on intraocular pressure and the retina by means of objective tests. METHODS Ten patients with phase 4 periorbital edema (5 males and 5 females) who underwent open rhinoplasty with bilateral lateral osteotomies were enrolled in the study. All the patients were examined by an eye specialist for visual acuity, intraocular pressure, retinal nerve fiber layer, and ganglion cell complex pathologies with optical coherence tomography preoperatively and postoperatively on the seventh day. RESULTS Preoperative and postoperative best-corrected visual acuity; intraocular pressure; average, superior, and inferior retinal nerve fiber layer thickness; and total, superior, and inferior ganglion cell complex thickness in both eyes for all patients were within normal limits. There was no statistical difference between preoperative and postoperative values (P > .05). CONCLUSION We concluded that periorbital edema after septorhinoplasty causes no significant complications affecting intraocular pressure and visual acuity. We believe that when osteotomies and local anesthetic injections are undertaken correctly, periorbital complications do not affect vision.
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Affiliation(s)
- Oğuzhan Dikici
- Department of Otorhinolaryngology, Health Sciences University Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Süay Özmen
- Department of Otorhinolaryngology, Health Sciences University Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Gülçin Kazaz Dikici
- Ophthalmology Clinic, Health Sciences University 147003Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Nuray Bayar Muluk
- Department of Otorhinolaryngology, Medical Faculty, 472604Kırıkkale University, Kırıkkale, Turkey
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102
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Bocheux R, Pernot P, Borderie V, Plamann K, Irsch K. Quantitative measures of corneal transparency, derived from objective analysis of depth-resolved corneal images, demonstrated with full-field optical coherence tomographic microscopy. PLoS One 2019; 14:e0221707. [PMID: 31461476 PMCID: PMC6713351 DOI: 10.1371/journal.pone.0221707] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Accepted: 08/13/2019] [Indexed: 11/18/2022] Open
Abstract
Loss of corneal transparency, as occurs with various pathologies, infections, immune reactions, trauma, aging, and surgery, is a major cause of visual handicap worldwide. However, current means to assess corneal transparency are extremely limited and clinical and eye-bank practice usually involve a subjective and qualitative observation of opacities, sometimes with comparison against an arbitrary grading scale, by means of slit-lamp biomicroscopy. Here, we describe a novel objective optical data analysis-based method that enables quantifiable and standardized characterization of corneal transparency from depth-resolved corneal images, addressing the demand for such a means in both the laboratory and clinical ophthalmology setting. Our approach is based on a mathematical analysis of the acquired optical data with respect to the light attenuation from scattering processes in the corneal stroma. Applicable to any depth-resolved corneal imaging modality, it has been validated by means of full-field optical coherence tomographic microscopy (FF-OCT or FF-OCM). Specifically, our results on ex-vivo corneal specimens illustrate that 1) in homogeneous tissues, characterized by an exponential light attenuation with stromal depth (z), the computation of the scattering mean-free path (ls) from the rate of exponential decay allows quantification of the degree of transparency; 2) in heterogeneous tissues, identified by significant deviations from the normal exponential z -profile, a measure of exponential-decay model inadequacy (e.g., by computation of the Birge ratio) allows the estimation of severity of stromal heterogeneity, and the associated depth-dependent variations around the average ls enables precise localization of the pathology.
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Affiliation(s)
- Romain Bocheux
- Laboratoire d'Optique et Biosciences (LOB)–École polytechnique, CNRS UMR 7645, INSERM U 1182, Institut polytechnique de Paris, and LOA–ENSTA ParisTech, École polytechnique, CNRS UMR 7639, Institut polytechnique de Paris, Palaiseau, France
- Vision Institute / Quinze-Vingts National Eye Hospital / GRC32 / CIC1423 –Sorbonne University, CNRS UMR 7210, INSERM U 968, Paris, France
| | - Pascal Pernot
- Laboratoire de Chimie Physique–Université Paris-Sud, CNRS UMR 8000, Orsay, France
| | - Vincent Borderie
- Vision Institute / Quinze-Vingts National Eye Hospital / GRC32 / CIC1423 –Sorbonne University, CNRS UMR 7210, INSERM U 968, Paris, France
| | - Karsten Plamann
- Laboratoire d'Optique et Biosciences (LOB)–École polytechnique, CNRS UMR 7645, INSERM U 1182, Institut polytechnique de Paris, and LOA–ENSTA ParisTech, École polytechnique, CNRS UMR 7639, Institut polytechnique de Paris, Palaiseau, France
| | - Kristina Irsch
- Vision Institute / Quinze-Vingts National Eye Hospital / GRC32 / CIC1423 –Sorbonne University, CNRS UMR 7210, INSERM U 968, Paris, France
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103
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Rashdan H, Shah M, Robertson DM. The frequency of non-pathologically thin corneas in young healthy adults. Clin Ophthalmol 2019; 13:1123-1135. [PMID: 31371912 PMCID: PMC6628863 DOI: 10.2147/opth.s188935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Accepted: 01/16/2019] [Indexed: 11/23/2022] Open
Abstract
Purpose: Measurement of normal corneal thickness and corneal epithelial thickness is important in keratorefractive surgery, glaucoma, following extended contact lens wear, and in patients with corneal disease. Clinically, a central corneal thickness less than 500 µm is considered to be moderately-to-extremely thin. The purpose of this study was to compare biological differences in patients with clinically thin compared to normal corneal thickness values in healthy young adults using Fourier domain optical coherence tomography. Patients and methods: In total, 168 eyes from 84 patients aged 19-38 years were scanned using an Avanti optical coherence tomographer. To eliminate circadian effects on corneal thickness, all patients were scanned within a 4-hour window. Corneal thickness was measured across the central 6 mm of the cornea. Total central corneal thickness, corneal epithelial thickness, and corneal stromal thickness were compared between males and females and tested for correlations with age, use of systemic hormones, degree of myopia, and corneal curvature. Results: The average central corneal thickness for males and females was 540.5±32.0 μm and 525.2±33.0 μm, respectively (P=0.020). Thirty-eight eyes had corneal thickness measurements below 500 µm; 12% (6 eyes) from males and 28% (16 eyes) from females (P=0.008). All women with corneas below 500 μm were bilaterally thin. This finding differed for men. Corneal thinning was not associated with age, use of systemic hormones, or degree of myopia. Females had steeper keratometry (K) readings (P=0.01 for flat K, P=0.002 for steep K) than males. No differences in layer offset values between normal thickness corneas and thin corneas were evident, suggesting that the reduced thickness was not pathological. Conclusion: The results of this study indicate that a subpopulation of healthy young adults have non-pathologically thin corneas, well below 500 μm; and that these thinner corneas are more frequent in females. This underscores the importance of accurate corneal thickness measurements prior to keratorefractive surgery and when evaluating intraocular pressure in glaucoma.
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Affiliation(s)
- Hannah Rashdan
- Department of Ophthalmology, UT Southwestern Medical Center, Dallas, TX, USA
| | - Manali Shah
- Department of Ophthalmology, UT Southwestern Medical Center, Dallas, TX, USA
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Qian R, Huang WF, McNabb RP, Zhou KC, Liu QH, Kuo AN, Izatt JA. Ocular anterior chamber blood cell population differentiation using spectroscopic optical coherence tomography. BIOMEDICAL OPTICS EXPRESS 2019; 10:3281-3300. [PMID: 31467779 PMCID: PMC6706034 DOI: 10.1364/boe.10.003281] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 05/22/2019] [Accepted: 05/29/2019] [Indexed: 05/24/2023]
Abstract
There is potential clinical significance in identifying cellular responses in the anterior chamber (AC) of the eye, which can indicate hyphema (an accumulation of red blood cells [RBCs]) or aberrant intraocular inflammation (an accumulation of white blood cells [WBCs]). In this work, we developed a spectroscopic OCT analysis method to differentiate between populations of RBCs and subtypes of WBCs, including granulocytes, lymphocytes and monocytes, both in vitro and in ACs of porcine eyes. We developed an algorithm to track single cells within OCT data sets, and extracted the backscatter reflectance spectrum of each single cell from the detected interferograms using the short-time Fourier transform (STFT). A look-up table of Mie back-scattering spectra was generated and used to correlate the backscatter spectral features of single cells to their characteristic sizes. The extracted size distributions based on the best Mie spectra fit were significantly different between each cell type. We also studied theoretical backscattering models of single RBCs to further validate our experimental results. The described work is a promising step towards clinically differentiating and quantifying AC blood cell types.
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Affiliation(s)
- Ruobing Qian
- Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA
| | - Wei-feng Huang
- Department of Electrical and Computer Engineering, Duke University, Durham, NC 27708, USA
| | - Ryan P. McNabb
- Department of Ophthalmology, Duke University Medical Center, NC 27710, USA
| | - Kevin C. Zhou
- Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA
| | - Qing H. Liu
- Department of Electrical and Computer Engineering, Duke University, Durham, NC 27708, USA
| | - Anthony N. Kuo
- Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA
- Department of Ophthalmology, Duke University Medical Center, NC 27710, USA
| | - Joseph A. Izatt
- Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA
- Department of Ophthalmology, Duke University Medical Center, NC 27710, USA
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Developments in Contact Lens Imaging: New Applications of Optical Coherence Tomography. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9132580] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Optical coherence tomography (OCT) is a high-speed and non-contact optical imaging technology widely used for noninvasive cross-sectional imaging of biological objects. Two main OCT technologies have been developed: time domain and Fourier domain technologies. The latter can be further divided into spectral domain OCT, which uses a broadband light source and a spectrometer as a detector, and swept source OCT, which employs a quickly-rotating laser source. Advances in OCT technology have made it one of the most helpful devices in ophthalmic practice. Fourier OCT has revolutionized imaging of the posterior segment of the eye, as well as of anterior structures and has enhanced the ability to diagnose and manage patients. It provides high-resolution information about the tear film, contact lens (CL), a qualitative and quantitative assessment of the anterior eye that is important in contact lens fitting, and allows possible eye surface changes while wearing contact lenses to be monitored. Potential swept source OCT technology applications include industrial processes of lens design and quality control. In this paper, we describe clinical applications and outline a variety of multifunctional uses of OCT in the field of refractive error correction with contact lenses.
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Abstract
Purpose: To review the current literature regarding optical coherence tomography angiography (OCT-A) applications in the anterior segment. Methods: A literature search was performed for terms including OCT-Angiography, anterior segment, cornea, conjunctiva, iris, applications and use in ophthalmology. Results: Fifteen studies were identified, 14 in human subjects. Studies with OCT-A of the conjunctiva, episclera, cornea, and iris were identified, some with normal eyes imaged and others with various pathologies. Most of these studies imaged corneal neovascularization. Three studies described protocols used for image acquisition, one of which was referenced by two later papers. Conclusions: OCT-A is a noninvasive technology with recent applications in the anterior segment. Several pilot studies have been performed on various anterior segment structures and disease states however standardization of image acquisition techniques is still needed. Future imaging could allow noninvasive and serial monitoring of pathology as well as recurrence after therapeutic intervention.
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Affiliation(s)
- Yusra Siddiqui
- a Cornea , Massachusetts Eye and Ear Infirmary , Boston , MA , USA
| | - Jia Yin
- b Ophthalmology , Massachusetts Eye and Ear Infirmary , Boston , MA , USA
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107
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Kubelick KP, Snider EJ, Ethier CR, Emelianov S. Development of a stem cell tracking platform for ophthalmic applications using ultrasound and photoacoustic imaging. Am J Cancer Res 2019; 9:3812-3824. [PMID: 31281515 PMCID: PMC6587354 DOI: 10.7150/thno.32546] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Accepted: 04/18/2019] [Indexed: 12/21/2022] Open
Abstract
Glaucoma is the second leading cause of blindness in the world. Disease progression is associated with reduced cellularity in the trabecular meshwork (TM), a fluid drainage tissue in the anterior eye. A promising therapy seeks to deliver stem cells to the TM to regenerate the tissue and restore its function. However, like many stem cell-based regenerative therapies, preclinical development relies heavily on histology to evaluate outcomes. To expedite clinical translation, we are developing an ultrasound/photoacoustic (US/PA) imaging platform for longitudinal tracking of stem cells in the anterior eye. Methods: Mesenchymal stem cells (MSCs) were labeled with gold nanospheres in vitro and injected through the cornea into the anterior chamber of ex vivo porcine eyes. Physiological pressure was imposed to mimic in vivo conditions. AuNS-labeled MSCs were injected through the cornea while single-wavelength US/PA images were acquired. At 5 hours post-injection, three-dimensional multi-wavelength US/PA datasets were acquired and spectroscopic analysis was used to detect AuNS-labeled MSCs. US/PA results were compared to fluorescent microscopy. Results: The US/PA imaging platform was able to provide real-time monitoring of the stem cell injection and distinguish AuNS-labeled MSCs from highly absorbing background tissues in the anterior segment. Conclusion: Our US/PA imaging approach can inform preclinical studies of stem cell therapies for glaucoma treatment, motivating further development of this theranostic imaging tool for ophthalmic applications.
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108
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Yamanari M, Uematsu S, Ishihara K, Ikuno Y. Parallel detection of Jones-matrix elements in polarization-sensitive optical coherence tomography. BIOMEDICAL OPTICS EXPRESS 2019; 10:2318-2336. [PMID: 31149375 PMCID: PMC6524579 DOI: 10.1364/boe.10.002318] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 03/16/2019] [Accepted: 03/18/2019] [Indexed: 06/09/2023]
Abstract
The polarization properties of a sample can be characterized using a Jones matrix. To measure the Jones matrix without assumptions of the sample, two different incident states of polarization are usually used. This requirement often causes certain drawbacks in polarization-sensitive optical coherence tomography (PS-OCT), e.g., a decrease in the effective A-scan rate or axial depth range, if a multiplexing scheme is used. Because both the A-scan rate and axial depth range are important for clinical applications, including the imaging of an anterior eye segment, a new PS-OCT method that does not have these drawbacks is desired. Here, we present a parallel-detection approach that maintains the same A-scan rate and axial measurement range as conventional OCT. The interferometer consists of fiber-optic components, most of which are polarization-maintaining components with fast-axis blocking free from polarization management. When a parallel detection is implemented using swept-source OCT (SS-OCT), synchronization between the A-scans and synchronization between the detection channels have critical effects on the Jones-matrix measurement. Because it is difficult to achieve perfect synchronization using only hardware, we developed a solution using a numerical correction with signals from a static mirror. Using the developed system, we demonstrate the imaging of an anterior eye segment from the cornea to the back surface of the crystalline lens.
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Affiliation(s)
- Masahiro Yamanari
- Engineering Department, Tomey Corporation, 2-11-33 Noritakeshinmachi, Nishiku, Nagoya, Aichi, 451-0051, Japan
| | - Sato Uematsu
- Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kenji Ishihara
- Engineering Department, Tomey Corporation, 2-11-33 Noritakeshinmachi, Nishiku, Nagoya, Aichi, 451-0051, Japan
| | - Yasushi Ikuno
- Ikuno Eye Center, 2-9-10 3F Juso-Higashi, Yodogawaku, Osaka, Osaka, 532-0023, Japan
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109
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Garway-Heath DF, Zhu H, Cheng Q, Morgan K, Frost C, Crabb DP, Ho TA, Agiomyrgiannakis Y. Combining optical coherence tomography with visual field data to rapidly detect disease progression in glaucoma: a diagnostic accuracy study. Health Technol Assess 2019; 22:1-106. [PMID: 29384083 DOI: 10.3310/hta22040] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Progressive optic nerve damage in glaucoma results in vision loss, quantifiable with visual field (VF) testing. VF measurements are, however, highly variable, making identification of worsening vision ('progression') challenging. Glaucomatous optic nerve damage can also be measured with imaging techniques such as optical coherence tomography (OCT). OBJECTIVE To compare statistical methods that combine VF and OCT data with VF-only methods to establish whether or not these allow (1) more rapid identification of glaucoma progression and (2) shorter or smaller clinical trials. DESIGN Method 'hit rate' (related to sensitivity) was evaluated in subsets of the United Kingdom Glaucoma Treatment Study (UKGTS) and specificity was evaluated in 72 stable glaucoma patients who had 11 VF and OCT tests within 3 months (the RAPID data set). The reference progression detection method was based on Guided Progression Analysis™ (GPA) Software (Carl Zeiss Meditec Inc., Dublin, CA, USA). Index methods were based on previously described approaches [Analysis with Non-Stationary Weibull Error Regression and Spatial enhancement (ANSWERS), Permutation analyses Of Pointwise Linear Regression (PoPLR) and structure-guided ANSWERS (sANSWERS)] or newly developed methods based on Permutation Test (PERM), multivariate hierarchical models with multiple imputation for censored values (MaHMIC) and multivariate generalised estimating equations with multiple imputation for censored values (MaGIC). SETTING Ten university and general ophthalmology units (UKGTS) and a single university ophthalmology unit (RAPID). PARTICIPANTS UKGTS participants were newly diagnosed glaucoma patients randomised to intraocular pressure-lowering drops or placebo. RAPID participants had glaucomatous VF loss, were on treatment and were clinically stable. INTERVENTIONS 24-2 VF tests with the Humphrey Field Analyzer and optic nerve imaging with time-domain (TD) Stratus OCT™ (Carl Zeiss Meditec Inc., Dublin, CA, USA). MAIN OUTCOME MEASURES Criterion hit rate and specificity, time to progression, future VF prediction error, proportion progressing in UKGTS treatment groups, hazard ratios (HRs) and study sample size. RESULTS Criterion specificity was 95% for all tests; the hit rate was 22.2% for GPA, 41.6% for PoPLR, 53.8% for ANSWERS and 61.3% for sANSWERS (all comparisons p ≤ 0.042). Mean survival time (weeks) was 93.6 for GPA, 82.5 for PoPLR, 72.0 for ANSWERS and 69.1 for sANSWERS. The median prediction errors (decibels) when the initial trend was used to predict the final VF were 3.8 (5th to 95th percentile 1.7 to 7.6) for PoPLR, 3.0 (5th to 95th percentile 1.5 to 5.7) for ANSWERS and 2.3 (5th to 95th percentile 1.3 to 4.5) for sANSWERS. HRs were 0.57 [95% confidence interval (CI) 0.34 to 0.90; p = 0.016] for GPA, 0.59 (95% CI 0.42 to 0.83; p = 0.002) for PoPLR, 0.76 (95% CI 0.56 to 1.02; p = 0.065) for ANSWERS and 0.70 (95% CI 0.53 to 0.93; p = 0.012) for sANSWERS. Sample size estimates were not reduced using methods including OCT data. PERM hit rates were between 8.3% and 17.4%. Treatment effects were non-significant in MaHMIC and MaGIC analyses; statistical significance was altered little by incorporating imaging. LIMITATIONS TD OCT is less precise than current imaging technology; current OCT technology would likely perform better. The size of the RAPID data set limited the precision of criterion specificity estimates. CONCLUSIONS The sANSWERS method combining VF and OCT data had a higher hit rate and identified progression more quickly than the reference and other VF-only methods, and produced more accurate estimates of the progression rate, but did not increase treatment effect statistical significance. Similar studies with current OCT technology need to be undertaken and the statistical methods need refinement. TRIAL REGISTRATION Current Controlled Trials ISRCTN96423140. FUNDING This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 22, No. 4. See the NIHR Journals Library website for further project information. Data analysed in the study were from the UKGTS. Funding for the UKGTS was provided through an unrestricted investigator-initiated research grant from Pfizer Inc. (New York, NY, USA), with supplementary funding from the NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. Imaging equipment loans were made by Heidelberg Engineering, Carl Zeiss Meditec and Optovue (Fremont, CA, USA). Pfizer, Heidelberg Engineering, Carl Zeiss Meditec and Optovue had no input into the design, conduct, analysis or reporting of any of the UKGTS findings or this work. The sponsor for both the UKGTS and RAPID data collection was Moorfields Eye Hospital NHS Foundation Trust. David F Garway-Heath, Tuan-Anh Ho and Haogang Zhu are partly funded by the NIHR Biomedical Research Centre based at Moorfields Eye Hospital and UCL Institute of Ophthalmology. David F Garway-Heath's chair at University College London (UCL) is supported by funding from the International Glaucoma Association.
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Affiliation(s)
- David F Garway-Heath
- National Institute for Health Research (NIHR) Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK
| | - Haogang Zhu
- National Institute for Health Research (NIHR) Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.,Division of Optometry and Visual Science, School of Health Sciences, City, University of London, London, UK.,School of Computer Science and Engineering, Beihang University, Beijing, China
| | - Qian Cheng
- School of Computer Science and Engineering, Beihang University, Beijing, China
| | - Katy Morgan
- Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK
| | - Chris Frost
- Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK
| | - David P Crabb
- Division of Optometry and Visual Science, School of Health Sciences, City, University of London, London, UK
| | - Tuan-Anh Ho
- National Institute for Health Research (NIHR) Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK
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Xu BY, Pardeshi AA, Burkemper B, Richter GM, Lin SC, McKean-Cowdin R, Varma R. Differences in Anterior Chamber Angle Assessments Between Gonioscopy, EyeCam, and Anterior Segment OCT: The Chinese American Eye Study. Transl Vis Sci Technol 2019; 8:5. [PMID: 30941263 PMCID: PMC6438105 DOI: 10.1167/tvst.8.2.5] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Accepted: 01/12/2019] [Indexed: 12/17/2022] Open
Abstract
Purpose To quantify interquadrant differences in anterior chamber angle (ACA) configuration assessed on gonioscopy, EyeCam, and anterior segment optical coherence tomography (AS-OCT) in a cohort of Chinese Americans. Methods Subjects aged 50 years or older were recruited from the Chinese American Eye Study (CHES), a population-based epidemiologic study in Los Angeles, CA. Each subject underwent a complete ocular exam, including gonioscopy, EyeCam, and AS-OCT, under dark ambient lighting. Gonioscopy and AS-OCT imaging and EyeCam image grading were performed by trained ophthalmologists. Results Seven hundred nine eyes from 709 subjects were analyzed. Less anatomic variation among the quadrants was detected on gonioscopy and EyeCam compared with AS-OCT (P < 0.05). The mean gonioscopy grade, EyeCam grade, and AS-OCT measurement for each quadrant varied by up to 10.3%, 6.4%, and 46.2% of the superior quadrant value, respectively. There were significant interquadrant differences (P < 0.05) among mean AOD750 measurements when grouping by quadrant and gonioscopy or EyeCam grade. Mean AOD750 measurements were smallest for the superior quadrant by between 14.3% and 38.1% and 17.4% and 37.9% on gonioscopy and EyeCam, respectively, compared with other quadrants. Conclusions Gonioscopy and EyeCam significantly underrepresent anatomic variations of the ACA compared with AS-OCT. Gonioscopy or EyeCam grades from different quadrants do not appear to be comparable or interchangeable, which supports reconsideration of current definitions and methods used to diagnose and manage primary angle closure disease. Translational Relevance AS-OCT imaging raises concerns about current clinical definitions and methods that rely gonioscopy or EyeCam to assess the ACA.
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Affiliation(s)
- Benjamin Y Xu
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Anmol A Pardeshi
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Bruce Burkemper
- Southern California Eyecare and Vision Research Institute, CHA Hollywood Presbyterian Medical Center, Los Angeles, CA, USA
| | - Grace M Richter
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Shan C Lin
- Beckman Vision Center, Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA
| | - Roberta McKean-Cowdin
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.,Department of Preventive Medicine, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Rohit Varma
- Southern California Eyecare and Vision Research Institute, CHA Hollywood Presbyterian Medical Center, Los Angeles, CA, USA
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111
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Kuo AN, McNabb RP, Izatt JA. Advances in Whole-Eye Optical Coherence Tomography Imaging. Asia Pac J Ophthalmol (Phila) 2019; 8:99-104. [PMID: 30907077 PMCID: PMC6955390 DOI: 10.22608/apo.201901] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Contemporary anterior segment and retinal optical coherence tomography (OCT) systems only image their particular designated region of the eye and cannot image both areas of the eye at the same time. This separation is due to the differences in optical system design needed to properly image the front or back of the eye and also due to limitations in the imaging depth of current commercial OCT systems. More recently, research and commercial OCT systems capable of "whole-eye" imaging have been described. These whole-eye OCT systems enable applications such as ocular biometry for cataract surgery, ocular shape analysis for myopia, and others. Further, these whole-eye OCT systems allow us to image the eye as an integrated whole rather than as separate, independent divisions.
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Affiliation(s)
- Anthony N. Kuo
- Ophthalmology, Duke University School of Medicine, Durham, NC USA
- Biomedical Engineering, Duke University, Durham, NC USA
| | - Ryan P. McNabb
- Ophthalmology, Duke University School of Medicine, Durham, NC USA
| | - Joseph A. Izatt
- Ophthalmology, Duke University School of Medicine, Durham, NC USA
- Biomedical Engineering, Duke University, Durham, NC USA
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112
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Rampersad N, Hansraj R. Distribution of corneal thickness measured using optical coherence tomography in South African young adults. AFRICAN VISION AND EYE HEALTH 2019. [DOI: 10.4102/aveh.v78i1.467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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113
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Intravital multiphoton microscopic imaging platform for ocular surface imaging. Exp Eye Res 2019; 182:194-201. [PMID: 30822399 DOI: 10.1016/j.exer.2019.02.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Revised: 02/08/2019] [Accepted: 02/20/2019] [Indexed: 01/19/2023]
Abstract
The purpose of this study is to provide an intravital noninvasive multiphoton microscopic platform for long-term ocular imaging in transgenic fluorescent mice with subcellular resolution. A multiphoton microscopic system with tunable laser output was employed. We designed a mouse holder incorporated with stereotaxic motorized stage for in vivo three-dimensional imaging of ocular surface in 3 transgenic mouse line with fluorescent protein (FP) expression to visualize distinct structures. With our imaging platform and the expression of FPs, we obtained the three-dimensional images across the whole cornea from epithelium to endothelium and in conjunctiva with subcellular resolution in vivo. Specified EGFP expression in corneal epithelium of K5-H2B-EGFP mice helped to identify both corneal and limbal epithelial cells while ubiquitous nuclear FP expression in R26R-GR mice allowed us to visualized nuclei of all cell types. Universal membrane-localized FP in mT/mG mice outlined all cell boundaries, nerve fibers, and capillaries. The simultaneously collected second harmonic generation signals from collagenous stroma provided architectural contrast. Time-lapsed recording enabled monitoring the mitotic activity of corneal epithelial cells and limbal epithelial cells. We developed an intravital multiphoton microscopic stereotaxic imaging platform and showed that, by incorporating FP-expressing transgenic mice, this platform enables in vivo 4-dimensional ophthalmic study at subcellular resolution.
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Wang L, Xiong Q, Ge X, Bo E, Xie J, Liu X, Yu X, Wang X, Wang N, Chen S, Wu X, Liu L. Cellular resolution corneal imaging with extended imaging range. OPTICS EXPRESS 2019; 27:1298-1309. [PMID: 30696198 DOI: 10.1364/oe.27.001298] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Current optical coherence tomography (OCT) technology, which is used for imaging the eye's anterior segment, has been established as a clinical gold standard for the diagnosis of corneal diseases. However, the cellular resolution level information that is critical for many clinical applications is still not available. The major technical challenges toward cellular resolution OCT imaging are the limited ranging depth and depth of focus (DOF). In this work, we present a novel ultrahigh resolution OCT system that achieves an isotropic spatial resolution of <2 µm in tissue. The proposed system could approximately double the ranging depth and extend the DOF using the dual-spectrometer design and the forward-model based digital refocusing method, respectively. We demonstrate that the novel system is capable of visualizing the full thickness of the pig cornea over the ranging depth of 3.5 mm and the border of the corneal endothelial cells 8 times Rayleigh range away from the focal plane. This technology has the potential to realize cellular resolution corneal imaging in vivo.
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Bakhsh TA, Al-Jeffery B, Zaatari G, Badr H, Ameen S, Gashlan S, Dughmash L, Jamleh A. Evaluation of the adaptation of dental polymers using cross-polarization optical coherence tomography. Biomed Phys Eng Express 2019. [DOI: 10.1088/2057-1976/aafbad] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Wang SB, Cornish EE, Grigg JR, McCluskey PJ. Anterior segment optical coherence tomography and its clinical applications. Clin Exp Optom 2019; 102:195-207. [PMID: 30635934 DOI: 10.1111/cxo.12869] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 11/05/2018] [Accepted: 11/29/2018] [Indexed: 11/29/2022] Open
Abstract
Anterior segment optical coherence tomography (AS-OCT) has become one of the cornerstones of non-contact imaging modalities for assessing such structures as the cornea, anterior chamber angle, aqueous outflow pathway, sclera, and ocular surface structures. As such, it has a broad range of clinical applications, which have been independently reported in the literature. This paper aims to present a review of extant literature on the utility of AS-OCT and its efficacy in clinical applications, and to evaluate the quality of available evidence. The following databases were searched from inception to 24 June 2018: Medline via Ovid, Cochrane Central Register of Controlled Trials, PubMed, World Health Organization International Clinical Trials Registry Platform, EMBASE, and CINAHL. Bibliographies of identified papers were hand searched. Inclusion criteria: articles describing or assessing the use of OCT for visualising the AS. The authors excluded studies without an identified primary outcome variable. One author independently selected studies, extracted data, and assessed for risk of bias using PRISMA guidelines. This review included 82 studies, of which there were 11 cohort studies, 37 case series, 10 case studies, 21 comparative observational studies, and three non-systematic review articles. Primary outcome variables included anterior chamber angle, angle opening distance, angle recess area, trabecular iris angle, trabecula-iris space area, corneal thickness, tear meniscus height, tear meniscus area, tear meniscus volume, and the morphology of AS structures, including the ocular surface, blebs, flaps, and graft sites. This review attempts to encompass the breadth and depth of evidence for AS-OCT in the arena of diagnostics, therapeutics, and prognostics. At the same time, it brings to light the dearth of high-level evidence on this topic, suggesting the important role of randomised controlled trials and meta-analyses for the future validation of this technology.
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Affiliation(s)
- Sarah B Wang
- Faculty of Medicine and Health, Save Sight Institute, The University of Sydney, Sydney Eye Hospital, Sydney, New South Wales, Australia
| | - Elisa E Cornish
- Faculty of Medicine and Health, Save Sight Institute, The University of Sydney, Sydney Eye Hospital, Sydney, New South Wales, Australia.,Sydney Eye Hospital Foundation, Sydney Eye Hospital, Sydney, New South Wales, Australia.,Sydney Eye Hospital, Sydney, New South Wales, Australia
| | - John R Grigg
- Faculty of Medicine and Health, Save Sight Institute, The University of Sydney, Sydney Eye Hospital, Sydney, New South Wales, Australia
| | - Peter J McCluskey
- Faculty of Medicine and Health, Save Sight Institute, The University of Sydney, Sydney Eye Hospital, Sydney, New South Wales, Australia
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Gounis MJ, Ughi GJ, Marosfoi M, Lopes DK, Fiorella D, Bezerra HG, Liang CW, Puri AS. Intravascular Optical Coherence Tomography for Neurointerventional Surgery. Stroke 2019; 50:218-223. [PMID: 30580737 PMCID: PMC6541539 DOI: 10.1161/strokeaha.118.022315] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Matthew J. Gounis
- New England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester MA
| | - Giovanni J. Ughi
- New England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester MA
| | - Miklos Marosfoi
- New England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester MA
| | | | - David Fiorella
- Department of Neurosurgery, Stony Brook University, Stony Brook NY
| | - Hiram G. Bezerra
- Harrington Heart and Vascular Center, University Hospitals Cleveland Medical Center, Cleveland OH
| | - Conrad W. Liang
- Department of Neurosurgery, Kaiser Permanente Fontana Medical Center, Fontana CA
| | - Ajit S. Puri
- New England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester MA
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McNabb RP, Polans J, Keller B, Jackson-Atogi M, James CL, Vann RR, Izatt JA, Kuo AN. Wide-field whole eye OCT system with demonstration of quantitative retinal curvature estimation. BIOMEDICAL OPTICS EXPRESS 2019; 10:338-355. [PMID: 30775104 PMCID: PMC6363197 DOI: 10.1364/boe.10.000338] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 12/07/2018] [Accepted: 12/08/2018] [Indexed: 05/06/2023]
Abstract
Current conventional clinical OCT systems image either only the anterior or the posterior eye during a single acquisition. This localized imaging limits conventional OCT's use for characterizing global ocular morphometry and biometry, which requires knowledge of spatial relationships across the entire eye. We developed a "whole eye" optical coherence tomography system that simultaneously acquires volumes with a wide field-of-view for both the anterior chamber (14 x 14 mm) and retina (55°) using a single source and detector. This system was used to measure retinal curvature in a pilot population and compared against curvature of the same eyes measured with magnetic resonance imaging.
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Affiliation(s)
- Ryan P. McNabb
- Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC 27710, USA
| | - James Polans
- Department of Biomedical Engineering, Duke University, 101 Science Drive, Durham, NC, 27708, USA
| | - Brenton Keller
- Department of Biomedical Engineering, Duke University, 101 Science Drive, Durham, NC, 27708, USA
| | - Moseph Jackson-Atogi
- Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC 27710, USA
| | - Charlene L. James
- Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC 27710, USA
| | - Robin R. Vann
- Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC 27710, USA
| | - Joseph A. Izatt
- Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC 27710, USA
- Department of Biomedical Engineering, Duke University, 101 Science Drive, Durham, NC, 27708, USA
| | - Anthony N. Kuo
- Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC 27710, USA
- Department of Biomedical Engineering, Duke University, 101 Science Drive, Durham, NC, 27708, USA
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Avetisov SE, Petrov SY, Volzhanin AV. [Optical coherence tomography for examination of glaucoma surgery site]. Vestn Oftalmol 2018; 134:250-256. [PMID: 30499525 DOI: 10.17116/oftalma2018134051250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The article reviews the results of using optical coherence tomography (OCT) - a non-invasive non-contact examination method for obtaining a tomographic slice image of the site of glaucoma surgery. The method helped reveal the functional relationships between the newly created outflow pathways and various parameters of the filtering bleb such as its linear dimensions, wall structure, presence of microcysts, position of drainage, etc. Due to its high resolution and noninvasiveness, OCT can be reliably used to examine the structure of aqueous outflow pathways in different postoperative periods with accuracy close to morphometric. The amount of data that had been obtained with the method has allowed the creation of new classifications and clarification of OCT-relevant prognostic signs for glaucoma surgery site.
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Affiliation(s)
- S E Avetisov
- Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow Medical University, 8-2 Trubetskaya St., Moscow, Russian Federation, 119991
| | - S Yu Petrov
- Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021
| | - A V Volzhanin
- Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021
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Xu BY, Pardeshi AA, Burkemper B, Richter GM, Lin SC, McKean-Cowdin R, Varma R. Quantitative Evaluation of Gonioscopic and EyeCam Assessments of Angle Dimensions Using Anterior Segment Optical Coherence Tomography. Transl Vis Sci Technol 2018; 7:33. [PMID: 30619653 PMCID: PMC6314106 DOI: 10.1167/tvst.7.6.33] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Accepted: 10/17/2018] [Indexed: 12/16/2022] Open
Abstract
PURPOSE To evaluate the relationship between angle dimensions assessed by gonioscopy or EyeCam and anterior segment optical coherence tomography (AS-OCT). METHODS Subjects aged 50 years or older were recruited from the Chinese American Eye Study (CHES). Each subject underwent a complete ocular exam, including gonioscopy, AS-OCT, and EyeCam. Angle closure was defined as three or more quadrants in which pigmented trabecular meshwork could not be visualized. Angle opening distance (AOD), angle recess area (ARA), trabecular iris space area (TISA), trabecular iris angle (TIA), and scleral spur angle (SSA) were measured in each AS-OCT image. RESULTS 709 eyes (272 angle closure, 437 open angle) from 709 subjects were analyzed. Mean gonioscopy and EyeCam grades tended to increase as AS-OCT measurements increased. There were strong correlations overall between AS-OCT measurements and gonioscopy (r > 0.73) and EyeCam (r > 0.68) grades. However, correlations with AS-OCT measurements were weak for gonioscopy (r < 0.38) and EyeCam (r < to 0.27) among eyes with angle closure. Mean AS-OCT measurements differed for eyes with Shaffer grade 0 in all four quadrants among eyes with varying degrees of angle closure on gonioscopy (P < 0.01) but did not differ among eyes with varying degrees of angle closure on EyeCam (P > 0.27). CONCLUSIONS Angle assessments by gonioscopy and EyeCam are weakly related to angle dimensions in eyes with angle closure. TRANSLATIONAL RELEVANCE AS-OCT imaging raises concerns about current clinical methods that rely on direct visualization of ACA structures to assess the degree of angle closure.
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Affiliation(s)
- Benjamin Y Xu
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Anmol A Pardeshi
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Bruce Burkemper
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Grace M Richter
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Shan C Lin
- Beckman Vision Center, Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA
| | - Roberta McKean-Cowdin
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
- Department of Preventive Medicine, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
| | - Rohit Varma
- USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
- Department of Preventive Medicine, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA
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Improving Plaque Classification With Optical Coherence Tomography. JACC Cardiovasc Imaging 2018; 11:1677-1678. [DOI: 10.1016/j.jcmg.2017.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 11/13/2017] [Accepted: 11/14/2017] [Indexed: 11/21/2022]
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Jiao H, Hill LJ, Downie LE, Chinnery HR. Anterior segment optical coherence tomography: its application in clinical practice and experimental models of disease. Clin Exp Optom 2018; 102:208-217. [PMID: 30270476 DOI: 10.1111/cxo.12835] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 08/13/2018] [Accepted: 08/13/2018] [Indexed: 12/19/2022] Open
Abstract
Optical coherence tomography (OCT) provides non-invasive, high-resolution in vivo imaging of the ocular surface and anterior segment. Over the years, it has become an essential tool for evaluating the anterior segment of the eye to monitor ocular development and ocular pathologies in both the clinical and research fields of ophthalmology and optometry. In this review, the clinical applications relating to the use of anterior segment OCT for imaging and quantifying normal and pathological features of the ocular surface, cornea, anterior chamber, and aqueous outflow system are summarised in a range of human ocular diseases. Applications of anterior segment OCT technology that have improved imaging and quantitation of ocular inflammation in experimental animal models of ocular diseases, such as anterior uveitis, microbial keratitis and glaucoma, are also described. The capacity to longitudinally evaluate anterior segment anatomical changes during development, and inflammation facilitates the understanding of the dynamics of tissue responses, and further enhances the intra-operative in vivo imaging during procedures, such as corneal transplantation and drug delivery. Future developments including in vivo ultrahigh-resolution anterior segment OCT, automated analyses of anterior segment OCT images and functional extensions of the technique, may revolutionise the clinical evaluation of anterior segment, corneal and ocular surface diseases.
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Affiliation(s)
- Haihan Jiao
- Department of Optometry and Vision Sciences, The University of Melbourne, Parkville, Victoria, Australia
| | - Lisa J Hill
- Institute of Clinical Sciences, University of Birmingham, Birmingham, UK
| | - Laura E Downie
- Department of Optometry and Vision Sciences, The University of Melbourne, Parkville, Victoria, Australia
| | - Holly R Chinnery
- Department of Optometry and Vision Sciences, The University of Melbourne, Parkville, Victoria, Australia
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Relevance of Swept-Source Anterior Segment Optical Coherence Tomography for Corneal Imaging in Patients With Flap-Related Complications After LASIK. Cornea 2018; 38:93-97. [DOI: 10.1097/ico.0000000000001773] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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126
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Marelli A, De Vita IR, Cozza F, Tavazzi S. Criticality of the measurement of corneal thickness in specular reflection by digital biomicroscope. Cont Lens Anterior Eye 2018; 41:531-537. [PMID: 30197039 DOI: 10.1016/j.clae.2018.08.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 08/29/2018] [Accepted: 08/30/2018] [Indexed: 12/01/2022]
Abstract
PURPOSE The aim was to evaluate the effects on corneal thickness (t) measurement, of asymmetry of the CCD position for a digital biomicroscope in specular reflection. METHODS t was deduced from the distance between reflexes from anterior and posterior corneal surfaces using a biomicroscope (Takagi SM70 N), with the illuminator either, (a) farther from sensor side (150 eyes) or, (b) closer to it (134 eyes). The distance between reflexes was also measured on a glass slide and a reference lens, with nominal thicknesses of 1580 and 520 μm, respectively. Corneal thickness (tPACH) was also measured by pachymeter (Canon TX-20 P). RESULTS When biomicroscope asymmetry was ignored, t for the glass slide was (a) 1760 and (b) 1404 μm. Correcting for the asymmetry provided corresponding values of 1588 and 1591 μm. For the lens, t was (a) 696 and (b) 543 μm, or 642 and 497 μm, when using the approximation of parallel surfaces (APS). Correcting for the asymmetry gave 565 and 552 μm (578 and 564 μm, with APS). Mean corneal t was (a) 560 and (b) 467 μm, (564 and 468 μm, with APS). Correcting for asymmetry gave (a) 506 and (b) 529 μm (508 and 530 μm, with APS). Mean tPACH was 552 μm. CONCLUSION Biomicroscope asymmetry critically affects corneal thickness measurement in specular reflection. Induced errors can be accounted for and corrected, however. While the correction to the curvature radius is clinically relevant, it plays a minor role compared to asymmetry.
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Affiliation(s)
- Arianna Marelli
- University of Milano Bicocca, Department of Materials Science, via R. Cozzi 55, I-20125 Milan, Italy
| | - Ivan Roberto De Vita
- University of Milano Bicocca, Department of Materials Science, via R. Cozzi 55, I-20125 Milan, Italy
| | - Federica Cozza
- University of Milano Bicocca, Department of Materials Science, via R. Cozzi 55, I-20125 Milan, Italy; University of Milano Bicocca, COMiB Research Centre in Optics and Optometry, via R. Cozzi 55, I-20125 Milan, Italy
| | - Silvia Tavazzi
- University of Milano Bicocca, Department of Materials Science, via R. Cozzi 55, I-20125 Milan, Italy; University of Milano Bicocca, COMiB Research Centre in Optics and Optometry, via R. Cozzi 55, I-20125 Milan, Italy.
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Anterior Segment Optical Coherence Tomography (AS-OCT) in the Management of Dry Eye. Int Ophthalmol Clin 2018; 57:13-22. [PMID: 28282311 DOI: 10.1097/iio.0000000000000164] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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128
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Ang M, Baskaran M, Werkmeister RM, Chua J, Schmidl D, Aranha dos Santos V, Garhöfer G, Mehta JS, Schmetterer L. Anterior segment optical coherence tomography. Prog Retin Eye Res 2018; 66:132-156. [DOI: 10.1016/j.preteyeres.2018.04.002] [Citation(s) in RCA: 216] [Impact Index Per Article: 36.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 02/20/2018] [Accepted: 04/04/2018] [Indexed: 02/03/2023]
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Park YM, Lee JS, Yoo JM, Park JM, Seo SW, Chung IY, Kim SJ. Comparison of anterior segment optical coherence tomography findings in acanthamoeba keratitis and herpetic epithelial keratitis. Int J Ophthalmol 2018; 11:1416-1420. [PMID: 30140650 DOI: 10.18240/ijo.2018.08.26] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Accepted: 06/05/2018] [Indexed: 11/23/2022] Open
Abstract
This study is to investigate the characteristic features of Acanthamoeba keratitis (AK) that differentiating it from herpetic epithelial keratitis (HEK) using anterior segment optical coherence tomography (AS-OCT). Medical records of three eyes of each AK and herpetic keratitis who had AS-OCT examination were reviewed in this study. Slit-lamp biomicroscopy and AS-OCT was performed on the initial visit and on every follow-up visits in all patients. In all three AK cases, reflective bands in the corneal stroma that correspond to the area of radial keratoneuritis were observed. The depth of the reflective bands varied in each case. After AK treatment, slit-lamp biomicroscopy confirmed that radial keratoneuritis had resolved and AS-OCT confirmed that reflective bands in the corneal stroma had also disappeared in all patients. Unlike the AS-OCT results found in AK, highly reflective HEK lesions were observed only in the subepithelial area, not in the stroma. AS-OCT seems to be helpful analyzing the specific depth of the lesion which enables to distinguish AK from HEK.
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Affiliation(s)
- Young Min Park
- Department of Ophthalmology, School of Medicine, Gyeongsang National University, Jinju 52727, South Korea.,Gyeongsang National University Changwon Hospital, Samjeongja-ro, Seongsan-gu, Changwon-si, Gyeongsangnam-do 51472, South Korea
| | - Jong Soo Lee
- Department of Ophthalmology, School of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Pusan 49241, South Korea
| | - Ji-Myong Yoo
- Department of Ophthalmology, School of Medicine, Gyeongsang National University, Jinju 52727, South Korea.,Institute of Health Science, Gyeongsang National University, Jinju 52727, South Korea
| | - Jong Moon Park
- Department of Ophthalmology, School of Medicine, Gyeongsang National University, Jinju 52727, South Korea.,Gyeongsang National University Changwon Hospital, Samjeongja-ro, Seongsan-gu, Changwon-si, Gyeongsangnam-do 51472, South Korea
| | - Seong-Wook Seo
- Department of Ophthalmology, School of Medicine, Gyeongsang National University, Jinju 52727, South Korea.,Institute of Health Science, Gyeongsang National University, Jinju 52727, South Korea
| | - In-Young Chung
- Department of Ophthalmology, School of Medicine, Gyeongsang National University, Jinju 52727, South Korea.,Institute of Health Science, Gyeongsang National University, Jinju 52727, South Korea
| | - Seong Jae Kim
- Department of Ophthalmology, School of Medicine, Gyeongsang National University, Jinju 52727, South Korea.,Institute of Health Science, Gyeongsang National University, Jinju 52727, South Korea
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Petrovic A, Gianniou C, Hashemi K, Kymionis G. Intraoperative anterior optical coherence tomography-guided synechiolysis in a post-penetrating keratoplasty patient with peripheral corneal opacification. Ther Clin Risk Manag 2018; 14:1387-1390. [PMID: 30122938 PMCID: PMC6086106 DOI: 10.2147/tcrm.s167025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Purpose The aim of this study was to describe intraoperative optical coherence tomography (OCT) as an adjunctive device for peripheral synechiolysis in a post-penetrating keratoplasty patient. Case report A 75-year-old female patient presented for follow-up 9 months after a penetrating keratoplasty in the left eye. She presented with anterior peripheral synechiae involving the graft for three clock hours. Peripheral native cornea appeared totally opaque. Synechiolysis was planned, and intraoperative OCT allowed us to detect nonclinically visible synechiae and to confirm complete synechiolysis immediately after surgery. No postoperative complication was recorded. Two months after surgery, the graft was clear and anterior segment OCT did not reveal any residual synechiae or recurrence. Conclusion Intraoperative OCT is useful to overcome the difficulties in visualization through clinically opaque corneas, as it gives real-time feedback upon the anatomy, the extension of the remaining lesions, and the success of the surgery.
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Affiliation(s)
- Aleksandra Petrovic
- Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Lausanne, Switzerland, .,Cornea and Refractive Surgery Department, Lausanne, Switzerland,
| | - Christina Gianniou
- Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Lausanne, Switzerland, .,Cornea and Refractive Surgery Department, Lausanne, Switzerland,
| | - Kattayoon Hashemi
- Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Lausanne, Switzerland, .,Cornea and Refractive Surgery Department, Lausanne, Switzerland,
| | - Georgios Kymionis
- Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Lausanne, Switzerland, .,Cornea and Refractive Surgery Department, Lausanne, Switzerland,
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Vincent SJ, Alonso-Caneiro D, Collins MJ. Optical coherence tomography and scleral contact lenses: clinical and research applications. Clin Exp Optom 2018; 102:224-241. [PMID: 30062745 DOI: 10.1111/cxo.12814] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Revised: 06/20/2018] [Accepted: 06/24/2018] [Indexed: 12/30/2022] Open
Abstract
Anterior segment optical coherence tomography (OCT) provides a wealth of opportunities for modern contact lens practice. OCT imaging has numerous clinical and research applications related to the tear film, cornea, conjunctiva, sclera and ocular adnexae, in addition to soft, rigid, and hybrid contact lenses. This review summarises the potential use of OCT imaging in modern scleral contact lens practice including initial lens selection, assessing the scleral contact lens fit with respect to the cornea and sclera, and accurately quantifying the ocular response to lens wear. Recent advances in the understanding of anterior segment metrics including scleral thickness, curvature, toricity, and the anatomy of the corneoscleral limbal junction are also discussed.
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Affiliation(s)
- Stephen J Vincent
- Contact Lens and Visual Optics Laboratory, School of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia
| | - David Alonso-Caneiro
- Contact Lens and Visual Optics Laboratory, School of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Michael J Collins
- Contact Lens and Visual Optics Laboratory, School of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia
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132
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Bakhsh TA, Eldesouky M, Almaghamsi S, Althafir N, Aljarullah A, Turkistani A, Shuman M, Natto ZS. Optical Quantification of Microgaps at Dentin-Composite Interface. Biomed Phys Eng Express 2018. [DOI: 10.1088/2057-1976/aac9f2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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133
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Venkateswaran N, Galor A, Wang J, Karp CL. Optical coherence tomography for ocular surface and corneal diseases: a review. EYE AND VISION 2018; 5:13. [PMID: 29942817 PMCID: PMC5996489 DOI: 10.1186/s40662-018-0107-0] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2018] [Accepted: 05/27/2018] [Indexed: 01/31/2023]
Abstract
The advent of optical coherence tomography (OCT) imaging has changed the way ophthalmologists image the ocular surface and anterior segment of the eye. Its ability to obtain dynamic, high and ultra-high resolution, cross-sectional images of the ocular surface and anterior segment in a noninvasive and rapid manner allows for ease of use. In this review, we focus on the use of anterior segment OCT, which provides an “optical biopsy” or in vivo imaging of various ocular surface and corneal pathologies, allowing the clinician to diagnose diseases otherwise not visualized by traditional methods. The utility of anterior segment OCT for various anterior segment pathologies is reviewed.
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Affiliation(s)
- Nandini Venkateswaran
- 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, McKnight Building Room 202A, 1638 NW 10th Avenue, 900 NW 17th Street, Miami, FL 33136 USA
| | - Anat Galor
- 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, McKnight Building Room 202A, 1638 NW 10th Avenue, 900 NW 17th Street, Miami, FL 33136 USA.,2Department of Ophthalmology, Miami Veterans Administration Medical Center, 1201 NW 16th Street, Miami, FL 33125 USA
| | - Jianhua Wang
- 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, McKnight Building Room 202A, 1638 NW 10th Avenue, 900 NW 17th Street, Miami, FL 33136 USA
| | - Carol L Karp
- 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, McKnight Building Room 202A, 1638 NW 10th Avenue, 900 NW 17th Street, Miami, FL 33136 USA
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134
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Sridhar MS, Martin R. Anterior segment optical coherence tomography for evaluation of cornea and ocular surface. Indian J Ophthalmol 2018; 66:367-372. [PMID: 29480245 PMCID: PMC5859589 DOI: 10.4103/ijo.ijo_823_17] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Current corneal assessment technologies make the process of corneal evaluation extremely fast and simple. Several devices and technologies allow to explore and manage patients better. Optical coherence tomography (OCT) technology has evolved over the years, and hence a detailed evaluation of anterior segment (AS) structures such as cornea, conjunctiva, tear meniscus, anterior chamber, iris, and crystalline lens has been possible in a noncontact and safe procedure. The purpose of this special issue is to present and update in the evaluation of cornea and ocular surface, and this paper reviews a description of the AS-OCT, presenting the technology and common clinical uses of OCT in the management of diseases involving cornea and ocular surface to provide an updated information of the clinical recommendations of this technique in eye care practice.
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Affiliation(s)
- Mittanamalli S Sridhar
- Department of Ophthalmology, Krishna Institute of Medical Sciences, Hyderabad, Telangana, India
| | - Raul Martin
- Departamento de Física Teórica, Atómica y Óptica, Universidad de Valladolid; Instituto Universitario de Oftalmobiología Aplicada, Universidad de Valladolid; School of Optometry, IOBA Eye Institute, University of Valladolid, Valladolid, Spain; Faculty of Health and Human Sciences, Plymouth University, PL6 8BH Plymouth, England
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135
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Siebelmann S, Scholz P, Sonnenschein S, Bachmann B, Matthaei M, Cursiefen C, Heindl LM. Anterior segment optical coherence tomography for the diagnosis of corneal dystrophies according to the IC3D classification. Surv Ophthalmol 2018; 63:365-380. [DOI: 10.1016/j.survophthal.2017.08.001] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Revised: 07/31/2017] [Accepted: 08/03/2017] [Indexed: 11/30/2022]
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136
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Optical Coherence Tomography. Stroke 2018; 49:1044-1050. [DOI: 10.1161/strokeaha.117.019818] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Revised: 12/22/2017] [Accepted: 01/09/2018] [Indexed: 11/16/2022]
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137
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Rose JS, Eldrina J, Joshua A, Amalan S, Sebastian T, Solomon S, Korah S. Objective quantification of corneal haziness using anterior segment optical coherence tomography. J Curr Ophthalmol 2018; 30:54-57. [PMID: 29564409 PMCID: PMC5859339 DOI: 10.1016/j.joco.2017.08.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Revised: 06/27/2017] [Accepted: 08/01/2017] [Indexed: 11/29/2022] Open
Abstract
Purpose To quantify normal corneal transparency by anterior segment optical coherence tomography (AS-OCT) by measuring the average pixel intensity. To analyze the variation in the average pixel intensity in mild and severe grades of corneal opacities. Methods This is an observational, cross-sectional study of 38 eyes from 19 patients with mild or severe grades of corneal opacities greater than 3 mm and a normal contralateral cornea. AS-OCT was performed centered on the opacity with a 3 mm cruciate protocol. A similar image is taken of the contralateral clear cornea in the same quadrant. The average pixel intensity was calculated in a standardized manner using MATLAB software. Result The average pixel intensity of the normal cornea was 99.6 ± 10.9 [standard deviation (SD)]. The average pixel intensity of the mild and severe corneal opacities was 115.5 ± 9.1 and 141.1 ± 10.3, respectively. The differences were statistically significant. Conclusions AS-OCT images can be used to quantify corneal transparency. Average pixel intensity is a measure that varies significantly with varying corneal opacification.
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Affiliation(s)
| | - Juliet Eldrina
- Department of Ophthalmology, Christian Medical College, Vellore, India
| | - Aarwin Joshua
- Center for Stem Cell Research, Christian Medical College, Vellore, India
| | - S Amalan
- Department of Bioengineering, Christian Medical College, Vellore, India
| | - Tunny Sebastian
- Department of Biostatistics, Christian Medical College, Vellore, India
| | - Satheesh Solomon
- Department of Ophthalmology, Christian Medical College, Vellore, India
| | - Sanita Korah
- Department of Ophthalmology, Christian Medical College, Vellore, India
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138
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Kromer R, Ueberschaar J, Schargus M, Druchkiv V, Frings A. The Top 100 Papers of 25 Years of Macular Imaging Using Optical Coherence Tomography. Semin Ophthalmol 2018; 33:772-781. [DOI: 10.1080/08820538.2018.1443219] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Robert Kromer
- Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany
| | - Julian Ueberschaar
- Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany
| | - Marc Schargus
- Department of Ophthalmology, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
- Eye Clinic Schweinfurt-Gerolzhofen, Gerolzhofen, Germany
| | - Vasyl Druchkiv
- Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany
- Clínica Baviera, Valencia, Spain
| | - Andreas Frings
- Eye Clinic Schweinfurt-Gerolzhofen, Gerolzhofen, Germany
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139
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Mazlin V, Xiao P, Dalimier E, Grieve K, Irsch K, Sahel JA, Fink M, Boccara AC. In vivo high resolution human corneal imaging using full-field optical coherence tomography. BIOMEDICAL OPTICS EXPRESS 2018; 9:557-568. [PMID: 29552393 PMCID: PMC5854058 DOI: 10.1364/boe.9.000557] [Citation(s) in RCA: 53] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 12/29/2017] [Accepted: 01/04/2018] [Indexed: 05/18/2023]
Abstract
We present the first full-field optical coherence tomography (FFOCT) device capable of in vivo imaging of the human cornea. We obtained images of the epithelial structures, Bowman's layer, sub-basal nerve plexus (SNP), anterior and posterior stromal keratocytes, stromal nerves, Descemet's membrane and endothelial cells with visible nuclei. Images were acquired with a high lateral resolution of 1.7 µm and relatively large field-of-view of 1.26 mm x 1.26 mm - a combination, which, to the best of our knowledge, has not been possible with other in vivo human eye imaging methods. The latter together with a contactless operation, make FFOCT a promising candidate for becoming a new tool in ophthalmic diagnostics.
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Affiliation(s)
- Viacheslav Mazlin
- Institute Langevin, ESPCI PARIS, PSL Research University, 1 Rue Jussieu, Paris, 75005, France
| | - Peng Xiao
- Institute Langevin, ESPCI PARIS, PSL Research University, 1 Rue Jussieu, Paris, 75005, France
| | - Eugénie Dalimier
- LLTech SAS, 29 Rue du Faubourg Saint Jacques, Paris, 75014, France
| | - Kate Grieve
- Vision Institute/CIC 1423, UPMC-Sorbonne Universities, UMR_S 968/INSERM, U968/CNRS, UMR_7210, 17 Rue Moreau, Paris, 75012, France
- Quinze-Vingts National Eye Hospital, 28 Rue de Charenton, Paris, 75012, France
| | - Kristina Irsch
- Vision Institute/CIC 1423, UPMC-Sorbonne Universities, UMR_S 968/INSERM, U968/CNRS, UMR_7210, 17 Rue Moreau, Paris, 75012, France
- Quinze-Vingts National Eye Hospital, 28 Rue de Charenton, Paris, 75012, France
- Laboratory of Ophthalmic Instrument Development, The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD 21287, USA
| | - José-Alain Sahel
- Vision Institute/CIC 1423, UPMC-Sorbonne Universities, UMR_S 968/INSERM, U968/CNRS, UMR_7210, 17 Rue Moreau, Paris, 75012, France
- Quinze-Vingts National Eye Hospital, 28 Rue de Charenton, Paris, 75012, France
- Department of Ophthalmology, University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA 15213, USA
| | - Mathias Fink
- Institute Langevin, ESPCI PARIS, PSL Research University, 1 Rue Jussieu, Paris, 75005, France
| | - A. Claude Boccara
- Institute Langevin, ESPCI PARIS, PSL Research University, 1 Rue Jussieu, Paris, 75005, France
- LLTech SAS, 29 Rue du Faubourg Saint Jacques, Paris, 75014, France
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140
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Yasin Alibhai A, Or C, Witkin AJ. Swept Source Optical Coherence Tomography: a Review. CURRENT OPHTHALMOLOGY REPORTS 2018. [DOI: 10.1007/s40135-018-0158-3] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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141
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Dine UA, Kulacoglu DN, Oncel B, Yalvac LS. Quantitative Assessment of Anterior Chamber Parameters in Pigmentary Glaucoma Using Slit-Lamp Optical Coherence Tomography. Eur J Ophthalmol 2018; 20:702-7. [DOI: 10.1177/112067211002000410] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose. To quantitatively assess the parameters of anterior chamber and angle dimensions by slit-lamp optical coherence tomography (SL-OCT) in eyes with pigmentary glaucoma (PG). Methods. A total of 18 eyes of 11 patients with PG and 18 eyes of 11 healthy volunteers were included in the study. Anterior chamber depth (ACD), anterior chamber volume (ACV), spur distance (internal horizontal anterior chamber diameter), central corneal thickness (CCT), angle opening distance at 500 urn from the scleral spur (AOD 500), and trabecular iris space area at 500 μm from the scleral spur (TISA 500) parameters were detected by SL-OCT. The differences of anterior chamber parameters between patients with PG and the control group were analyzed by Mann-Whitney U test. Results. Mean ACD and ACV were measured as 3.28±0.38 mm and 191.6±39.7 mm3 respectively in the PG group. Mean AOD 500 and TISA 500 were 0.88±0.47 mm and 0.29±0.15 mm2 at the nasal angle and 1.14±0.67 mm and 0.41 ±0.23 mm2 at the temporal angle, respectively. Nasal and temporal angles were 49.83±11.1° and 53.83±10.46°. In eyes with PG, the midperipheral iris configuration was found to be considerably concave in 15 eyes (83.3%). Except CCT and spur distance, all anterior chamber dimension and angle parameters detected by SL-OCT were found to be significantly higher in the eyes with PG (Mann-Whitney U test, p<0.05). Conclusions. SL-OCT provided highly quantitative data on the parameters of anterior chamber and angle dimensions in PG. The evaluation of the anterior segment anatomy using SL-OCT revealed increased anterior chamber dimensions and posterior bowing of the iris consistent with the increase in angle parameters in patients with PG.
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Affiliation(s)
- Umut A. Dine
- Ophthalmology Department, Yeditepe University Eye Hospital, Istanbul - Turkey
| | | | - Banu Oncel
- Ophthalmology Department, Başkent University, Istanbul - Turkey
| | - Llgaz Sagdic Yalvac
- Ophthalmology Department, Yeditepe University Eye Hospital, Istanbul - Turkey
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142
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Dinc UA, Oncel B, Gorgun E, Yalvac LS. Assessment of Anterior Chamber Angle Using Visante OCT, Slit-Lamp OCT, and Pentacam. Eur J Ophthalmol 2018; 20:531-7. [DOI: 10.1177/112067211002000327] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Umut A. Dinc
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
| | - Banu Oncel
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
| | - Ebru Gorgun
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
| | - Llgaz S. Yalvac
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
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143
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Schneider M, Borgulya G, Seres A, Nagy ZZ, Nemeth J. Central Corneal Thickness Measurements with Optical Coherence Tomography and Ultrasound Pachymetry in Healthy Subjects and in Patients after Photorefractive Keratectomy. Eur J Ophthalmol 2018; 19:180-7. [DOI: 10.1177/112067210901900202] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose To compare central corneal thickness measurements made using two different methods, optical coherence tomography (OCT) and ultrasound pachymetry, applied both in normal eyes and in eyes on which photorefractive keratectomy (PRK) had been performed. A second objective was to assess the intrasession variability of OCT measurements. Methods In this prospective study, central corneal thickness was measured in 20 normal subjects (normal group) and in 20 PRK patients using the StratusOCT instrument model 3000 (Carl Zeiss Meditec), and also with an ultrasound pachymeter. Five OCT measurements were performed using the Fast Macular Thickness protocol. Corneal thickness data were obtained with the Scan Profile analysis protocol. The OCT measurement results were compared with the mean value of three ultrasound pachymetry measurements for the same eye. Results The pachymetry–OCT correlation coefficients were 0.96 and 0.97 in the normal and PRK groups, respectively (p=0.14). Neither linear regression nor Bland-Altmann analysis revealed any significant systematic measurement error. Intrasession standard deviations in the normal and PRK groups were 4.9 μm and 3.8 μm, respectively. Conclusions Noncontact central corneal thickness measurements made using the StratusOCT instrument are accurate and reproducible, both in normal subjects and in post-PRK patients. The instrument system does not need any modifications to correctly detect and measure the center of the cornea.
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Affiliation(s)
- Miklos Schneider
- Department of Ophthalmology, Semmelweis University, Faculty of Medicine, Budapest
| | - Gabor Borgulya
- School of PhD Studies, Semmelweis University, Budapest - Hungary
| | - Andras Seres
- Department of Ophthalmology, Semmelweis University, Faculty of Medicine, Budapest
| | - Zoltan Z. Nagy
- Department of Ophthalmology, Semmelweis University, Faculty of Medicine, Budapest
| | - Janos Nemeth
- Department of Ophthalmology, Semmelweis University, Faculty of Medicine, Budapest
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144
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Bayraktar Ş, Bayraktar Z. Central Corneal Thickness and Intraocular Pressure Relationship in Eyes with and without Previous LASIK: Comparison of Goldmann Applanation Tonometer with Pneumatonometer. Eur J Ophthalmol 2018. [DOI: 10.1177/112067210501500113] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Ş. Bayraktar
- Istanbul Surgery Hospital, Istanbul
- Beyoælu Eye Education and Research Hospital, Istanbul - Turkey
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145
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Dinc UA, Oncel B, Gorgun E, Alimgil L. Quantitative Assessment of Anterior Chamber Volume using Slit-Lamp OCT and Pentacam. Eur J Ophthalmol 2018; 19:411-5. [DOI: 10.1177/112067210901900314] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Umut Asli Dinc
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
| | - Banu Oncel
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
| | - Ebru Gorgun
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
| | - Levent Alimgil
- Yeditepe University Eye Hospital, Ophthalmology Department, Istanbul - Turkey
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146
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Le Q, Xu J, Deng SX. The diagnosis of limbal stem cell deficiency. Ocul Surf 2018; 16:58-69. [PMID: 29113917 PMCID: PMC5844504 DOI: 10.1016/j.jtos.2017.11.002] [Citation(s) in RCA: 122] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Revised: 08/24/2017] [Accepted: 11/03/2017] [Indexed: 12/15/2022]
Abstract
Limbal stem cells (LSCs) maintain the normal homeostasis and wound healing of corneal epithelium. Limbal stem cell deficiency (LSCD) is a pathologic condition that results from the dysfunction and/or an insufficient quantity of LSCs. The diagnosis of LSCD has been made mainly based on medical history and clinical signs, which often are not specific to LSCD. Methods to stage the severity of LSCD have been lacking. With the application of newly developed ocular imaging modalities and molecular methods as diagnostic tools, standardized quantitative criteria for the staging of LSCD can be established. Because of these recent advancements, effective patient-specific therapy for different stages of LSCD may be feasible.
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Affiliation(s)
- Qihua Le
- Stein Eye Institute, Cornea Division, David Geffen School of Medicine, University of California, Los Angeles, USA; Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China
| | - Jianjiang Xu
- Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China
| | - Sophie X Deng
- Stein Eye Institute, Cornea Division, David Geffen School of Medicine, University of California, Los Angeles, USA.
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147
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Yohannan J, Boland MV. The Evolving Role of the Relationship between Optic Nerve Structure and Function in Glaucoma. Ophthalmology 2017; 124:S66-S70. [DOI: 10.1016/j.ophtha.2017.05.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Revised: 04/07/2017] [Accepted: 05/02/2017] [Indexed: 12/12/2022] Open
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148
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Chen H, Woodward MA, Burke DT, Jeganathan VSE, Demirci H, Sick V. Human iris three-dimensional imaging at micron resolution by a micro-plenoptic camera. BIOMEDICAL OPTICS EXPRESS 2017; 8:4514-4522. [PMID: 29082081 PMCID: PMC5654796 DOI: 10.1364/boe.8.004514] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 09/07/2017] [Accepted: 09/11/2017] [Indexed: 06/07/2023]
Abstract
A micro-plenoptic system was designed to capture the three-dimensional (3D) topography of the anterior iris surface by simple single-shot imaging. Within a depth-of-field of 2.4 mm, depth resolution of 10 µm can be achieved with accuracy (systematic errors) and precision (random errors) below 20%. We demonstrated the application of our micro-plenoptic imaging system on two healthy irides, an iris with naevi, and an iris with melanoma. The ridges and folds, with height differences of 10~80 µm, on the healthy irides can be effectively captured. The front surface on the iris naevi was flat, and the iris melanoma was 50 ± 10 µm higher than the surrounding iris. The micro-plenoptic imaging system has great potential to be utilized for iris disease diagnosis and continuing, simple monitoring.
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Affiliation(s)
- Hao Chen
- Department of Mechanical Engineering, University of Michigan, 1231 Beal Avenue, Ann Arbor, MI 48109, USA
| | - Maria A. Woodward
- Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall Street, Ann Arbor, MI 48105, USA
| | - David T. Burke
- Department of Human Genetics, University of Michigan School of Medicine, 1241 E Catherine Street, Ann Arbor, MI 48109, USA
| | - V. Swetha E. Jeganathan
- Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall Street, Ann Arbor, MI 48105, USA
| | - Hakan Demirci
- Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall Street, Ann Arbor, MI 48105, USA
| | - Volker Sick
- Department of Mechanical Engineering, University of Michigan, 1231 Beal Avenue, Ann Arbor, MI 48109, USA
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149
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Lafosse E, Romín DM, Esteve-Taboada JJ, Wolffsohn JS, Talens-Estarelles C, García-Lázaro S. Comparison of the influence of corneo-scleral and scleral lenses on ocular surface and tear film metrics in a presbyopic population. Cont Lens Anterior Eye 2017; 41:122-127. [PMID: 28964684 DOI: 10.1016/j.clae.2017.09.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Revised: 08/24/2017] [Accepted: 09/08/2017] [Indexed: 10/18/2022]
Abstract
PURPOSE To assess and compare the effect of the corneo-scleral lenses (C-ScL) and scleral lenses (ScL) on tear film parameters and central corneal thickness (CCT) in healthy presbyopic subjects. METHODS Thirty subjects wore two contact lenses (CLs), randomly assigned, of neutral power, but of different diameters, 12.7mm (C-ScL) and 18mm (ScL) and being equal in the others parameters: material (HS100) and centre thickness (0.29mm). At baseline, 20min after insertion and at 8h, the tear meniscus area (TMA) and CCT was measured (with optical coherence tomography) as well as tear osmolarity. RESULTS TMA revealed statistical differences for both lenses at 20min (p<0.001), and also at 8h (p=0.003), being greater for the C-ScL. CCT showed statistical differences for both lenses at 20min (p=0.002), and also at 8h (p=0.001), being lower for the C-ScL. Osmolarity did not reveal statistical differences at 20min (p=0.29), while it was statistically different at 8h (p=0.03), being lower for the C-ScL. CONCLUSIONS C-ScL lead to a lesser reduction in the TMA and a lower induced hypoxic stress than the ScL. Osmolarity levels remained within normal values across the day with no clinical difference between lenses. Both designs can represent a good optical platform for correcting presbyopia as well as protecting the ocular surface by vaulting the cornea.
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Affiliation(s)
- Edouard Lafosse
- Optics Department, University of Valencia, Carrer del Dr. Moliner, 50, 46100 Burjassot, Valencia, Spain; Ophthalmic Research Group, School of Life and Health Sciences, Aston University, Birmingham B4 7ET, UK
| | - Daniel Monsálvez Romín
- Optics Department, University of Valencia, Carrer del Dr. Moliner, 50, 46100 Burjassot, Valencia, Spain
| | - José-Juan Esteve-Taboada
- Optics Department, University of Valencia, Carrer del Dr. Moliner, 50, 46100 Burjassot, Valencia, Spain
| | - James S Wolffsohn
- Ophthalmic Research Group, School of Life and Health Sciences, Aston University, Birmingham B4 7ET, UK
| | | | - Santiago García-Lázaro
- Optics Department, University of Valencia, Carrer del Dr. Moliner, 50, 46100 Burjassot, Valencia, Spain.
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150
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Sridhar MS, Rangaraju A, Anbarasu K, Reddy SP, Daga S, Jayalakshmi S, Shaik B. Evaluation of Kayser-Fleischer ring in Wilson disease by anterior segment optical coherence tomography. Indian J Ophthalmol 2017; 65:354-357. [PMID: 28573989 PMCID: PMC5565897 DOI: 10.4103/ijo.ijo_400_16] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Purpose: The purpose of the study is to present anterior segment optical coherence tomography (AS-OCT) as an alternative method of evaluating Kayser–Fleischer (KF) ring in Wilson disease (WD) not only by ophthalmologists but also by other clinicians dealing with WD. Materials and Methods: This was a retrospective case series of six WD patients with KF ring. Evaluation of KF ring was done by naked eye examination using torch light, slit lamp biomicroscopy (SL), and AS-OCT. SL examination was done using a narrow slit of the superior cornea. AS-OCT was done using the Optovue RTvue Premier™ device (Fremont, CA, USA). Results: AS-OCT revealed KF ring as an intense hyperreflective band at the level of Descemet membrane (DM). Color scale of AS-OCT showed KF ring as greenish/greenish yellow/orange yellow/yellowish/red band. Validation of AS-OCT findings was done by second ophthalmologist, medical gastroenterologist, surgical gastroenterologist, and neurophysician. After seeing the first observation, they could identify the AS-OCT features in all pictures with ease. Conclusions: This is the first observation of KF ring in WD on AS-OCT. On AS-OCT, KF ring is visualized as intense hyperreflectivity at the level of DM in the peripheral cornea. Further, studies are needed to evaluate the usefulness of AS-OCT in WD management.
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Affiliation(s)
- Mittanamalli S Sridhar
- Department of Ophthalmology, Krishna Institute of Medical Sciences, Hyderabad, Telangana, India
| | | | - Kavitha Anbarasu
- KIMS Foundation and Research Centre, Hyderabad, Telangana, India
| | - Sharat Putta Reddy
- Department of Gastroenterology, Krishna Institute of Medical Sciences, Hyderabad, Telangana, India
| | - Sachin Daga
- Department of HPB and Liver Transplant, Krishna Institute of Medical Sciences, Hyderabad, Telangana, India
| | - Sita Jayalakshmi
- Department of Neurology, Krishna Institute of Medical Sciences, Hyderabad, Telangana, India
| | - Bajibhi Shaik
- Department of Ophthalmology, Krishna Institute of Medical Sciences, Hyderabad, Telangana, India
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