الفهرس | Only 14 pages are availabe for public view |
Abstract OCT is a widely used non invasive technology in clinical ophthalmic research. Now the spectral domain OCT is the commonly used rather than time domain OCT , as spectral domain OCT is more superior than time domain OCT in image acquisition time, better resolution, high sensitivity, better image segmentation. All of these advantages of spectral domain OCT allows high differentiation of various retinal layers and high detection of subtle lesions. Spectral domain OCT has many advances, as its role in assessment of chorioretinal blood flow as many ocular diseases are associated with alterations in retinal and choroidal blood flow. Doppler OCT can reliably assess retinal blood flow in vivo of many retinal and optic nerve diseases such as glaucoma, non arteretic ischemic optic retinopathy, proliferative diabetic retinopathy, branch retinal vein occlusion and all are accompanied with lowering in the average blood flow than normal.Spectral domain OCT allows choroidal imaging with a new technique known as enhanced depth imaging technique which automatically captures the cross-sectional image with the choroid close to the zero delay line to maximize the sensitivity on the outer limit of the choroid. The choroidal thickness decrease in age related macular degeneration, high myopia and retinal dystrophies while increases with central serous chorioretinopathy . Choroidal tumors are characterized by loss of choroidal architecture. Other advances of spectral domain OCT is identification of various ocular structures according to their polarization properties by polarization sensitive OCT. Ocular structures are divided into polarization preserving, depolarizing or polarization scrambling and birefringent tissues and differentiated by specific color scale. Normal polarization patterns can be distorted in the presence of diseases according to each disease. Also spectral domain OCT is applied to the surgical microscope (microscope mounted OCT) to obtain images immediately during surgery and to detect retinal changes resulting from the surgical procedures. Microscope. |