Berks County Medical Society Medical Record Fall 2019 - 19
developed for ophthalmology, OCT's utilization is even expanding
to other fields in medicine such as intravascular OCT to visualize
coronary arteries.3
There are many versions of the OCT such as hand-held OCT
and intraoperative OCT that make imaging possible outside of the
clinical setting. Most recently there have been advances in OCT
technology that allow visualization of retinal vasculature. OCT
Angiography (OCT-A) uses reflected light from the surface of
moving blood vessels to depict retinal vasculature without the need
for intravascular dyes which can have systemic side effects.
OCT has revolutionized ophthalmology and is an invaluable
in-clinic diagnostic tool, however, the current technology does
have some limitations. Since it utilizes light to generate images,
any obstruction to transmission of light can interfere with image
acquisition. This includes corneal opacities, cataract, and vitreous
hemorrhage. Additionally, ability to visualize the peripheral retina
and retinal vasculature is still evolving. As the technology evolves,
its applications and accuracy will further improve diagnosis and
management of ophthalmic disorders and continue to enhance
patient care.
References:
1. Huang D, Swanson EA, Lin CP, et al. Optical coherence tomography.
Science. 1991;254(5035):1178-1181.
2. Wojtkowski M et al. Ophthalmic imaging by spectral optical coherence
tomography. Am J Ophthalmol. 2004 Sep;138(3):412-9.
3. Bezerra HG, Attizzani GF, Sirbu V, et al. Optical coherence
tomography versus intravascular ultrasound to evaluate coronary artery
disease and percutaneous coronary intervention. JACC Cardiovasc Interv
2013;6:228-36.
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Berks County Medical Society Medical Record Fall 2019
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