OCT 101

Dr. Jose A. Mendoza MD MS

Oftalmosalud - Lima , Peru

OCT EVOLUTION
OCT REPORTS
➤ 2 types of di erent reports:
➤ Objective
➤ Low resolution images
➤ Lot of data information
➤ 3D analysis
➤ Subjective
➤ High resolution images
➤ No data information
➤ Bidimensional Images

ff

SUBJECTIVE REPORTS
OBJECTIVE REPORTS
IMAGE THROUGH OPAQUE MEDIAS
 IMAGE THROUGH OPAQUE MEDIAS

DRI OCT

SD-OCT
MULTI-MODULE IMAGING
 OCT REPORTS

➤ Demographics
➤ Quality of Fundus Photo
Image
➤ Proper OCT protocol scan
➤ Quality of OCT Signal
➤ Proper OCT Segmentation
➤ 1st. Time Diagnose vs. Follow
Up
➤ Normative Database

OCT PROTOCOLS

➤ Macula Scans
➤ 3D Scans (3D Macula, Radial Scans)
➤ Line Scans (5 Line Cross, 7 line raster, Simple Line Scans)
➤ Glaucoma Scans
➤ 3D Scans (3D Optic Nerve, Radial Scans)
➤ Line Scans (5 Line Cross, 7 line raster, Simple Line Scans)
➤ Anterior Segment Scans
➤ Pachimetry and angle assessment

MACULA SCANS
OPTIC NERVE SCANS
SEGMENTATION ERRORS
RETINA EXAMPLES
NORMAL MACULA
NORMAL MACULA (DATABASE ERRORS)
AMD (DRUSSEN)
WET AMD
MACULAR ATROPHY
AMD (RADIAL SCAN)
POLYPOIDAL CHOROIDAL VASCULOPATHY
POSTERIOR VITREOUS DETACHMENT
MACULAR HOLE (STAGE IV)
MACULAR HOLE (STAGE IV; CHRONIC)
EPIRETINAL MEMBRANE
RETINAL HEMORRHAGE
RETINAL DETACHMENT
MYOPIC DEGENERATION
VITELIFORM DYSTROPHY
DIABETIC RETINOPATHY
CENTRAL VEIN OCCLUSION
GLAUCOMA EXAMPLES
NORMAL OPTIC NERVE
SEGMENTATION ERRORS
BORDERLINE
GLAUCOMA (INITIAL)
GLAUCOMA (ADVANCED)
GLAUCOMA?
ANTERIOR SEGMENT
ANTERIOR SEGMENT OCT

➤ Goniometry (AS Angle

Assessment)
➤ Pachimetry Assessment
➤ Post LASIK Assessment
(Flap Measurement)
➤ AS 3D reconstruction

GONIOMETRY
GONIOMETRY
PACHIMETRY MAP
POST LASIK
SCLERAL C.L.
ANTERIOR SEGMENT 3D RECONSTRUCTION
SUMMARY

➤ OCT is a powerful diagnostic tool when it’s used and done

properly
➤ As it is an “auxiliary test” we have to always remember that
the clinical examination should be mandatory
➤ The proper scans should be done prior to get the proper the
protocols of examination
➤ Interpretation of the exams should be done step by step
➤ Beware of the segmentation errors cause they could lead you
to misinterpretations

THANKS!!
jama411@icloud.com