Dr P K Goswami from USA has advised me to go for OCT test. Pl. advise where in Mumbai/ India same is done?
Optical coherence tomography
From Wikipedia, the free encyclopedia
Optical coherence tomography | |
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Intervention | |
Optical Coherence Tomography (OCT) image of a sarcoma | |
MeSH | D041623 |
OPS-301 code: | 3-300 |
Optical coherence tomography (OCT) is an optical signal acquisition and processing method. It captures micrometer-resolution, three-dimensional images from within optical scattering media (e.g., biological tissue). Optical coherence tomography is aninterferometric technique, typically employing near-infrared light. The use of relatively longwavelength light allows it to penetrate into the scattering medium. Confocal microscopy, another similar technique, typically penetrates less deeply into the sample.
Depending on the properties of the light source (superluminescent diodes, ultrashort pulsed lasers and supercontinuum lasers have been employed), optical coherence tomography has achieved sub-micrometer resolution (with very wide-spectrum sources emitting over a ~100 nm wavelength range).
Optical coherence tomography is one of a class of optical tomographic techniques. A relatively recent implementation of optical coherence tomography, frequency-domainoptical coherence tomography, provides advantages in signal-to-noise ratio, permitting faster signal acquisition. Commercially available optical coherence tomography systems are employed in diverse applications, including art conservation and diagnostic medicine, notably in ophthalmology where it can be used to obtain detailed images from within the retina. Recently it has also begun to be used in interventional cardiology to help diagnose coronary artery disease.[1]
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[edit]Introduction
Starting from white-light interferometry for in vivo ocular eye measurements[2][3] imaging of biological tissue, especially of the human eye, was investigated by multiple groups worldwide. A first two-dimensional in vivo depiction of a human eye fundus along a horizontal meridian based on white light interferometric depth scans was presented at the ICO-15 SAT conference in 1990.[4] Further developed in 1990 by Naohiro Tanno,[5][6] then a professor at Yamagata University, and in particular since 1991 by Huang et al.,[7] optical coherence tomography (OCT) with micrometer resolution and cross-sectional imaging capabilities has become a prominent biomedical tissue-imaging technique; it is particularly suited to ophthalmic applications and other tissue imaging requiring micrometer resolution and millimeter penetration depth.[8] First in vivo OCT images – displaying retinal structures – were published in 1993.[9][10] OCT has also been used for various art conservation projects, where it is used to analyze different layers in a painting. OCT has critical advantages over other medical imagingsystems. Medical ultrasonography, magnetic resonance imaging (MRI) and confocal microscopy are not suited to morphological tissue imaging: the first two have poor resolution; the last lacks millimeter penetration depth.[11][12]
OCT bases itself upon low coherence interferometry.[13][14][15] In conventional interferometry with long coherence length (laser interferometry), interference of light occurs over a distance of meters. In OCT, this interference is shortened to a distance of micrometers, thanks to the use of broadband light sources (sources that can emit light over a broad range of frequencies). Light with broad bandwidths can be generated by using superluminescent diodes (superbright LEDs) or lasers with extremely short pulses (femtosecond lasers). White light is also a broadband source with lower power.
Light in an OCT system is broken into two arms—a sample arm (containing the item of interest) and a reference arm (usually a mirror). The combination of reflected light from the sample arm and reference light from the reference arm gives rise to an interference pattern, but only if light from both arms have travelled the "same" optical distance ("same" meaning a difference of less than a coherence length). By scanning the mirror in the reference arm, a reflectivity profile of the sample can be obtained (this is time domain OCT). Areas of the sample that reflect back a lot of light will create greater interference than areas that don't. Any light that is outside the short coherence length will not interfere. This reflectivity profile, called an A-scan, contains information about the spatial dimensions and location of structures within the item of interest. A cross-sectional tomograph (B-scan) may be achieved by laterally combining a series of these axial depth scans (A-scan). En face imaging at an acquired depth is possible depending on the imaging engine used.
[edit]Layperson's explanation
Optical Coherence Tomography, or ‘OCT’, is a technique for obtaining sub-surface images of translucent or opaque materials at a resolution equivalent to a low-power microscope. It is effectively ‘optical ultrasound’, imaging reflections from within tissue to provide cross-sectional images.
OCT is attracting interest among the medical community, because it provides tissue morphology imagery at much higher resolution (better than 10 µm) than other imaging modalities such as MRI or ultrasound.
The key benefits of OCT are:
- Live sub-surface images at near-microscopic resolution
- Instant, direct imaging of tissue morphology
- No preparation of the sample or subject
- No ionizing radiation
OCT delivers high resolution because it is based on light, rather than sound or radio frequency. An optical beam is directed at the tissue, and a small portion of this light that reflects from sub-surface features is collected. Note that most light is not reflected but, rather, scatters off at large angles. In conventional imaging, this diffusely scattered light contributes background that obscures an image. However, in OCT, a technique called interferometry is used to record the optical path length of received photons allowing rejection of most photons that scatter multiple times before detection. Thus OCT can build up clear 3D images of thick samples by rejecting background signal while collecting light directly reflected from surfaces of interest.
Within the range of noninvasive three-dimensional imaging techniques that have been introduced to the medical research community, OCT as an echo technique is similar to ultrasound imaging. Other medical imaging techniques such as computerized axial tomography, magnetic resonance imaging, or positron emission tomography do not utilize the echo-location principle.
The technique is limited to imaging 1 to 2 mm below the surface in biological tissue, because at greater depths the proportion of light that escapes without scattering is too small to be detected. No special preparation of a biological specimen is required, and images can be obtained ‘non-contact’ or through a transparent window or membrane. It is also important to note that the laser output from the instruments is low – eye-safe near-infra-red light is used – and no damage to the sample is therefore likely.
[edit]Theory
The principle OCT is white light or low coherence interferometry. The optical setup typically consists of an interferometer (Fig. 1, typically Michelson type) with a low coherence, broad bandwidth light source. Light is split into and recombined from reference and sample arm, respectively.
[edit]Time domain OCT
In time domain OCT the pathlength of the reference arm is translated longitudinally in time. A property of low coherence interferometry is that interference, i.e. the series of dark and bright fringes, is only achieved when the path difference lies within the coherence length of the light source. This interference is called auto correlation in a symmetric interferometer (both arms have the same reflectivity), or cross-correlation in the common case. The envelope of this modulation changes as pathlength difference is varied, where the peak of the envelope corresponds to pathlength matching.
The interference of two partially coherent light beams can be expressed in terms of the source intensity, , as
where represents the interferometer beam splitting ratio, and is called the complex degree of coherence, i.e. the interference envelope and carrier dependent on reference arm scan or time delay , and whose recovery of interest in OCT. Due to the coherence gating effect of OCT the complex degree of coherence is represented as a Gaussian function expressed as[15]
where represents the spectral width of the source in the optical frequency domain, and is the centre optical frequency of the source. In equation (2), the Gaussian envelope is amplitude modulated by an optical carrier. The peak of this envelope represents the location of sample under test microstructure, with an amplitude dependent on the reflectivity of the surface. The optical carrier is due to the Doppler effect resulting from scanning one arm of the interferometer, and the frequency of this modulation is controlled by the speed of scanning. Therefore translating one arm of the interferometer has two functions; depth scanning and a Doppler-shifted optical carrier are accomplished by pathlength variation. In OCT, the Doppler-shifted optical carrier has a frequency expressed as
where is the central optical frequency of the source, is the scanning velocity of the pathlength variation, and is the speed of light.
The axial and lateral resolutions of OCT are decoupled from one another; the former being an equivalent to the coherence length of the light source and the latter being a function of the optics. The coherence length of a source and hence the axial resolution of OCT is defined as
[edit]Frequency domain OCT (FD-OCT)
In frequency domain OCT the broadband interference is acquired with spectrally separated detectors (either by encoding the optical frequency in time with a spectrally scanning source or with a dispersive detector, like a grating and a linear detector array). Due to theFourier relation (Wiener-Khintchine theorem between the auto correlation and the spectral power density) the depth scan can be immediately calculated by a Fourier-transform from the acquired spectra, without movement of the reference arm.[16][17] This feature improves imaging speed dramatically, while the reduced losses during a single scan improve the signal to noise proportional to the number of detection elements. The parallel detection at multiple wavelength ranges limits the scanning range, while the full spectral bandwidth sets the axial resolution.
[edit]Spatially encoded frequency domain OCT (spectral domain or Fourier domain OCT)
SEFD-OCT extracts spectral information by distributing different optical frequencies onto a detector stripe (line-array CCD or CMOS) via a dispersive element (see Fig. 4). Thereby the information of the full depth scan can be acquired within a single exposure. However, the large signal to noise advantage of FD-OCT is reduced due the lower dynamic range of stripe detectors in respect to single photosensitive diodes, resulting in an SNR (signal to noise ratio) advantage of ~10 dB at much higher speeds. This is not much of a problem when working at 1300 nm, however, since dynamic range is not a serious problem at this wavelength range.
The drawbacks of this technology are found in a strong fall-off of the SNR, which is proportional to the distance from the zero delay and a sinc-type reduction of the depth dependent sensitivity because of limited detection linewidth. (One pixel detects a quasi-rectangular portion of an optical frequency range instead of a single frequency, the Fourier-transform leads to the sinc(z) behavior). Additionally the dispersive elements in the spectroscopic detector usually do not distribute the light equally spaced in frequency on the detector, but mostly have an inverse dependence. Therefore the signal has to be resampled before processing, which can not take care of the difference in local (pixelwise) bandwidth, which results in further reduction of the signal quality. However, the fall-off is not a serious problem with the development of new generation CCD or photodiode array with a larger number of pixels.
Synthetic array heterodyne detection offers another approach to this problem without the need for high dispersion.
[edit]Time encoded frequency domain OCT (also swept source OCT)
TEFD-OCT tries to combine some of the advantages of standard TD and SEFD-OCT. Here the spectral components are not encoded by spatial separation, but they are encoded in time. The spectrum either filtered or generated in single successive frequency steps and reconstructed before Fourier-transformation. By accommodation of a frequency scanning light source (i.e. frequency scanning laser) the optical setup (see Fig. 5) becomes simpler than SEFD, but the problem of scanning is essentially translated from the TD-OCT reference-arm into the TEFD-OCT light source. Here the advantage lies in the proven high SNR detection technology, while swept laser sources achieve very small instantaneous bandwidths (=linewidth) at very high frequencies (20–200 kHz). Drawbacks are the nonlinearities in the wavelength (especially at high scanning frequencies), the broadening of the linewidth at high frequencies and a high sensitivity to movements of the scanning geometry or the sample (below the range of nanometers within successive frequency steps).
[edit]Scanning schemes
Focusing the light beam to a point on the surface of the sample under test, and recombining the reflected light with the reference will yield an interferogram with sample information corresponding to a single A-scan (Z axis only). Scanning of the sample can be accomplished by either scanning the light on the sample, or by moving the sample under test. A linear scan will yield a two-dimensional data set corresponding to a cross-sectional image (X-Z axes scan), whereas an area scan achieves a three-dimensional data set corresponding to a volumetric image (X-Y-Z axes scan), also called full-field OCT.
[edit]Single point (confocal) OCT
Systems based on single point, or flying-spot time domain OCT, must scan the sample in two lateral dimensions and reconstruct a three-dimensional image using depth information obtained by coherence-gating through an axially scanning reference arm (Fig. 2). Two-dimensional lateral scanning has been electromechanically implemented by moving the sample[17] using a translation stage, and using a novel micro-electro-mechanical system scanner.[18]
[edit]Parallel (or full field) OCT
Parallel OCT using a charge-coupled device (CCD) camera has been used in which the sample is full-field illuminated and en face imaged with the CCD, hence eliminating the electromechanical lateral scan. By stepping the reference mirror and recording successiveen face images a three-dimensional representation can be reconstructed. Three-dimensional OCT using a CCD camera was demonstrated in a phase-stepped technique,[19] using geometric phase-shifting with a Linnik interferometer,[20] utilising a pair of CCDs and heterodyne detection,[21] and in a Linnik interferometer with an oscillating reference mirror and axial translation stage.[22] Central to the CCD approach is the necessity for either very fast CCDs or carrier generation separate to the stepping reference mirror to track the high frequency OCT carrier.
[edit]Smart detector array for parallel TD-OCT
A two-dimensional smart detector array, fabricated using a 2 µm complementary metal-oxide-semiconductor (CMOS) process, was used to demonstrate full-field OCT.[23] Featuring an uncomplicated optical setup (Fig. 3), each pixel of the 58x58 pixel smart detector array acted as an individual photodiode and included its own hardware demodulation circuitry.
[edit]Selected applications
Optical coherence tomography is an established medical imaging technique. It is widely used, for example, to obtain high-resolution images of the anterior segment of the eye and the retina, which can, for example, provide a straightforward method of assessing axonal integrity in multiple sclerosis,[24] as well as macular degeneration.[25] Research indicates that OCT may be a reliable tool for monitoring the progression of glaucoma. Researchers also seek to develop a method that uses frequency domain OCT to image coronary arteriesin order to detect vulnerable lipid-rich plaques.
Optical coherence tomography is also applicable and increasingly used in industrial applications, such as Non Destructive Testing(NDT), material thickness measurements,[26] and in particular thin silicon wafers[27],[28] and compound semiconductor wafers thickness measurements[29],,[30] surface roughness characterization, surface and cross-section imaging[31],,[32] and volume loss measurements. OCT systems with feedback can be used to control manufacturing processes. With high speed data acquisition,[33]and sub-micron resolution, OCT is adaptable to perform both inline and off-line.[34] Fiber-based OCT systems are particularly adaptable to industrial environments.[35] These can access and scan interiors of hard-to-reach spaces,[36] and are able to operate in hostile environments - whether radioactive, cryogenic or very hot.[37]
[edit]See also
- Interferometry
- Tomography
- Angle-resolved low-coherence interferometry
- Ballistic photon
- Optical heterodyne detection
- Novacam Technologies
OFDI is used to image the plaques in the artery based on bifringence property of the tissues.
[edit]References
- ^ Bezerra, Hiram G.; Costa, Marco A.; Guagliumi, Giulio; Rollins, Andrew M.; Simon, Daniel I. (November 2009). "Intracoronary Optical Coherence Tomography: A Comprehensive Review".JACC: Cardiovascular Interventions 2 (11): 1035–1046.doi:10.1016/j.jcin.2009.06.019. PMID 19926041.
- ^ A. F. Fercher and E. Roth, "Ophthalmic laser interferometry. Proc. SPIE vol. 658, pp. 48-51. 1986.
- ^ Fercher, AF; Mengedoht, K; Werner, W (1988). "Eye-length measurement by interferometry with partially coherent light.".Optics letters 13 (3): 186–8. Bibcode:1988OptL...13..186F.doi:10.1364/OL.13.000186. PMID 19742022.
- ^ A. F. Fercher, "Ophthalmic interferometry," Proceedings of the International Conference on Optics in Life Sciences, Garmisch-Partenkirchen, Germany, 12–16 August 1990. Ed. G. von Bally and S. Khanna, pp. 221-228. ISBN 0-444-89860-3.
- ^ Naohiro Tanno, Tsutomu Ichikawa, Akio Saeki: "Lightwave Reflection Measurement," Japanese Patent # 2010042 (1990) (Japanese Language)
- ^ Shinji Chiba, Naohiro Tanno "Backscattering Optical Heterodyne Tomography", prepared for the 14th Laser Sensing Symposium (1991) (in Japanese)
- ^ Huang, D; Swanson, EA; Lin, CP; Schuman, JS; Stinson, WG; Chang, W; Hee, MR; Flotte, T et al. (1991). "Optical coherence tomography.". Science 254 (5035): 1178–81.Bibcode:1991Sci...254.1178H.doi:10.1126/science.1957169. PMID 1957169.
- ^ Zysk, AM; Nguyen, FT; Oldenburg, AL; Marks, DL; Boppart, SA (2007). "Optical coherence tomography: a review of clinical development from bench to bedside.". Journal of biomedical optics 12 (5): 051403. Bibcode:2007JBO....12e1403Z.doi:10.1117/1.2793736. PMID 17994864.
- ^ A. F. Fercher, C. K. Hitzenberger, W. Drexler, G. Kamp, and H. Sattmann, " In Vivo Optical Coherence Tomography," Am. J. Ophthalmol., vol. 116, no. 1, pp. 113-114. 1993.
- ^ Swanson, E. A.; Izatt, J. A.; Hee, M. R.; Huang, D.; Lin, C. P.; Schuman, J. S.; Puliafito, C. A.; Fujimoto, J. G. (1993). "In vivo retinal imaging by optical coherence tomography". Optics Letters 18 (21): 1864–6. Bibcode:1993OptL...18.1864S.doi:10.1364/OL.18.001864. PMID 19829430.
- ^ Drexler, Wolfgang; Morgner, Uwe; Ghanta, Ravi K.; Kärtner, Franz X.; Schuman, Joel S.; Fujimoto, James G. (2001)."Ultrahigh-resolution ophthalmic optical coherence tomography". Nature Medicine 7 (4): 502–7.doi:10.1038/86589. PMC 1950821. PMID 11283681.
- ^ Kaufman, S; Musch, DC; Belin, MW; Cohen, EJ; Meisler, DM; Reinhart, WJ; Udell, IJ; Van Meter, WS (2004). "Confocal microscopy*1A report by the American Academy of Ophthalmology". Ophthalmology 111 (2): 396–406.doi:10.1016/j.ophtha.2003.12.002. PMID 15019397.
- ^ Riederer, S.J. (2000). "Current technical development of magnetic resonance imaging". IEEE Engineering in Medicine and Biology Magazine 19 (5): 34–41. doi:10.1109/51.870229.PMID 11016028.
- ^ M. Born and E. Wolf (2000). Principles of Optics: Electromagnetic Theory of Propagation, Interference and Diffraction of Light. Cambridge University Press. ISBN 0-521-78449-2.
- ^ a b Fercher, A. F.; Mengedoht, K.; Werner, W. (1988). "Eye-length measurement by interferometry with partially coherent light". Optics Letters 13 (3): 186–8.Bibcode:1988OptL...13..186F. doi:10.1364/OL.13.000186.PMID 19742022.
- ^ Schmitt, J.M. (1999). "Optical coherence tomography (OCT): a review". IEEE Journal of Selected Topics in Quantum Electronics 5 (4): 1205. doi:10.1109/2944.796348.
- ^ a b Fercher, A (1995). "Measurement of intraocular distances by backscattering spectral interferometry". Optics Communications 117: 43. Bibcode:1995OptCo.117...43F.doi:10.1016/0030-4018(95)00119-S.
- ^ "Micromachined 2-D scanner for 3-D optical coherence tomography". Sensors and Actuators A: Physical 117 (2): 331. 2005. doi:10.1016/j.sna.2004.06.021.
- ^ Dunsby, C; Gu, Y; French, P (2003). "Single-shot phase-stepped wide-field coherencegated imaging". Optics express 11(2): 105–15. Bibcode:2003OExpr..11..105D.doi:10.1364/OE.11.000105. PMID 19461712.
- ^ Roy, M; Svahn, P; Cherel, L; Sheppard, CJR (2002). "Geometric phase-shifting for low-coherence interference microscopy". Optics and Lasers in Engineering 37 (6): 631.Bibcode:2002OptLE..37..631R. doi:10.1016/S0143-8166(01)00146-4.
- ^ Akiba, M.; Chan, K. P.; Tanno, N. (2003). "Full-field optical coherence tomography by two-dimensional heterodyne detection with a pair of CCD cameras". Optics Letters 28 (10): 816–8. Bibcode:2003OptL...28..816A.doi:10.1364/OL.28.000816. PMID 12779156.
- ^ Dubois, A; Vabre, L; Boccara, AC; Beaurepaire, E (2002). "High-resolution full-field optical coherence tomography with a Linnik microscope". Applied optics 41 (4): 805–12.Bibcode:2002ApOpt..41..805D. doi:10.1364/AO.41.000805.PMID 11993929.
- ^ Bourquin, S.; Seitz, P.; Salathé, R. P. (2001). "Optical coherence topography based on a two-dimensional smart detector array". Optics Letters 26 (8): 512–4.Bibcode:2001OptL...26..512B. doi:10.1364/OL.26.000512.PMID 18040369.
- ^ Dörr, Jan; Wernecke, KD; Bock, M; Gaede, G; Wuerfel, JT; Pfueller, CF; Bellmann-Strobl, J; Freing, A; Brandt, AU; Friedemann, P (2011 Apr 8). "Association of retinal and macular damage with brain atrophy in multiple sclerosis.". PloS one 6(4): e18132. doi:10.1371/journal.pone.0018132.PMID 21494659. Retrieved 21 November 2012.
- ^ Keane, PA; Patel, PJ; Liakopoulos, S; Heussen, FM; Sadda, SR; Tufail, A (2012 Sep). "Evaluation of age-related macular degeneration with optical coherence tomography.". Survey of ophthalmology 57 (5): 389–414. PMID 22898648.
- ^ WJ Walecki et al., Determining thickness of slabs of materials, US Patent 7,116,429, 2006
- ^ Wojtek J. Walecki and Fanny Szondy,"Integrated quantum efficiency, reflectance, topography and stress metrology for solar cell manufacturing", , Sunrise Optical LLC, Proc. SPIE 7064, 70640A (2008); doi:10.1117/12.797541
- ^ Wojciech J. Walecki, Kevin Lai, Alexander Pravdivtsev, Vitali Souchkov, Phuc Van, Talal Azfar, Tim Wong, S. H. Lau and Ann Koo, "Low-coherence interferometric absolute distance gauge for study of MEMS structures", Proc. SPIE 5716, 182 (2005);doi:10.1117/12.590013
- ^ Walecki, W. J., Lai, K., Souchkov, V., Van, P., Lau, S. and Koo, A. (2005), Novel noncontact thickness metrology for backend manufacturing of wide bandgap light emitting devices.physica status solidi (c), 2: 984–989.doi:10.1002/pssc.200460606
- ^ Wojciech Walecki, Frank Wei, Phuc Van, Kevin Lai, Tim Lee, S. H. Lau and Ann Koo, "Novel low coherence metrology for nondestructive characterization of high-aspect-ratio microfabricated and micromachined structures", Proc. SPIE 5343, 55 (2004); doi:10.1117/12.530749
- ^ Guss, G.; Bass, I.; Hackel, R.; Demos, S.G. (November 6, 2007). "High-resolution 3-D imaging of surface damage sites in fused silica with Optical Coherence Tomography". Lawrence Livermore National Laboratory UCRL-PROC-236270. Retrieved December 14, 2010.
- ^ W Walecki, F Wei, P Van, K Lai, T Lee, Interferometric Metrology for Thin and Ultra-Thin Compound Semiconductor Structures Mounted on Insulating Carriers, CS Mantech Conference, 2004
- ^ Wojciech J. Walecki, Alexander Pravdivtsev, Manuel Santos II and Ann Koo, "High-speed high-accuracy fiber optic low-coherence interferometry for in situ grinding and etching process monitoring", Proc. SPIE 6293, 62930D (2006);doi:10.1117/12.675592
- ^ see for example ZebraOptical Optoprofiler Probe
- ^ Wojtek J. Walecki and Fanny Szondy, "Fiber optics low-coherence IR interferometry for defense sensors manufacturing", SOLLC, Proc. SPIE 7322, 73220K (2009);doi:10.1117/12.818381
- ^ Dufour, Marc; Lamouche, G.; Gauthier, B.; Padioleau, C.; Monchalin, J.P. (2006). "Inspection of hard-to-reach industrial parts using small diameter probes". SPIE - The International Society for Optical Engineering. doi:10.1117/2.1200610.0467. Retrieved December 15, 2010.
- ^ Dufour, M. L.; Lamouche, G.; Detalle, V.; Gauthier, B.; Sammut, P. (April 2005). "Low-Coherence Interferometry, an Advanced Technique for Optical Metrology in Industry". Insight - Non-Destructive Testing and Condition Monitoring 47 (4): 216–219.doi:10.1784/insi.47.4.216.63149. ISSN 1354-2575.
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Introduction | Anatomy
Introduction
Optical Coherence Tomography (OCT) is a new type of imaging technology. OCT is used for taking cross-sectional pictures of the retina. The retina is located at the back of your eye. It is used to diagnose and follow treatment in certain eye conditions and diseases, such as age-related macular degeneration, diabetic retinopathy and other diseases affecting the macula.
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Anatomy
The retina is located at the back of your eye. The retina is a thin tissue layer that contains millions of nerve cells. The nerve cells are sensitive to light. A main purpose of your eye is to focus light on the retina. The choroid is the lining underneath the retina. The choroid contains blood vessels that supply your retina with blood and oxygen to keep it healthy.
Cones and rods are specialized receptor cells in the retina. Cones are specialized for color vision and detailed vision, such as for reading or identifying distant objects. Cones work best with bright light. The greatest concentration of cones is found in the macula and fovea at the center of the retina. The macula is the center of visual attention. The fovea is the site of visual acuity or best visual sharpness. Rods are located throughout the rest of the retina.
Your eyes contain more rods than cones. Rods work best in low light. Rods perceive blacks, whites, and grays, but not colors. They detect general shapes. Rods are used for night vision and peripheral vision. High concentrations of rods at the outer portions of your retina act as motion detectors in your peripheral or side vision.
The receptor cells in the retina send nerve messages about what you see to the optic nerve. The optic nerves extend from the back of each eye and join together in the brain at the optic chiasm. From the optic chiasm, the nerve signals travel along two optic tracts and eventually to the occipital cortex where you process and perceive vision.
Uses
OCT is a non-invasive imaging test. OCT is a unique test because it allows doctors to look at cross-sectional layers of the retina. Each of the ten layers in the retina can be detected. OCT allows a doctor to measure the thickness of each layer to aid in the early detection and diagnosis of retinal diseases and conditions. Such conditions include age-related macular degeneration, pre-retinal membranes, macular swelling, macular holes, cystoid macular edema, central serous retinopathy, glaucoma, and optic nerve damage.
Preparation
There is no special preparation for this test.
Testing
The testing time is very short. You will be seated for the test. Your face will be stabilized with a positioning device during the test. Your doctor will use a special camera to take pictures of your inner eye. The images are transmitted to a computer for your doctor to view.
In addition, OCT is often used to evaluate disorders of the optic nerve. The optic nerve is made up of many nerve fibers and sends signals from your retina to your brain, where these signals are interpreted as the images you see. The OCT exam is helpful in determining changes to the fibers of the optic nerve, such as those caused by glaucoma.
ReplyDeleteSince OCT relies on light waves, it cannot be used successfully with any condition that interferes with light passing through the eye, such as dense cataracts or significant bleeding in the vitreous (the gel in the center of the eye).