Beruflich Dokumente
Kultur Dokumente
Dr Elvioza SpM(K)
*Head of Vitreo-Retina division
Dept. Of Opthalmology
FKUI – RSCM Kirana
*Head of Retina Service Jakarta Eye Center
Eye Hospital
OCT
Immediate quantification
Routine use
Making an initial diagnosis
Detecting disease progression
Planning treatment approaches
Monitoring postoperative results
Educating patients
Normal Macula
Subretinal fluid
INTRARETINAL FLUID
Intraretinal cysts
RPE TEAR
A (fluorescein angiography) and B (OCT) of a RAP lesion. OCT shows RAP (*)
associated with edema, intraretinal cysts (↘) and subretinal fluid (∆), C
(OCT), OCT shows the RPE and the retinal neurosensory layer detachments.
Intrarretinal cysts (∆), dense retinal particles (↘), the posterior hyaloid
membrane (v) and a vessel (*) can be appreciated too
DISCIFORM SCARS
(A) Central soft drusen may be seen in the retinography. (B) Drusen are
observed as undulations and elevations of RPE hyperreflective band
with less reflective material below them.
(A) Central hard drusen surrounded by atrophic areas of the RPE are seen in the
retinography. (B) In the autofluorescence image, a hypofluorescence area
corresponding to atrophic areas of the RPE may be apreciated. (C) In the OCT, two
hyperreflectant points corresponding to hard drusen observed in the retinography are
seen. (D) Infrared image captured by the OCT which shows the tomographic section
line of figure C.
PrONTO study
Wet
OCT : response to ranibizumab injection
in an eye with neovascular AMD
Ranibizumab
injection
Ranibizumab
injection
In the second year of the study, the presence of qualitative
changes in the OCT images that suggested fluid recurrence was
included, such as intraretinal cysts (A), subretinal fluid (B), or
progression of a PED (C1 and C2).
Ophthalmology Volume 121, Number
1, January 2014
CYST YES VS NO
0 .1 2 5 0 .2 5 0 .5 1 2 4 8
H a z a r d R a tio
95% confidence intervals are shown.
Sadda et al. 2014. Presented at the American Academy of Ophthalmology Annual Meeting, Subspecialty Day, Chicago, IL, October
17, 2014
Predictors for Visual Acuity score change or gain ≥ 3 line
from baseline at 1 Year
Older age is
significant predictors
of less gain VA score
at 1 year
Presence of RPE
elevation at baseline
significant predictors of
less gain VA score at 1
year
Sub analysis of CATT study
Integrity of inner-segment /outer-
segment (IS/OS) junction, and external
limiting membrane (ELM)
Eyes with more ELM damage at the baseline when measured on SD-OCT
manifested poorer visual improvement than the eyes that with less ELM
damage
Improves quality