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Minimum distance mapping using three-dimensional optical coherence tomography for glaucoma diagnosis

J. Biomed. Opt., Vol. 12, 041204 (2007); doi:10.1117/1.2773736

Published 10 September 2007
Boris Považay, Bernd Hofer, Boris Hermann, and Angelika Unterhuber
Cardiff University, School of Optometry and Vision Sciences, Biomedical Imaging Group, Cardiff, Wales CF24 4LU, United Kingdom and Medical University of Vienna, Center for Biomedical Engineering and Physics, Waehringerstrasse 13, Vienna A-1090, Austria

James E. Morgan
Cardiff University, School of Optometry and Vision Sciences, Biomedical Imaging Group, Cardiff, Wales CF24 4LU, United Kingdom

Carl Glittenberg and Susanne Binder
Rudolf Foundation Clinic Vienna, Department of Ophthalmology, Ludwig Boltzmann Institute, Vienna A-1090, Austria

Wolfgang Drexler
Cardiff University, School of Optometry and Vision Sciences, Biomedical Imaging Group, Cardiff, Wales CF24 4LU, United Kingdom and Medical University of Vienna, Center for Biomedical Engineering and Physics, Waehringerstrasse 13, Vienna A-1090, Austria
Objective imaging of the optic nerve structure has become central to the management of patients with glaucoma. There is an urgent need in diagnosis and staging for reliable objective precursors and markers. Three-dimensional ultrahigh-resolution frequency domain optical coherence tomography (3D UHR OCT) holds particular promise in this respect since it enables volumetric assessment of intraretinal layers including tomographic data for the retinal nerve fiber layer (RNFL) and optic nerve head. The integrated analysis of this information and the resolution advantage has enabled the development of more informative indices of axonal damage in glaucoma compared with measurements of RNFL thickness and cup-to-disc ratio provided by commercial OCT devices. The potential for UHR OCT in enabling the combined analysis of tomographic and volumetric data on retinal structure is explored. A novel parameter was developed; the three-dimensional minimal distance as the optical correlate of true retinal nerve fiber layer thickness around the optic nerve head region. For the purposes of this pilot study, we present data from a normal subject and from two patients with characteristic optic nerve and retinal nerve fiber layer changes secondary to glaucoma.

©2007 Society of Photo-Optical Instrumentation Engineers
History: Received 17 November 2006; revised 30 March 2007; accepted 6 April 2007; published 10 September 2007
DOI Link: http://dx.doi.org/10.1117/1.2773736
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KEYWORDS and PACS

Keywords
PACS
  • 42.66.Ew
    Physiology of eye; optic-nerve structure and function
  • 87.63.Lk
    Visible radiation: diaphanography, transillumination, laser imaging in medicine
  • 42.30.Wb
    Image reconstruction; tomography
  • YEAR: 2007

JOURNAL DATA

ISSN:
1083-3668 (print)   1560-2281 (online)
Publisher:
AIP is a member of CrossRef SPIE

REFERENCES (27)

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