OCT Angiography The Next Frontier
|
|
- Samuel Kennedy
- 5 years ago
- Views:
Transcription
1 Choroid Retina avascular 5/13/2017 OCT Angiography The Next Frontier Pierce Kenworthy OD, FAAO June 9, 2017 OCT Angiography (OCTA) 2016 Non-invasive, motion contrast imaging Represents erythrocyte movement in retinal blood vessels OCTA does NOT replace FA Possible advantages of OCTA over FA: 1) No IV Injection (no risk of dye) 2) Higher Resolution 3) Multiple retinal layers visualized Normal Retina Central retinal artery Superficial capillary network Deep capillary network Internal limiting membrane Nerve fiber layer Ganglion cell layer IPL INL Middle limiting membrane OPL ONL External limiting membrane Photoreceptor layer Blood retinal barrier: Tight junctions (zonula occludens) in RPE and between endothelial cells RPE 6x6 vs 3x3 (Just released 8x8) 3x3 6x6 1
2 VRI Superficial Deep Avascular Superficial Deep Avascular Choriocapillaris 2
3 Choroid Case 1 Cornea vs Retina? Chief Complaint Conundrum 57 yo African American female May have scratched her OS while doing construction work Something got in OS 2 weeks ago Pt c/o blurry vision in OS nasally x 2 weeks Described her VA as cloudy 20/30 OS Worse in the morning, gets better throughout day (-) pain, (-) discomfort 20/30 Superficial OCT Angiography Artifact from blood Reduced blood flow Source of the BRVO Motion Artifact Macula 3
4 Source of occlusion? Superficial Angiography Artifact from Blood VRI VRI Case 2 What if BRVO was 10 years ago? 73 year old white female diabetic 20/30-2 Macular edema occurs in 90% of BRVO cases 4
5 EnFace shows reflection Collateral Reabsorbed Cyst B-scan confirms no flow Projection Artifact Case 3 Which eye is abnormal? (Or are they both abnormal?) OD Early lamellar hole? OS Cystic space? Disrupted layer? What do you think NOW? 20/25 20/30 20/25 5
6 Images from 2013 OD Retina OCT-Angiography 3 years after CRVO OS OS 20/20 20/30 Where will retina be thinnest? Where will retina be thinnest? Case 4 68 year old white male Old Superior BRVO Ghost vessels? (Non-perfused, sclerotic) 20/25 Exudates (lipoprotein and lipid filled macrophages) Develop at junction of normal and edematous retina (from chronic, localized retinal edema) 6
7 Case 5 72 year old white female Ischemic BRVO >5 DD of nonperfusion on FA 20/40 bottom half of letters missing Blind Spot.right?? Deep Structure Or that one? Who cares!? 20/80 One Month Later 20/80 Two months Later 7
8 Diabetic Retinopathy Age-adjusted Prevalence of Obesity and Diagnosed Diabetes Among US Adults Obesity (BMI 30 kg/m 2 ) No Data <14.0% 14.0% 17.9% 18.0% 21.9% 22.0% 25.9% > 26.0% 86% of individuals with type 1 DM and 40% of those with type 2 DM have some form of clinically evident diabetic retinopathy Diabetes No Data <4.5% 4.5% 5.9% 6.0% 7.4% 7.5% 8.9% >9.0% CDC s Division of Diabetes Translation. National Diabetes Surveillance System available at 8
9 Case 6 35 year old AA female Newly diagnosed diabetic A1C 11.7%, BS 330 Early Diabetic Retinopathy Double fovea motion artifact AKA: Rookie mistake 20/ /25+1 Capillary Drop Out (moth eaten) Areas of reduced blood flow Case 7 OD OS Mild Diabetic 45 year old AA male, diabetic Retinopathy 9
10 Why do capillary walls break? Death and absence of pericytes leading to focal dilation of wall En Face Image Exudates and microaneurysms Hyperfluorescent dots in early phase of FA FAZ remodeling 10
11 Superficial Angiography 1 2 Capillary Loops and Drop Out Case 8 Which quadrant has a problem? Diabetic pt no changes in VA 20/ Structure Deep Avascular Angiography IS/OS Ellipsoid EnFace Lesson in Refraction Initial Initial One month resolution 1.00 Diopter shift Glasses re-make 11
12 More advanced diabetic retinopathy ~¼ of retina non-perfused before PDR develops Case 9 Macular Degeneration 20/ yo white 20/30+1 female, 3+ NSC Drusen OU 63 microns 125 microns Angiography Retina Drusen tip error B-scan Flow Motion Artifact OD OS Avascular 12
13 Drusen progression OD OS Choroid Angiography Case year old white male Geographic Atrophy Hx of Eylea/Avastin injections right eye Geographic Atrophy 20/250 OD > OS 20/30 Drusen-related Neovascularization related OD Retinal Angiography about the same? Structural differences OS OD Choriocapillaris Angiography OS 13
14 Case year old white female Advanced dry ARMD with GA OD 20/200 20/150 Retina OCT Angiography At level of RPE OD Retina OCT Angiography At level of RPE 80 microns below RPE Retina OCT Angiography 80 microns below RPE 58 yo female with drusen and FHx of macular degeneration 20/40 20/25 14
15 Choroidal neovascularization Abnormal growth of blood vessel complex through Bruch membrane from the choriocapillaris Formation of disciform scar My Big Three with Angioplex Understanding Retinal Vascular Occlusions Discovering Diabetic Retinopathy earlier Conversion from Dry to Wet AMD Other considerations: Choroidal Nevus Plaquenil Glaucoma 15
16 16
OCT Interpretation in Retinal Disease
OCT Interpretation in Retinal Disease Jay M. Haynie, OD, FAAO Financial Disclosure I have received honoraria or am on the advisory board for the following companies: Carl Zeiss Meditec Advanced Ocular
More informationIncorporating OCT Angiography Into Patient Care
Incorporating OCT Angiography Into Patient Care Beth A. Steele, OD, FAAO OCT A: Introduction Isolates microvascular circulation from OCT image data Axial resolution = 5 microns (i.e. fine capillaries visible)
More information10/17/2017. FDA Approved. Zeiss AngioPlex TM Optovue AngioVue TM
Images retinal microvasculature without dye injection Displays structure and function from a single imaging system Standard of Care-2011 DFE, Fundus Photos, VF 10-2, SD-OCT, FAF, or mferg 2016-AAO Baseline
More informationZEISS AngioPlex OCT Angiography. Clinical Case Reports
Clinical Case Reports Proliferative Diabetic Retinopathy (PDR) Case Report 969 PROLIFERATIVE DIABETIC RETINOPATHY 1 1-year-old diabetic female presents for follow-up of proliferative diabetic retinopathy
More informationOptical Coherence Tomography in Diabetic Retinopathy. Mrs Samantha Mann Consultant Ophthalmologist Clinical Lead of SEL-DESP
Optical Coherence Tomography in Diabetic Retinopathy Mrs Samantha Mann Consultant Ophthalmologist Clinical Lead of SEL-DESP Content OCT imaging Retinal layers OCT features in Diabetes Some NON DR features
More informationOCT Angiography in Primary Eye Care
OCT Angiography in Primary Eye Care An Image Interpretation Primer Julie Rodman, OD, MS, FAAO and Nadia Waheed, MD, MPH Table of Contents Diabetic Retinopathy 3-6 Choroidal Neovascularization 7-9 Central
More informationFA vs. OCTA? The status of OCTA, today. Fukuoka, JSOS 2016 Gerd Klose. Korobelnik J Fr Ophthalmol (2015)
FA vs. OCTA? The status of OCTA, today Korobelnik J Fr Ophthalmol (2015) Fukuoka, JSOS 2016 Gerd Klose 1 2 FA / ICGA a well-founded Gold standard! Benefits Useful for many pathologies High contrast, detailed
More informationZEISS AngioPlex OCT Angiography Making the revolutionary, routine.
ZEISS AngioPlex OCT Angiography Making the revolutionary, routine. The moment that revolutionary insight becomes routine. // OCT ANGIOGRAPHY MADE BY ZEISS CIRRUS with AngioPlex creates a new era in both
More informationOptical Coherence Tomography: Pearls for the Anterior Segment Surgeon Basic Science Michael Stewart, M.D.
Optical Coherence Tomography: Pearls for the Anterior Segment Surgeon Basic Science Michael Stewart, M.D. Disclosure OCT Optical Coherence Tomography No relevant financial relationships I will refer to
More informationZEISS AngioPlex OCT Angiography Overview ZEISS OCT Angiography
ZEISS AngioPlex OCT Angiography Overview ZEISS OCT Angiography California, ZEISS AngioPlex Ultra-clear visualization of microvascular blood flow using non-invasive OCT angiography 2 AngioPlex OCT Angiography
More informationOCT Interpretation. Financial Disclosure. Jay M. Haynie, OD, FAAO. OCT Image Layers 7/21/2014
OCT Interpretation Jay M. Haynie, OD, FAAO Financial Disclosure I have received honoraria or am on the advisory board for the following companies: Olympia Tacoma Renton Kennewick - Washington Carl Zeiss
More informationPosterior Segment Update
Posterior Segment Update Featured Speaker: Dr. Kyle Cheatham, FAAO, DIP ABO DISCLOSURE STATEMENT We have no direct financial or proprietary interest in any companies, products or services mentioned in
More informationDisclosures. Definitions. Goals. Imaging and glaucoma 3/22/2016
Pinakin Davey OD, PhD, FAAO Professor and Director of Research Disclosures Principal investigator for ivue OCT trial Principal investigator Topcon FDA trials for Maestro and OCT 2000 Consultant for Topcon
More informationThe Quick Guide to OCT Mastery 50 Real Cases with Expert Analysis
OPTICAL COHERENCE TOMOGRAPHY The Quick Guide to OCT Mastery 50 Real Cases with Expert Analysis VOL 1 Sanjay Sharma, MD, FRCS, MSc (Epid), MBA Ophthalmologist, Epidemiologist Queen s University, Canada
More informationVisualize. Analyze. Personalize. OCT + OCTA
Visualize. Analyze. Personalize. OCT + OCTA A New Approach to Protecting Vision AngioVue OCT Angiography brings valuable new information to clinical practice. Non-invasive visualization of retinal vasculature.
More informationDeeper visualizations for intervening with confidence.
CIRRUS OCT with AngioPlex from ZEISS Making the revolutionary routine New vascular quantification Deeper visualizations for intervening with confidence. CIRRUS OCT with AngioPlex from ZEISS can be a much
More informationIs OCT-A Needed As An Investigative Tool During The Management Of Diabetic Macular Edema
Is OCT-A Needed As An Investigative Tool During The Management Of Diabetic Macular Edema Ayman M Khattab MD, FRCS Professor of Ophthalmology Cairo University Diabetic Macular Edema (DME) Diabetic macular
More informationWill OCT-Angiography replace FA?
ASL Roma A PRESIDIO TERRITORIALE NUOVO REGINA MARGHERITA AMBULATORIO PATOLOGIE RETINICHE Resp. Dott.ssa SUSANNA CATALANO CENTRO ITALIANO MACULA Will OCT-Angiography replace FA? Marco Rispoli, Luca di Antonio,
More informationSwept-Source OCT Angiography: SS OCT Angio TM
Swept-Source OCT Angiography: SS OCT Angio TM Not available in all countries, please check with your distributor. 2015.09 Swept-Source OCT Angiography: SS OCT Angio TM Introduction Optical coherence tomography
More informationOPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY OF THE RETINA AND OPTIC NERVE. Lindsay B. Howse, OD
OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY OF THE RETINA AND OPTIC NERVE Lindsay B. Howse, OD drlindsayhowse@gmail.com None. FINANCIAL DISCLOSURES OUTLINE Introduction/How OCTA works OCTA Analysis Advantages
More informationOCT Image Analysis System for Grading and Diagnosis of Retinal Diseases and its Integration in i-hospital
Progress Report for1 st Quarter, May-July 2017 OCT Image Analysis System for Grading and Diagnosis of Retinal Diseases and its Integration in i-hospital Milestone 1: Designing Annotation tool extraction
More informationMark Dunbar: Disclosure
Important Things to Understand About OCT Mark T. Dunbar, O.D., F.A.A.O. Bascom Palmer Eye Institute University of Miami, School of Medicine Mark Dunbar: Disclosure Optometry Advisory Board for: Allergan
More informationThe Human Eye. Cornea Iris. Pupil. Lens. Retina
The Retina Thin layer of light-sensitive tissue at the back of the eye (the film of the camera). Light rays are focused on the retina then transmitted to the brain. The macula is the very small area in
More informationThe Natural History of Diabetic Retinopathy and How Primary Care Makes A Difference
The Natural History of Diabetic Retinopathy and How Primary Care Makes A Difference We will discuss - How exactly does blood sugar control affect retinopathy? - What are other factors that we measure in
More informationPatient AB. Born in 1961 PED
Clinical Atlas Patient AB Born in 1961 PED Autofluorescence Dilated 45 EasyScan Zero-dilation IR 45 Fundus Dilated 45 In the fundus photos (Canon CX1) the PED is not able to be seen. However, the extent
More informationIntroducing ANGIOVUE ESSENTIAL. Built on the Avanti Widefield OCT Platform. OCT Angiography for Primary Eye Care
Introducing ANGIOVUE ESSENTIAL Built on the Avanti Widefield OCT Platform OCT Angiography for Primary Eye Care Transform Your View of the Retina OCT Angiography (OCTA) is a quick non-invasive test that
More informationCourse # Getting to Know Your OCT
Course # 140 Getting to Know Your OCT Course Title: Lecturer: Getting to Know Your OCT Brad Sutton, OD, FAAO IU School of Optometry Financial Disclosures No financial disclosures Optical Coherence Tomography-OCT
More informationDiagnosis and treatment of diabetic retinopathy. Blake Cooper MD Ophthalmologist Vitreoretinal Surgeon Retina Associates Kansas City
Diagnosis and treatment of diabetic retinopathy Blake Cooper MD Ophthalmologist Vitreoretinal Surgeon Retina Associates Kansas City Disclosures Consulted for Novo Nordisk 2017,2018. Will be discussing
More informationLeo Semes, OD, FAAO UAB Optometry
Leo Semes, OD, FAAO UAB Optometry Safe; inert Has long track record - over 45 years Mixes with plasma and highlights blood vessel compromise Using specific exciting (490 nm)and absorption (510 nm) filters
More informationClinically Significant Macular Edema (CSME)
Clinically Significant Macular Edema (CSME) 1 Clinically Significant Macular Edema (CSME) Sadrina T. Shaw OMT I Student July 26, 2014 Advisor: Dr. Uwaydat Clinically Significant Macular Edema (CSME) 2
More informationEyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion
EyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion George Bresnick MD MPA Jorge Cuadros OD PhD Anatomy of the eye: 3 Normal Retina
More informationDiabetic Retinopathy A Presentation for the Public
Diabetic Retinopathy A Presentation for the Public Ray M. Balyeat, MD The Eye Institute Tulsa, Oklahoma The Healthy Eye Light rays enter the eye through the cornea, pupil and lens. These light rays are
More informationDiabetic Retinopatathy
Diabetic Retinopatathy Jay M. Haynie, OD, FAAO Financial Disclosure I have received honoraria or am on the advisory board for the following companies: Carl Zeiss Meditec Arctic DX Macula Risk Advanced
More informationClinical Case Presentation. Branch Retinal Vein Occlusion. Sarita M. Registered Nurse Whangarei Base Hospital
Clinical Case Presentation on Branch Retinal Vein Occlusion Sarita M. Registered Nurse Whangarei Base Hospital Introduction Case Study Pathogenesis Clinical Features Investigations Treatment Follow-up
More informationAge-related Macular Degeneration Update
Age-related Macular Degeneration Update AMD: The Burden of Disease Carlo J. Pelino, OD, FAAO cpelino@salus.edu Joseph J. Pizzimenti, OD, FAAO pizzimen@nova.edu Course Goals Statement of the problem Epidemiology
More informationPART 1: GENERAL RETINAL ANATOMY
PART 1: GENERAL RETINAL ANATOMY General Anatomy At Ora Serrata At Optic Nerve Head Fundoscopic View Of Normal Retina What Is So Special About Diabetic Retinopathy? The WHO definition of blindness is
More informationInteresting, unusual, eclectic cases from 2017 Robert A. Mittra, MD VitreoRetinal Surgery, P.A. Minneapolis, MN
56 yo female, EW Presented to outside Ophthalmologist Diagnosed with viral conjunctivitis, but viral testing was negative. Also had pain around the eye and on the right side of her face Interesting, unusual,
More informationYear 2 MBChB Clinical Skills Session Ophthalmoscopy. Reviewed & ratified by: Mr M Batterbury Consultant Ophthalmologist
Year 2 MBChB Clinical Skills Session Ophthalmoscopy Reviewed & ratified by: o Mr M Batterbury Consultant Ophthalmologist Learning objectives o To understand the anatomy and physiology of the external and
More informationUse of the Free Electron Laser for the Noninvasive Determination of Retinal Oxyhemoglobin Saturation by Near Infrared Reflectance Spectrophotometry
Use of the Free Electron Laser for the Noninvasive Determination of Retinal Oxyhemoglobin Saturation by Near Infrared Reflectance Spectrophotometry Ref: Eye, M.C. Escher, 1946 Ref: Eye, M.C. Escher, 1946
More informationAdvances in OCT Murray Fingeret, OD
Disclosures Advances in OCT Murray Fingeret, OD Consultant Alcon, Allergan, Bausch & Lomb, Carl Zeiss Meditec, Diopsys, Heidelberg Engineering, Reichert, Topcon Currently Approved OCT Devices OCT Devices
More informationOCT Angiography. Financial Disclosures: Pre-Test: Which one is Correct?
OCT Angiography Brandon Lujan, MD Medical Director, Casey Reading Center Assistant Professor of Ophthalmology Financial Disclosures: Genentech (Consultant, Grant support, Educational training) UC Berkeley
More informationInteresting, unusual and eclectic cases from 2017 Robert A. Mittra, MD VitreoRetinal Surgery, P.A. Minneapolis, MN
Fundus, SG Interesting, unusual and eclectic cases from 2017 Robert A. Mittra, MD VitreoRetinal Surgery, P.A. Minneapolis, MN Which is most likely? A) Age > 65, history of HTN B) Age 40 65, history of
More informationFA Conference. Lara Rosenwasser Newman, M.D. 10/2/14 University of Louisville Department of Ophthalmology and Visual Sciences
FA Conference Lara Rosenwasser Newman, M.D. 10/2/14 University of Louisville Department of Ophthalmology and Visual Sciences Patient Presentation CC: (sent by optometrist) Blurry/foggy vision HPI: 62 yo
More informationYou can C-ME after Uveitis
You can C-ME after Uveitis Abstract: Approximately 50% of uveitis patients will present with vision loss secondary to cystoid macular edema[1]. Two patients with uveitis present with a constant decrease
More informationFive Things You re Missing with Your Fundus Camera
ebook Five Things You re Missing with Your Fundus Camera By Donald J. Siegel, OD, Sun City West Eye Care Sponsored by: Before I began incorporating EIDON true-color imaging into my practice, my retinal
More informationRetinal Complications of Obstructive Sleep Apnea A Growing Concern!
Retinal Complications of Obstructive Sleep Apnea A Growing Concern! Jay M. Haynie, OD, FAAO Financial Disclosure I have received honoraria or am on the advisory board for the following companies: Carl
More informationDo You See What I See!!! Shane R. Kannarr, OD
Do You See What I See!!! Shane R. Kannarr, OD skannarr@kannarreyecare.com Define Specialty Testing Additional Test to: Prove/Disprove Diagnosis To monitor progression of a condition To document a condition
More informationPast ocular history. DME Case 1. Patient presents blurred VA. Hemoglobin A1c 11.5% -- patient states sugars have not been in good control
Past ocular history Patient presents blurred VA DME Case 1 Hemoglobin A1c 11.5% -- patient states sugars have not been in good control PDR with macular edema OU Rishi Singh MD Cleveland Clinic OD OS 1
More informationAmber Priority. Image Library
Amber Priority Image Library Amber flag Diabetic Maculopathy (M1) Pre-proliferative Diabetic Retinopathy (R2) Old, treated and now inactive DR (R1/M0/P1or R0/M0/P1) Where only partial or incomplete images
More informationRETINA. OCT in the Optometric Prac4ce OCT. New stuff 11/7/17 AMD. Disclosure Statement
Disclosure Statement OCT in the Optometric Prac4ce Steven Ferrucci, OD, FAAO Chief, Optometry Sepulveda VA Professor, SCCO/MBKU Speakers bureau/advisory Board Alcon B&L Centervue Genentech MacuLogix Optovue
More informationFundus Autofluorescence. Jonathan A. Micieli, MD Valérie Biousse, MD
Fundus Autofluorescence Jonathan A. Micieli, MD Valérie Biousse, MD The retinal pigment epithelium (RPE) has many important functions including phagocytosis of the photoreceptor outer segments Cone Rod
More information11/29/2016 MACULAR MALADIES: TYPICAL & ATYPICAL CASES
MACULAR MALADIES: TYPICAL & ATYPICAL CASES Dawn Pewitt, OD, FAAO Triad Eye Institute, Grove, OK Dpewitt@triadeye.com Disclosure Statement: No financial disclosures COPE 51218-PS Please silence all mobile
More informationVenous Occlusive Diseases
Venous Occlusive Diseases Bruce R. Saran, MD Adjunct Assistant Clinical Professor of Medicine Scheie Eye Institute University of Pennsylvania School of Medicine Philadelphia, PA -a division of: RVO Demographics
More informationRetinal Vein Occlusion
Retinal Update 2018 Retinal Vein Occlusion Case Presentations to Myself Branch Vein Occlusion What medical evaluation do you recommend for this 72 year old patient? Is there anything you ask of your medical
More informationRetina Conference. Janelle Fassbender, MD, PhD University of Louisville Department of Ophthalmology and Visual Sciences 09/04/2014
Retina Conference Janelle Fassbender, MD, PhD University of Louisville Department of Ophthalmology and Visual Sciences 09/04/2014 Subjective CC/HPI: 64 year old Caucasian female referred by outside ophthalmologist
More informationOCT-Angiography Clinical Cases. OCT-Angiography Clinical Cases
OCT-Angiography Clinical Cases OCT-Angiography Clinical Cases NIDEK RS-3000 Advance AngioScan Daniela Bacherini Andrea Sodi Stanislao Rizzo CONTENTS Page Authors 3 Introduction 4 Case 1 Case 2 Case 3 Case
More informationATLAS OF OCT. Retinal Anatomy in Health & Pathology by Neal A. Adams, MD. Provided to you by:
ATLAS OF OCT Retinal Anatomy in Health & Pathology by Neal A. Adams, MD Provided to you by: Atlas of OCT The OCT Atlas is written by Neal A. Adams, MD, and produced by Heidelberg Engineering, Inc. to help
More informationDiabetic Retinopathy. Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012
Diabetic Retinopathy Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012 Outline Statistics Anatomy Categories Assessment Management Risk factors What do you need to do? Objectives Summarize the
More informationThe Era of anti- - - VEGF Kirk L. Halvorson, OD
The Era of anti- - - VEGF Kirk L. Halvorson, OD Introduction: Anti- - - Vascular Endothelial Growth Factor (Anti- - - VEGF) medication is a relatively a new line of medications used in treating a variety
More informationCHAPTER 13 CLINICAL CASES INTRODUCTION
2 CHAPTER 3 CLINICAL CASES INTRODUCTION The previous chapters of this book have systematically presented various aspects of visual field testing and is now put into a clinical context. In this chapter,
More informationDr/ Marwa Abdellah EOS /16/2018. Dr/ Marwa Abdellah EOS When do you ask Fluorescein angiography for optic disc diseases???
When do you ask Fluorescein angiography for optic disc diseases??? 1 NORMAL OPTIC DISC The normal optic disc on fluorescein angiography is fluorescent due to filling of vessels arising from the posterior
More informationmeasure of your overall performance. An isolated glucose test is helpful to let you know what your sugar level is at one moment, but it doesn t tell you whether or not your diabetes is under adequate control
More informationGENERAL INFORMATION DIABETIC EYE DISEASE
GENERAL INFORMATION DIABETIC EYE DISEASE WHAT IS DIABETIC EYE DISEASE? Diabetic eye disease is a term used to describe the common eye complications seen in people with diabetes. It includes: Diabetic retinopathy
More informationImplementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute
Implementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute Excellence in Optometric Education John A. McGreal Jr., O.D. Missouri Eye Associates
More informationElectrodiagnostics Alphabet Soup
Nathan Lighthizer, O.D., F.A.A.O Assistant Professor, NSUOCO Chief of Specialty Care Clinics Chief of Electrodiagnostics Clinic What is electrodiagnostics testing? Visual Pathway Basic Understanding VEP
More informationBuilding The Retina Company
Building The Retina Company Optos devices produce ultra-widefield (UWF ), high resolution images (optomap ) of approximately 82% (200 ) of the retina. A single optomap can document the retina from the
More informationImplementing New & Revised ICD-10 Codes
Implementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates cgreal Educational Institute Excellence in Optometric Education John A. McGreal Jr., O.D. Missouri Eye Associates
More informationMeasures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity.
Measures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity. CNE/CPE/CEU s are available for this live webinar. You must
More informationMild NPDR. Moderate NPDR. Severe NPDR
Diabetic retinopathy Diabetic retinopathy is the most common cause of blindness in adults aged 35-65 years-old. Hyperglycaemia is thought to cause increased retinal blood flow and abnormal metabolism in
More informationEYLEA. (aflibercept solution for injection) Patient Guide
EYLEA (aflibercept solution for injection) Patient Guide Eylea is used to treat Wet Age-Related Macular Degeneration (Wet AMD), macular oedema secondary to Branch and Central Retinal Vein Occlusion (BRVO
More informationAge-Related. macular degeneration.
Age-Related Macular Degeneration This pamphlet is designed to help people with age-related macular degeneration and their families better understand the disease. It describes the causes, symptoms, diagnosis,
More informationf.a.q s Q. Why should I have an iwellness exam?
f.a.q s The iwellness exam is a quick and non-invasive scan of your eye that lets your doctor see the layers of your retina to aid in the diagnosis of sight-threatening eye disease. Q. Why should I have
More informationBilling Requirements for Intravitreal Injections. Financial Interest. Indications. Documentation. Documentation. Documentation
Billing Requirements for Intravitreal Injections Financial Interest ASCRS ASOA Symposium & Congress Practice Management Program Los Angeles, California May 5-9, 2017 Presented by: Patricia Kennedy, COMT,
More informationPrinciple of OCT. Reading Between the Lines: OCT Interpretation. Initial Concept. Advantage: High Resolution Cross Section Images
Principle of OCT Reading Between the Lines: OCT Interpretation Mohammad Rafieetary, OD, FAAO mrafieetary@charlesretina.com Introduction Optical Biopsy Morphologic Evaluation of Live Tissue Measurements
More informationOCT Angiography. SriniVas Sadda, MD
OCT Angiography SriniVas Sadda, MD Professor of Ophthalmology Director, Medical Retina Unit Ophthalmic Imaging Unit University of Southern California Los Angeles, California, USA Disclosure Consulting
More informationVisualize. Analyze. Personalize. OCT + OCTA. with
Visualize. Analyze. Personalize. OCT + OCTA with Avanti Widefield OCT with AngioVue OCTA Imaging Comprehensive Structural and Functional Imaging in a Single Imaging Platform Comprehensive OCT Imaging The
More informationNon-arteritic anterior ischemic optic neuropathy (NAION) with segmental optic disc edema. Jonathan A. Micieli, MD Valérie Biousse, MD
Non-arteritic anterior ischemic optic neuropathy (NAION) with segmental optic disc edema Jonathan A. Micieli, MD Valérie Biousse, MD A 75 year old white woman lost vision in the inferior part of her visual
More informationTHE EYE: RETINA AND GLOBE
Neuroanatomy Suzanne Stensaas February 24, 2011, 10:00-12:00 p.m. Reading: Waxman Ch. 15. Your histology and gross anatomy books should be useful. Reading: Histology of the Eye from any histology book
More informationOphthalmology. Juliette Stenz, MD
Ophthalmology Juliette Stenz, MD Required Slide Disclosures NO SIGNIFICANT FINANCIAL, GENERAL, OR OBLIGATION INTERESTS TO REPORT Required Slide At the end of this session, students will be able to: 1.
More informationFluorescein Angiography
Last revision: October 2011 by Luis Arias Fluorescein Angiography Authors: Luis Arias, MD Hospital Universitari de Bellvitge - University of Barcelona. Spain Jordi Monés, MD Institut de la Màcula i de
More informationDiabetic Retinopathy
Diabetic Retinopathy Diabetes can be classified into type 1 diabetes mellitus and type 2 diabetes mellitus, formerly known as insulin-dependent diabetes mellitus, and non-insulin diabetes mellitus, respectively.
More informationFrom Outdated to Updated: A Review of Important Clinical Trials in Ocular Disease from 2014
From Outdated to Updated: A Review of Important Clinical Trials in Ocular Disease from 2014 1. This course is designed to review the important ophthalmic literature that was released between October 2013
More information8/6/17. Disclosures Aerie Pharmaceuticals Alcon BioTissue Diopsys Optovue Shire
Nathan Lighthizer, O.D., F.A.A.O. Associate Professor Assistant Dean for Clinical Care Director of Continuing Education Chief of Specialty Care Clinics Oklahoma College of Optometry Tahlequah, OK lighthiz@nsuok.edu
More informationCentral venous occlusion
Central venous occlusion Central venous occlusion (right eye) There are dark haemorrhages at the macula and all over the retina. Choroidal haemangioma A choroidal haemangioma has salmon pink colour. There
More informationMichael P. Blair, MD Retina Consultants, Ltd Libertyville/Des Plaines, Illinois Clinical Associate University of Chicago 17 October 2015
Michael P. Blair, MD Retina Consultants, Ltd Libertyville/Des Plaines, Illinois Clinical Associate University of Chicago 17 October 2015 So What Parts of the Eye Retina are Affected by VHL Neural tissue
More informationCase Follow Up. Sepi Jooniani PGY-1
Case Follow Up Sepi Jooniani PGY-1 Triage 54 year old M Pt presents to prelim states noticed today he had reddness to eyes, states worse in R eye. Pt denies any pain or itching. No further complaints.
More informationEyes on Diabetics: How to Avoid Blindness in Diabetic Patient
Eyes on Diabetics: How to Avoid Blindness in Diabetic Patient Rova Virgana FK Unpad Pusat Mata Nasional RS Mata Cicendo Bandung Eye Center (Hospital and Clinic) PIT IDI Jabar 2018 Keys Facts from WHO
More informationOphthalmology. Ophthalmology Services
Ophthalmology Ophthalmology Services The Ophthalmology service offers the latest and most comprehensive eye care for patients. With a dedicated team of eye surgeons and consultants, we treat vision problems
More informationThe College of Optometrists - Learning outcomes for the Professional Certificate in Medical Retina
Learning outcomes for the Professional Certificate in Medical Retina, incorporating diabetic retinopathy screening and age related macular degeneration The professional certificate is a prerequisite to
More informationDiagnosis in AMD. Managing your AMD Patients
Managing your AMD Patients Robert W. Dunphy, O.D., F.A.A.O. Diagnosis in AMD Have suspicion Identify relative risk Conduct surveillance Biometry Utilize technology to facilitate detection of change / stability
More informationAge-Related Eye Diseases and Conditions. Jonathan M. Frantz, MD, F.A.C.S. Cataract and Refractive Surgeon
Age-Related Eye Diseases and Conditions Jonathan M. Frantz, MD, F.A.C.S. Cataract and Refractive Surgeon Vision Changes Patients notice vision changes with aging. Many changes are common and can often
More informationThe Diabetic Retinopathy Clinical Research Network. Management of DME in Eyes with PDR
The Diabetic Retinopathy Clinical Research Network Management of DME in Eyes with PDR 1 What Has Been Learned? Diabetic Retinopathy Treatment Protocol F: Results suggest that clinically meaningful differences
More informationHistory/principles of the OCT What does the normal retinal OCT look like Vitreal disorders Retinal/RPE disorders Choroidal disorders
Nathan Lighthizer, O.D., F.A.A.O. Assistant Professor Assistant Dean for Clinical Care Director of Continuing Education Chief of Specialty Care Clinics Chief of Electrodiagnostics Clinic Oklahoma College
More informationRETINAL CONDITIONS RETINAL CONDITIONS
GENERAL INFORMATION RETINAL CONDITIONS RETINAL CONDITIONS WHAT ARE RETINAL CONDITIONS? Retinal conditions affect the light-sensitive tissue at the back of eye known as the retina. They include diseases
More informationAngio-OCT. Degenerazione Maculare Legata all Eta. Giuseppe Querques
Angio-OCT Degenerazione Maculare Legata all Eta Giuseppe Querques Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita Salute San Raffaele, Milan, Italy Financial Disclosure ADVISORY
More informationDisease-Specific Fluorescein Angiography
Ruth E. Picchiottino, CRA Disease-Specific Fluorescein Angiography 15 Disease-Specific Fluorescein Angiography Recommendations for tailoring retinal fluorescein angiography to diabetic retinopathy, macular
More informationMark T. Dunbar Disclosures. Hot Topics in Retina. The Challenge. Where is the Fluid? 4/12/2016
A PANEL DISCUSSION: RAPID-FIRE POSTERIOR SEGMENT UPDATE! Steve Ferrucci, OD Chief, Optometry Sepulveda VA 16111 Plummer St #112e Sepulveda CA, 91343 Mark T. Dunbar, OD Bascom Palmer Eye Institute Miami,
More informationDiabesity A Public Health Crisis: AOA Evidence Based Translation to Care Series
Diabesity A Public Health Crisis: AOA Evidence Based Translation to Care Series Joseph J. Pizzimenti, OD, FAAO Associate Professor Nova Southeastern University The Eye Care Institute pizzimen@nova.edu
More informationDiabetic Retinopathy
Diabetic Retinopathy Introduction People with diabetes are more likely to have eye problems that can lead to blindness. Diabetic retinopathy is a disease of the eye s retina that is caused by diabetes.
More informationWhat You Should Know About Acute Macular Neuroretinopathy
What You Should Know About Acute Macular Neuroretinopathy David J. Browning MD, PhD Chong Lee BS Acute macular neuroretinopathy is a condition characterized by the sudden, painless onset of paracentral
More information