Ultrahigh Speed Imaging of the Rat Retina Using Ultrahigh Resolution Spectral/Fourier Domain OCT

Size: px
Start display at page:

Download "Ultrahigh Speed Imaging of the Rat Retina Using Ultrahigh Resolution Spectral/Fourier Domain OCT"

Transcription

1 Ultrahigh Speed Imaging of the Rat Retina Using Ultrahigh Resolution Spectral/Fourier Domain OCT The MIT Faculty has made this article openly available. Please share how this access benefits you. Your story matters. Citation As Published Publisher Jonathan J. Liu ; Benjamin Potsaid ; Yueli Chen ; Iwona Gorczynska ; Vivek J. Srinivasan ; Jay S. Duker ; James G. Fujimoto; Ultrahigh-speed imaging of the rat retina using ultrahigh-resolution spectral/fourier domain OCT. Proc. SPIE 7550, Ophthalmic Technologies XX, (March 02, 2010). SPIE SPIE Version Final published version Accessed Sat Nov 24 04:31:17 EST 2018 Citable Link Terms of Use Detailed Terms Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use.

2 Ultrahigh Speed Imaging of the Rat Retina Using Ultrahigh Resolution Spectral / Fourier Domain OCT Jonathan J. Liu* a, Benjamin Potsaid a,c, Yueli Chen a,b, Iwona Gorczynska a,b, Vivek J. Srinivasan a, Jay S. Duker b and James G. Fujimoto a a Deptartment of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA b New England Eye Center, Tufts-New England Medical Center, Tufts University, Boston, MA c Advanced Imaging Group, Thorlabs, Inc., Newton, NJ ABSTRACT We performed OCT imaging of the rat retina at 70,000 axial scans per second with ~3 μm axial resolution. Three-dimensional OCT (3D-OCT) data sets of the rat retina were acquired. The high speed and high density data sets enable improved en face visualization by reducing eye motion artifacts and improve Doppler OCT measurements. Minimal motion artifacts were visible and the OCT fundus images offer more precise registration of individual OCT images to retinal fundus features. Projection OCT fundus images show features such as the nerve fiber layer, retinal capillary networks and choroidal vasculature. Doppler OCT images and quantitative measurements show pulsatility in retinal blood vessels. Doppler OCT provides noninvasive in vivo quantitative measurements of retinal blood flow properties and may benefit studies of diseases such as glaucoma and diabetic retinopathy. Ultrahigh speed imaging using ultrahigh resolution spectral / Fourier domain OCT promises to enable novel protocols for measuring small animal retinal structure and retinal blood flow. This non-invasive imaging technology is a promising tool for monitoring disease progression in rat and mouse models to assess ocular disease pathogenesis and response to treatment. Keywords: Ultrahigh resolution OCT, ultrahigh speed OCT, spectral/fourier domain OCT, Doppler OCT, small animal imaging * liujj@mit.edu; phone ; fax ; 1. INTRODUCTION The murine retina is structurally similar to the human retina. Rat and mouse models provide powerful tools for characterization of ocular disease pathogenesis and response to treatment. Therefore, non-invasive imaging technologies for measuring rat and mouse retinal structure and physiology at the micron scale could be useful tools for biomedical research on ocular disease. Spectral / Fourier domain OCT enables ultrahigh speed and ultrahigh resolution 3D imaging or volumetric imaging [1-3], offering a promising technique for rat and mouse retinal imaging [4]. 2. MATERIALS AND METHODS An ultrahigh resolution spectral / Fourier domain OCT prototype instrument has been developed for small animal imaging using new, high speed CMOS imaging technology [5]. This technology can achieve imaging speeds over 70,000 axial scans per second. Figure 1 shows the schematic of the OCT system for small animal imaging. To achieve ultrahigh-resolutions, we used a multiplexed two-superluminescent-diode light source (Superlum) with 145 nm bandwidth and 890 nm center wavelength. A microscope delivery system was used Ophthalmic Technologies XX, edited by Fabrice Manns, Per G. Söderberg, Arthur Ho, Proc. of SPIE Vol. 7550, SPIE CCC code: /10/$18 doi: / Proc. of SPIE Vol

3 for focusing and scanning the OCT beam in the animal eye. The power at the rat eye was 1.3 mw. The maximum sensitivity was ~94 db. Three-dimensional OCT (3D-OCT) data sets of the rat retina were acquired. OCT fundus images were created from 3D-OCT data. Doppler OCT analysis [6-8] of blood flow in the rat retina was performed. The maximum measurable velocity before phase wrapping is 12 mm/s. Figure 1. Schematic of high-speed ultrahigh resolution OCT system with a pre-objective scanning microscope design for small animal retina imaging. Spectral / Fourier domain detection is performed with a spectrometer and high speed CMOS camera. 3. RESULTS OCT imaging of the rat retina was performed at 70,000 axial scans per second with ~3 µm resolution. A standard 3D-OCT data set containing 180 images, each consisting of 512 axial scans, is acquired in ~1.4 seconds. As shown in figure 2, minimal motion artifacts are visible and the OCT fundus images offer more precise registration of individual OCT images to retinal fundus features. Projection OCT fundus images[9] in figure 3 show features such as the nerve fiber layer, retinal capillary networks and choroidal vasculature. In figure 4, Doppler OCT images and quantitative measurements show pulsatility in retinal blood vessels. Figure 2. A) Raster scan pattern shown on rat fundus photo. 3D-OCT data consisting of 512 axial scans per frame x 180 frames covering 2 mm x 2 mm area was acquired in ~1.4 seconds. B) Standard OCT fundus images are created by summing the signal in the axial direction, yielding an image similar to a fundus photograph. C-F) High definition OCT images with 2048 axial scans, each acquired in 29 µs, may be registered to the OCT fundus image. Proc. of SPIE Vol

4 Figure 3. OCT en face visualizations are created by summing layers sectioned at different levels in the axial direction, providing images of selected layers of the retina. This dataset consists of 300 axial scans per frame x 300 frames covering 1mm x 1mm area and was acquired in ~1.3 seconds. Figure 4. A) Quantitative Doppler OCT measurement in the axial direction showing pulsatile blood flow. (A) Pulsatile blood flow showing a heart rate of ~300 beats per minute. B, C) Doppler OCT images over a 65 µm x 100 µm region of interest and blood flow measurements showing pulsatility during two cardiac cycles. Repeated Doppler OCT scans with 512 axial scans over a 250 µm cross section were continuously acquired for ~1.8 seconds. Proc. of SPIE Vol

5 4. CONCLUTIONS In conclusion, ultrahigh speed retinal imaging was demonstrated in the rat retina using ultrahigh resolution spectral / Fourier domain OCT. 3D-OCT data sets obtained at high speed show reduced motion artifacts, enabling improved en face OCT fundus imaging. Doppler OCT provides non-invasive in vivo quantitative measurements of retinal blood flow properties and may benefit studies of diseases such as glaucoma and diabetic retinopathy. Ultrahigh resolution spectral / Fourier domain OCT promises to enable novel protocols for measuring small animal retinal structure and retinal blood flow. Furthermore, this non-invasive imaging technology is a promising tool for monitoring disease progression in rat and mouse models to characterize ocular disease pathogenesis and response to treatment. Acknowledgements: Supported in part by contracts from the National Institutes of Health 5R01-EY , 5R01-EY , 2R01-EY , 1R01-EY and Air Force Office of Scientific Research FA , FA REFERENCES [1] B. Cense, N. Nassif, T. C. Chen et al., Ultrahigh-resolution high-speed retinal imaging using spectraldomain optical coherence tomography, Optics Express, 12, (2004). [2] R. A. Leitgeb, W. Drexler, A. Unterhuber et al., Ultrahigh resolution Fourier domain optical coherence tomography, Optics Express, 12(10), (2004). [3] M. Wojtkowski, V. Srinivasan, J. G. Fujimoto et al., Three-dimensional retinal imaging with highspeed ultrahigh-resolution optical coherence tomography, Ophthalmology, 112(10), (2005). [4] V. J. Srinivasan, T. H. Ko, M. Wojtkowski et al., Noninvasive volumetric Imaging and morphometry of the rodent retina with high-speed, ultrahigh-resolution optical coherence tomography, Investigative Ophthalmology & Visual Science, 47(12), (2006). [5] B. Potsaid, I. Gorczynska, V. J. Srinivasan et al., Ultrahigh speed Spectral/Fourier domain OCT ophthalmic imaging at 70,000 to 312,500 axial scans per second, Optics Express, 16(19), (2008). [6] R. A. Leitgeb, L. Schmetterer, W. Drexler et al., Real-time assessment of retinal blood flow with ultrafast acquisition by color Doppler Fourier domain optical coherence tomography, Optics Express, 11(23), (2003). [7] B. R. White, M. C. Pierce, N. Nassif et al., In vivo dynamic human retinal blood flow imaging using ultra-high-speed spectral domain optical Doppler tomography, Optics Express, 11(25), (2003). [8] S. Makita, Y. Hong, M. Yamanari et al., Optical coherence angiography, Optics Express, 14(17), (2006). [9] I. Gorczynska, V. J. Srinivasan, L. N. Vuong et al., Projection OCT fundus imaging for visualizing outer retinal pathology in non-exudative age related macular degeneration Comparison of optic disc margin identified by color disc photography and high-speed ultrahigh-resolution optical coherence tomography, Br J Ophthalmol, 28(1), 28 (2008). Proc. of SPIE Vol

Citation. As Published Publisher. Version

Citation. As Published Publisher. Version Effect of Intravitreous Anti Vascular Endothelial Growth Factor Therapy on Choroidal Thickness in Neovascular Age-Related Macular Degeneration Using Spectral-Domain The MIT Faculty has made this article

More information

OCT angiography of ONH blood flow in glaucoma

OCT angiography of ONH blood flow in glaucoma Hawaiian Eye Meeting 19-25 January 2013 OCT angiography of ONH blood flow in glaucoma David Huang, MD, Weeks Professor of Ophthalmic Research Professor of Ophthalmology & Biomedical Engineering Casey Eye

More information

NIH Public Access Author Manuscript Retin Cases Brief Rep. Author manuscript; available in PMC 2012 January 1.

NIH Public Access Author Manuscript Retin Cases Brief Rep. Author manuscript; available in PMC 2012 January 1. NIH Public Access Author Manuscript Published in final edited form as: Retin Cases Brief Rep. 2011 ; 5(1): 46 48. doi:10.1097/icb.0b013e3181cafc49. Intact Retinal Tissue and Retinal Pigment Epithelium

More information

Multifunctional 1050 nm Spectral Domain Oct System at 147 khz for Posterior Eye Imaging

Multifunctional 1050 nm Spectral Domain Oct System at 147 khz for Posterior Eye Imaging Multifunctional 1050 nm Spectral Domain Oct System at 147 khz for Posterior Eye Imaging DOI 10.17691/stm2015.7.1.01 Received October 30, 2014 Anqi Zhang, PhD, Postdoctoral Fellow, Department of Bioengineering;

More information

In vivo volumetric imaging of human retinal circulation with phase-variance optical coherence tomography

In vivo volumetric imaging of human retinal circulation with phase-variance optical coherence tomography In vivo volumetric imaging of human retinal circulation with phase-variance optical coherence tomography Dae Yu Kim, 1,2 Jeff Fingler, 3 John S. Werner, 1,2 Daniel M. Schwartz, 4 Scott E. Fraser, 3 and

More information

Il contributo dell'angio-oct: valutazione integrata della componente nervosa e vascolare della malattia glaucomatosa

Il contributo dell'angio-oct: valutazione integrata della componente nervosa e vascolare della malattia glaucomatosa SIMPOSIO G.O.A.L. - LE NUOVE FRONTIERE DIAGNOSTICHE E LE LINEE DI INDIRIZZO AMBULATORIALI DEL GLAUCOMA Coordinatore e moderatore: D. Mazzacane Presidente: L. Rossetti Il contributo dell'angio-oct: valutazione

More information

Optical coherence tomography (OCT) can perform highresolution,

Optical coherence tomography (OCT) can perform highresolution, Noninvasive Volumetric Imaging and Morphometry of the Rodent Retina with High-Speed, Ultrahigh-Resolution Optical Coherence Tomography Vivek J. Srinivasan, 1 Tony H. Ko, 1 Maciej Wojtkowski, 1,2 Mariana

More information

Swept-Source OCT Angiography: SS OCT Angio TM

Swept-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 information

LEE EYE CENTRE. YOUR VISION, OUR PASSION LEC EyeNews

LEE EYE CENTRE. YOUR VISION, OUR PASSION LEC EyeNews LEE EYE CENTRE YOUR VISION, OUR PASSION LEC EyeNews FOR INTERNAL CIRCULATION ONLY www.lec.com.my ISSUE 51/003 SEPT OCT 2017 The American Society of Cataract and Refractive Surgery is one of the leading

More information

Optical Coherence Tomography of the Retina. New Technology - New Insights

Optical Coherence Tomography of the Retina. New Technology - New Insights Bahrain Medical Bulletin, Vol. 27, No. 3, September 2005 Optical Coherence Tomography of the Retina. New Technology - New Insights Mohinder Singh, FRCS,FRCOphth* Optical imaging is an emerging new technology,

More information

In vivo human retinal and choroidal vasculature visualization using differential phase contrast swept source optical coherence tomography at 1060 nm

In vivo human retinal and choroidal vasculature visualization using differential phase contrast swept source optical coherence tomography at 1060 nm In vivo human retinal and choroidal vasculature visualization using differential phase contrast swept source optical coherence tomography at 1060 nm Reza Motaghiannezam and Scott Fraser Beckman Institute,

More information

Visualize. Analyze. Personalize. OCT + OCTA

Visualize. 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 information

doi: /s

doi: /s doi: 10.1186/s12886-015-0077-0 Miura et al. BMC Ophthalmology (2015) 15:79 DOI 10.1186/s12886-015-0077-0 RESEARCH ARTICLE Open Access Noninvasive vascular imaging of ruptured retinal arterial macroaneurysms

More information

OCT Angiography: The Next Step in Retinal Imaging Jonathan Zelenak D.O.

OCT Angiography: The Next Step in Retinal Imaging Jonathan Zelenak D.O. OCT Angiography: The Next Step in Retinal Imaging Jonathan Zelenak D.O. Hillsdale Hospital Michigan State University Overview Evolution of OCT How does OCT angiography work? Clinical examples Potential

More information

NIH Public Access Author Manuscript Br J Ophthalmol. Author manuscript; available in PMC 2010 April 29.

NIH Public Access Author Manuscript Br J Ophthalmol. Author manuscript; available in PMC 2010 April 29. NIH Public Access Author Manuscript Published in final edited form as: Br J Ophthalmol. 2009 August ; 93(8): 1057 1063. doi:10.1136/bjo.2009.157875. Retinal nerve fibre layer thickness measurement reproducibility

More information

Introducing 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 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 information

HHS Public Access Author manuscript Ophthalmic Surg Lasers Imaging Retina. Author manuscript; available in PMC 2016 January 14.

HHS Public Access Author manuscript Ophthalmic Surg Lasers Imaging Retina. Author manuscript; available in PMC 2016 January 14. High-Speed Ultrahigh-Resolution OCT of Bruch s Membrane in Membranoproliferative Glomerulonephritis Type 2 Mehreen Adhi, MD, Sarah P. Read, MD, PhD, Jonathan J. Liu, PhD, James G. Fujimoto, PhD, and Jay

More information

Exudative macular diseases include polypoidal choroidal vasculopathy

Exudative macular diseases include polypoidal choroidal vasculopathy Retina Three-Dimensional Visualization of Ocular Vascular Pathology by Optical Coherence Angiography In Vivo Masahiro Miura, 1,2 Shuichi Makita, 2,3 Takuya Iwasaki, 1,2 and Yoshiaki Yasuno 2,3 From the

More information

Overview. Macular OCT Artifact Study

Overview. Macular OCT Artifact Study Imaging Artifacts Sarah Moyer, CRA, OCT-C Director, Ophthalmic Imaging Kittner Eye Center University of North Carolina Chapel Hill, NC Disclose financial interest now Overview Sarah s Thoughts on Artifacts

More information

NIH Public Access Author Manuscript JAMA Ophthalmol. Author manuscript; available in PMC 2013 September 10.

NIH Public Access Author Manuscript JAMA Ophthalmol. Author manuscript; available in PMC 2013 September 10. NIH Public Access Author Manuscript Published in final edited form as: JAMA Ophthalmol. 2013 May ; 131(5): 693 694. doi:10.1001/jamaophthalmol.2013.692. Effect of Intravitreous Anti Vascular Endothelial

More information

Analysis of Peripapillary Atrophy Using Spectral Domain Optical Coherence Tomography

Analysis of Peripapillary Atrophy Using Spectral Domain Optical Coherence Tomography Analysis of Peripapillary Atrophy Using Spectral Domain Optical Coherence Tomography The MIT Faculty has made this article openly available. Please share how this access benefits you. Your story matters.

More information

Spectral oximetry assessed with high-speed ultra-highresolution

Spectral oximetry assessed with high-speed ultra-highresolution Journal of Biomedical Optics 124, 041212 July/August 2007 Spectral oximetry assessed with high-speed ultra-highresolution optical coherence tomography Larry Kagemann University of Pittsburgh School of

More information

What Is New in Optical Coherence Tomography. Ultrahigh-speed OCT makes 3D better

What Is New in Optical Coherence Tomography. Ultrahigh-speed OCT makes 3D better OOAA 66 th Meeting & CEI 20 th Birthday Casey Eye Institute, Portland, OR, 17 June 2011 What Is New in Optical Coherence Tomography David Huang, MD, PhD Weeks Professor of Ophthalmic Research Prof. of

More information

Comparison of Spectral/Fourier Domain Optical Coherence Tomography Instruments for Assessment of Normal Macular Thickness

Comparison of Spectral/Fourier Domain Optical Coherence Tomography Instruments for Assessment of Normal Macular Thickness Comparison of Spectral/Fourier Domain Optical Coherence Tomography Instruments for Assessment of Normal Macular Thickness The MIT Faculty has made this article openly available. Please share how this access

More information

The leading causes of blindness. ocular circulation: Macular Degeneration

The leading causes of blindness. ocular circulation: Macular Degeneration Taiwan Academy of Ophthalmology Taipei, March 31, 2012 Measurement of Blood Flow in the Retina and Optic Disc with OCT David Huang, MD, Weeks Professor of Ophthalmic Research Professor of Ophthalmology

More information

Cirrus TM HD-OCT. Details define your decisions

Cirrus TM HD-OCT. Details define your decisions Cirrus TM HD-OCT Details define your decisions 2 With high-definition OCT Carl Zeiss Meditec takes you beyond standard spectral domain Built on 10 years experience at the vanguard of innovation, Carl Zeiss

More information

doi: /

doi: / doi: 10.1117/1.2841024 Phase retardation measurement of retinal nerve fiber layer by polarization-sensitive spectral-domain optical coherence tomography and scanning laser polarimetry Masahiro Yamanari

More information

Retinal tissue has an intrinsic ability to maintain a relatively

Retinal tissue has an intrinsic ability to maintain a relatively Special Issue Retinal Blood Flow Response to Hyperoxia Measured With En Face Doppler Optical Coherence Tomography Alex D. Pechauer, Ou Tan, Liang Liu, Yali Jia, Vivian Hou, William Hills, and David Huang

More information

Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems

Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems The MIT Faculty has made this article openly available. Please share how this access

More information

Optical 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 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 information

NIH Public Access Author Manuscript Br J Ophthalmol. Author manuscript; available in PMC 2010 May 1.

NIH Public Access Author Manuscript Br J Ophthalmol. Author manuscript; available in PMC 2010 May 1. NIH Public Access Author Manuscript Published in final edited form as: Br J Ophthalmol. 2009 May ; 93(5): 634 637. doi:10.1136/bjo.2008.150276. Measurement of total blood flow in the normal human retina

More information

Assessment of Artifacts and Reproducibility across Spectral- and Time-Domain Optical Coherence Tomography Devices

Assessment of Artifacts and Reproducibility across Spectral- and Time-Domain Optical Coherence Tomography Devices Assessment of Artifacts and Reproducibility across Spectral- and Time-Domain Optical Coherence Tomography Devices The MIT Faculty has made this article openly available. Please share how this access benefits

More information

Optical coherence tomography (OCT) is a noninvasive,

Optical coherence tomography (OCT) is a noninvasive, In Vivo Three-Dimensional Imaging of Neovascular Age-Related Macular Degeneration Using Optical Frequency Domain Imaging at 1050 nm Daniel M. de Bruin, 1,2 Daina L. Burnes, 1,2 John Loewenstein, 3 Yueli

More information

PLEX Elite 9000 from ZEISS Swept-Source OCT

PLEX Elite 9000 from ZEISS Swept-Source OCT PLEX Elite 9000 from ZEISS Swept-Source OCT Uncovering the undiscovered. ZEISS PLEX Elite 9000 // INNOVATION MADE BY ZEISS 2 Ultra-wide angiography En face montage Image courtesy of Prof. G. Querques,

More information

NIH Public Access Author Manuscript Ophthalmology. Author manuscript; available in PMC 2015 January 01.

NIH Public Access Author Manuscript Ophthalmology. Author manuscript; available in PMC 2015 January 01. NIH Public Access Author Manuscript Published in final edited form as: Ophthalmology. 2014 January ; 121(1): 180 187. doi:10.1016/j.ophtha.2013.09.002. Phase-Contrast Optical Coherence Tomography: A New

More information

Technologies and Methods for Visualizing the Retina

Technologies and Methods for Visualizing the Retina Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/revealing-retina/technologies-and-methods-for-visualizing-theretina/3663/

More information

The World s fastest OCT. As simple as pressing. the start button

The World s fastest OCT. As simple as pressing. the start button The World s fastest OCT As simple as pressing the start button lution continues Optopol engineering team, designers of the first commercially available Spectral Domain OCT in the world, are proud to present

More information

Oishi A, Miyamoto K, Yoshimura N. Etiology of carotid cavernous fistula in Japanese. Jpn J Ophthalmol. 2009;53:40-43.

Oishi A, Miyamoto K, Yoshimura N. Etiology of carotid cavernous fistula in Japanese. Jpn J Ophthalmol. 2009;53:40-43. Kimura T, Takagi H, Miyamoto K, Kita M, Watanabe D, Yoshimura N. Macular hole with epiretinal membrane after triamcinolone-assisted vitrectomy for proliferative diabetic retinopathy. Retinal Cases Brief

More information

Visualize. Analyze. Personalize. OCT + OCTA. with

Visualize. 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 information

Macular Thickness by Age and Gender in Healthy Eyes Using Spectral Domain Optical Coherence Tomography

Macular Thickness by Age and Gender in Healthy Eyes Using Spectral Domain Optical Coherence Tomography Macular Thickness by Age and Gender in Healthy Eyes Using Spectral Domain Optical Coherence Tomography Mehreen Adhi 1,2, Sumbul Aziz 1, Kashif Muhammad 1, Mohammad I. Adhi 1 * 1 Department of Ophthalmology,

More information

IN NICU OCT UTILIZES A CONCEPT KNOWN AS INTERFEROMETRY APPLICATIONS FOR OCT THE PRIMARY USE IN THE EYE - RETINA

IN NICU OCT UTILIZES A CONCEPT KNOWN AS INTERFEROMETRY APPLICATIONS FOR OCT THE PRIMARY USE IN THE EYE - RETINA 2016 25 YEARS OF OPTICAL COHERENCE TOMOGRAPHY OPTICAL COHERENCE TOMOGRAPHY IN NICU Marcin Stopa, MD, PhD, FEBO Department of Ophthalmology, Chair of Ophthalmology and Optometry. Poznan University of Medical

More information

Advances in OCT Murray Fingeret, OD

Advances 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 information

On Different Wavelengths: The Spectrum of Retinal Imaging. On Different Wavelengths: The Spectrum of Retinal Imaging. Wavelength Specific Imaging

On Different Wavelengths: The Spectrum of Retinal Imaging. On Different Wavelengths: The Spectrum of Retinal Imaging. Wavelength Specific Imaging On Different Wavelengths: The Spectrum of Retinal Imaging Timothy J. Bennett, CRA, FOPS, OCT-C Penn State Hershey Eye Center Hershey, PA On Different Wavelengths: The Spectrum of Retinal Imaging Wavelengths

More information

Clinical Study Optical Coherence Tomography Angiography in Retinal Vascular Diseases and Choroidal Neovascularization

Clinical Study Optical Coherence Tomography Angiography in Retinal Vascular Diseases and Choroidal Neovascularization Hindawi Publishing Corporation Journal of Ophthalmology Volume 2015, Article ID 343515, 8 pages http://dx.doi.org/10.1155/2015/343515 Clinical Study Optical Coherence Tomography Angiography in Retinal

More information

Optical Coherence Tomograpic Features in Idiopathic Retinitis, Vasculitis, Aneurysms and Neuroretinitis (IRVAN)

Optical Coherence Tomograpic Features in Idiopathic Retinitis, Vasculitis, Aneurysms and Neuroretinitis (IRVAN) Columbia International Publishing Journal of Ophthalmic Research (2014) Research Article Optical Coherence Tomograpic Features in Idiopathic Retinitis, Vasculitis, Aneurysms and Neuroretinitis (IRVAN)

More information

OCTID: Optical Coherence Tomography Image Database

OCTID: Optical Coherence Tomography Image Database OCTID: Optical Coherence Tomography Image Database Peyman Gholami 1,*, Priyanka Roy *, Mohana Kuppuswamy Parthasarathy, Vasudevan Lakshminarayanan Theoretical & Experimental Epistemology Lab (TEEL), School

More information

Flore De Bats, 1 Benjamin Wolff, 2,3 Martine Mauget-Faÿsse, 2 Claire Scemama, 2 and Laurent Kodjikian Introduction

Flore De Bats, 1 Benjamin Wolff, 2,3 Martine Mauget-Faÿsse, 2 Claire Scemama, 2 and Laurent Kodjikian Introduction Case Reports in Medicine Volume 2013, Article ID 260237, 7 pages http://dx.doi.org/10.1155/2013/260237 Case Report B-Scan and En-Face Spectral-Domain Optical Coherence Tomography Imaging for the Diagnosis

More information

Peripapillary Retinal Thickness. Maps in the Evaluation of Glaucoma Patients: A Novel Concept.

Peripapillary Retinal Thickness. Maps in the Evaluation of Glaucoma Patients: A Novel Concept. Peripapillary Retinal Thickness Maps in the Evaluation of Glaucoma Patients: A Novel Concept The Harvard community has made this article openly available. Please share how this access benefits you. Your

More information

1. AGENCY USE ONLY (Leave blank) 2. REPORT DATE 3. REPORT TYPE AND DATES COVERED FINAL 01 May 93 TO 30 Apr 95. mwwin i ii ^.. IIM«-»- "«'» ' ' i» 1

1. AGENCY USE ONLY (Leave blank) 2. REPORT DATE 3. REPORT TYPE AND DATES COVERED FINAL 01 May 93 TO 30 Apr 95. mwwin i ii ^.. IIM«-»- «'» ' ' i» 1 REPORT DOCUMENTATION PAGI AFOSR-TR- OiOl Public reoortma burden for this colleaion of information is estimated to average i nour per respor aathenna and maintaining the data needed, and completing and

More information

Ophthalmology Department, Lozano Blesa University Hospital, c/ San Juan Bosco 15, Zaragoza, Spain 2

Ophthalmology Department, Lozano Blesa University Hospital, c/ San Juan Bosco 15, Zaragoza, Spain 2 Ophthalmology Volume 2012, Article ID 107053, 6 pages doi:10.1155/2012/107053 Clinical Study Comparison of Retinal Nerve Fiber Layer Thickness Measurements in Healthy Subjects Using Fourier and Time Domain

More information

Optic Disk Pit with Sudden Central Visual Field Scotoma

Optic Disk Pit with Sudden Central Visual Field Scotoma Optic Disk Pit with Sudden Central Visual Field Scotoma The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters. Citation Published Version

More information

Advanced retinal pigment epithelium analysis by SD-OCT to monitor dry AMD progression

Advanced retinal pigment epithelium analysis by SD-OCT to monitor dry AMD progression special report Advanced retinal pigment epithelium analysis by SD-OCT to monitor dry AMD progression This article provides a short overview of developments in optical coherence tomography (OCT) technology

More information

Incorporating OCT Angiography Into Patient Care

Incorporating 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 information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Glaucoma, Evaluation by Ophthalmologic Techniques File Name: Origination: Last CAP Review: Next CAP Review: Last Review: glaucoma_evaluation_by_ophthalmologic_techniques 3/2001

More information

ZEISS AngioPlex OCT Angiography Making the revolutionary, routine.

ZEISS 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 information

doi: /OE

doi: /OE doi: 10.1364/OE.19.001271 Comprehensive in vivo micro-vascular imaging of the human eye by dual-beam-scan Doppler optical coherence angiography Shuichi Makita, 1,3 Franck Jaillon, 1,3 Masahiro Yamanari

More information

OCT Angiography in Primary Eye Care

OCT 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 information

NIH Public Access Author Manuscript Ophthalmic Surg Lasers Imaging Retina. Author manuscript; available in PMC 2014 June 24.

NIH Public Access Author Manuscript Ophthalmic Surg Lasers Imaging Retina. Author manuscript; available in PMC 2014 June 24. NIH Public Access Author Manuscript Published in final edited form as: Ophthalmic Surg Lasers Imaging Retina. 2014 ; 45(1): 32 37. doi:10.3928/23258160-20131220-04. Analysis of the Short Term Change in

More information

Functional OCT for Glaucoma Evaluation

Functional OCT for Glaucoma Evaluation Hawaiian Eye Meeting 18-24 January 2014 Functional OCT for Glaucoma Evaluation David Huang, MD, PhD Weeks Professor of Ophthalmic Research Professor of Ophthalmology & Biomedical Engineering Casey Eye

More information

Diabetic Retinopathy Clinical Research Network

Diabetic Retinopathy Clinical Research Network Diabetic Retinopathy Clinical Research Network Comparison of Time Domain OCT and Spectral Domain OCT Retinal Thickness Measurement in Diabetic Macular Edema Version 1.0 June 16, 2009 comparison of td vs

More information

Macular Thickness Measurement via Heidelberg Spectralis SD-OCT in Pediatric Patients

Macular Thickness Measurement via Heidelberg Spectralis SD-OCT in Pediatric Patients Ophthalmology Research: An International Journal 2(6): 384-390, 2014, Article no. OR.2014.6.013 SCIENCEDOMAIN international www.sciencedomain.org Macular Thickness Measurement via Heidelberg Spectralis

More information

Differential intensity contrast swept source optical coherence tomography for human retinal vasculature visualization

Differential intensity contrast swept source optical coherence tomography for human retinal vasculature visualization Differential intensity contrast swept source optical coherence tomography for human retinal vasculature visualization Reza Motaghiannezam and Scott Fraser Beckman Institute, Division of Biology, California

More information

The Measure of Confidence

The Measure of Confidence Heidelberg_936357.qxd:Layout 1 5/9/08 12:01 PM 12:02 Page 1 (Cyan (Magenta (Yellow (Black (UV Five Powerful Solutions to Fit Your Practice PowerCheck Glaucoma FastCheck+ GPS Software and Retina Edema Index

More information

Widefield Retinal Imaging with Auto Fluorescence Technology in the Optometric Practice

Widefield Retinal Imaging with Auto Fluorescence Technology in the Optometric Practice Widefield Retinal Imaging with Auto Fluorescence Technology in the Optometric Practice This course will define ultra-widefield retinal imaging and autofluorescence for the attendee. Will show how it is

More information

8/6/17. Disclosures Aerie Pharmaceuticals Alcon BioTissue Diopsys Optovue Shire

8/6/17. 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 information

Repeatability and Reproducibility of Macular Thickness Measurements Using Fourier Domain Optical Coherence Tomography

Repeatability and Reproducibility of Macular Thickness Measurements Using Fourier Domain Optical Coherence Tomography 10 The Open Ophthalmology Journal, 009, 3, 10-14 Open Access Repeatability and Reproducibility of Macular Thickness Measurements Using Fourier Domain Optical Coherence Tomography Alison Bruce 1, Ian E.

More information

This policy is applicable to Commercial Products only. For BlueCHiP for Medicare, see related policy section.

This policy is applicable to Commercial Products only. For BlueCHiP for Medicare, see related policy section. Medical Coverage Policy Ophthalmologic Techniques that Evaluate the Posterior Segment for Glaucoma EFFECTIVE DATE: 01 01 2017 POLICY LAST UPDATED: 09 18 2018 OVERVIEW Several techniques have been developed

More information

Optical Coherence Tomography Grid Decentration and Its Effect on Macular Thickness Measurements

Optical Coherence Tomography Grid Decentration and Its Effect on Macular Thickness Measurements Optical Coherence Tomography Grid Decentration and Its Effect on Macular Thickness Measurements Khalil Ghasemi Falavarjani, MD 1 Joobin Khadamy, MD 2 Nasser Karimi, MD, MPH 2 Anis Alsadat Jazayeri, MD

More information

Choroidal Mapping; a Novel Approach for Evaluating Choroidal Thickness and Volume

Choroidal Mapping; a Novel Approach for Evaluating Choroidal Thickness and Volume Imaging Technique Choroidal Mapping; a Novel Approach for Evaluating Choroidal Thickness and Volume Jila Noori 1, MD; Mohammad Riazi Esfahani 1,2, MD Fedra Hajizadeh 2, MD; Mohammad-Mehdi Zaferani 1, MD

More information

PRIMUS 200 from ZEISS The essential OCT

PRIMUS 200 from ZEISS The essential OCT EN 00_00I The contents of the brochure may differ from the current status of approval of the product in your country. Please contact your regional representative for more information. Subject to change

More information

OCT Image Analysis System for Grading and Diagnosis of Retinal Diseases and its Integration in i-hospital

OCT 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 information

Fundus Autofluorescence. Jonathan A. Micieli, MD Valérie Biousse, MD

Fundus 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 information

Polypoidal choroidal vasculopathy (PCV) is a variation of agerelated

Polypoidal choroidal vasculopathy (PCV) is a variation of agerelated Multidisciplinary Ophthalmic Imaging Noninvasive Vascular Imaging of Polypoidal Choroidal Vasculopathy by Doppler Optical Coherence Tomography Masahiro Miura, 1,2 Daisuke Muramatsu, 1,2 Young-Joo Hong,

More information

Deeper visualizations for intervening with confidence.

Deeper 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 information

MULTIMODAL RETINAL VESSEL SEGMENTATION FOR DIABETIC RETINOPATHY CLASSIFICATION

MULTIMODAL RETINAL VESSEL SEGMENTATION FOR DIABETIC RETINOPATHY CLASSIFICATION MULTIMODAL RETINAL VESSEL SEGMENTATION FOR DIABETIC RETINOPATHY CLASSIFICATION 1 Anuja H.S, 2 Shinija.N.S, 3 Mr.Anton Franklin, 1, 2 PG student (final M.E Applied Electronics), 3 Asst.Prof. of ECE Department,

More information

Clinically Significant Macular Edema (CSME)

Clinically 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 information

THE OPHTHALMOLOGIST S NEEDS FOR THE ANALYSIS OF THE RETINA

THE OPHTHALMOLOGIST S NEEDS FOR THE ANALYSIS OF THE RETINA biophotonics end-users needs THE OPHTHALMOLOGIST S NEEDS FOR THE ANALYSIS OF THE RETINA Dr Matonti Frédéric CHU Nord / INT AMU Marseille ANATOMY OF THE RETINA ANATOMY OF THE RETINA ANATOMY OF THE RETINA

More information

PRIMUS 200 from ZEISS The essential OCT

PRIMUS 200 from ZEISS The essential OCT PRIMUS 200 from ZEISS The essential OCT Seeing beyond the surface. ZEISS PRIMUS 200 // INNOVATION MADE BY ZEISS Clear Visualization. Advanced Technology. Reliability. Essential elements of your first OCT.

More information

Mariam Raouf Fadel M.B., B.Ch. M.Sc., Cairo University. A thesis. Submitted by. For partial fulfillment of. MD Degree in Ophthalmology

Mariam Raouf Fadel M.B., B.Ch. M.Sc., Cairo University. A thesis. Submitted by. For partial fulfillment of. MD Degree in Ophthalmology Correlation of fundus autofluorescence and spectral domain OCT findings of the macula with visual outcome after successful repair of rhegmatogenous retinal detachment A thesis Submitted by Mariam Raouf

More information

FA 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. 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 information

Research Article Comparison of Central Macular Thickness Measured by Three OCT Models and Study of Interoperator Variability

Research Article Comparison of Central Macular Thickness Measured by Three OCT Models and Study of Interoperator Variability The Scientific World Journal Volume 2012, Article ID 842795, 6 pages doi:10.1100/2012/842795 The cientificworldjournal Research Article Comparison of Central Macular Thickness Measured by Three OCT Models

More information

Comparative evaluation of time domain and spectral domain optical coherence tomography in retinal nerve fiber layer thickness measurements

Comparative evaluation of time domain and spectral domain optical coherence tomography in retinal nerve fiber layer thickness measurements Original article Comparative evaluation of time domain and spectral domain optical coherence tomography in retinal nerve fiber layer thickness measurements Dewang Angmo, 1 Shibal Bhartiya, 1 Sanjay K Mishra,

More information

Is 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 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 information

Do You See What I See!!! Shane R. Kannarr, OD

Do 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 information

Clinical Study Choroidal Thickness in Eyes with Unilateral Ocular Ischemic Syndrome

Clinical Study Choroidal Thickness in Eyes with Unilateral Ocular Ischemic Syndrome Hindawi Publishing Corporation Journal of Ophthalmology Volume 215, Article ID 62372, 5 pages http://dx.doi.org/1.1155/215/62372 Clinical Study Choroidal Thickness in Eyes with Unilateral Ocular Ischemic

More information

Optical coherence tomography (OCT) has advanced considerably

Optical coherence tomography (OCT) has advanced considerably Reviews Optical Coherence Tomography: History, Current Status, and Laboratory Work Michelle L. Gabriele, 1,2,3 Gadi Wollstein, 1 Hiroshi Ishikawa, 1,2 Larry Kagemann, 1,2 Juan Xu, 1 Lindsey S. Folio, 1

More information

Measuring Intracellular Motion in Cancer Cells using Optical Coherence Tomography

Measuring Intracellular Motion in Cancer Cells using Optical Coherence Tomography Measuring Intracellular Motion in Cancer Cells using Optical Coherence Tomography Azhar Zam*,1,2,3 and Michael C. Kolios 1,2,3 1 Department of Physics, Ryerson University, Toronto, ON M5B 2K3, Canada 2

More information

f.a.q s Q. Why should I have an iwellness exam?

f.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 information

Real-Time Blood Velocity Measurements in Human Retinal Vein Using the Laser Speckle Phenomenon

Real-Time Blood Velocity Measurements in Human Retinal Vein Using the Laser Speckle Phenomenon Real-Time Blood Velocity Measurements in Human Retinal Vein Using the Laser Speckle Phenomenon Miyuki Nagahara,* Yasuhiro Tamaki, Makoto Araie* and Hitoshi Fujii *Department of Ophthalmology, University

More information

10/17/2017. FDA Approved. Zeiss AngioPlex TM Optovue AngioVue TM

10/17/2017. 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 information

Method for comparing visual field defects to local RNFL and RGC damage seen on frequency domain OCT in patients with glaucoma.

Method for comparing visual field defects to local RNFL and RGC damage seen on frequency domain OCT in patients with glaucoma. Method for comparing visual field defects to local RNFL and RGC damage seen on frequency domain OCT in patients with glaucoma. Donald C. Hood 1,2,* and Ali S. Raza 1 1 Department of Psychology, Columbia

More information

Development and Application of Multifunctional Optical Coherence Tomography

Development and Application of Multifunctional Optical Coherence Tomography Development and Application of Multifunctional Optical Coherence Tomography Zhongwei Zhi A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy University

More information

Journal Articles: Ophthalmology

Journal Articles: Ophthalmology University of Nebraska Medical Center DigitalCommons@UNMC Journal Articles: Ophthalmology Ophthalmology 1-1-212 Comparison of time domain and spectral domain optical coherence tomography in measurement

More information

OCT Angiography The Next Frontier

OCT Angiography The Next Frontier 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

More information

Split-spectrum amplitude-decorrelation angiography with optical coherence tomography

Split-spectrum amplitude-decorrelation angiography with optical coherence tomography Split-spectrum amplitude-decorrelation angiography with optical coherence tomography The MIT Faculty has made this article openly available. Please share how this access benefits you. Your story matters.

More information

Measurement of Choroidal Thickness in Normal Eyes Using 3D OCT-1000 Spectral Domain Optical Coherence Tomography

Measurement of Choroidal Thickness in Normal Eyes Using 3D OCT-1000 Spectral Domain Optical Coherence Tomography pissn: 111-8942 eissn: 292-9382 Korean J Ophthalmol 212;26(4):255-259 http://dx.doi.org/1.3341/kjo.212.26.4.255 Original Article Measurement of Choroidal Thickness in Normal Eyes Using 3D OCT-1 Spectral

More information

ANSWERING THE WHY? Clinicians discuss the latest imaging technologies for retina practice BY PETER K. KAISER, MD

ANSWERING THE WHY? Clinicians discuss the latest imaging technologies for retina practice BY PETER K. KAISER, MD Insert to March 2018 Sponsored by MULTI-MODALITY IMAGING: LATEST EVOLUTIONS IN OCTA AND UWF As the array of safe and efficacious medical and surgical options for retinal diseases expands, so does the need

More information

OtticaFisiopatologica

OtticaFisiopatologica Anno quindicesimo dicembre 2010 How to assess the retinal nerve fiber layer thickness Antonio Ferreras Miguel Servet University Hospital, Zaragoza. Aragón Health Sciences Institute University of Zaragoza

More information

Cardiac-Gated En Face Doppler Measurement of Retinal Blood Flow Using Swept-Source Optical Coherence Tomography at 100,000 Axial Scans per Second

Cardiac-Gated En Face Doppler Measurement of Retinal Blood Flow Using Swept-Source Optical Coherence Tomography at 100,000 Axial Scans per Second Multidisciplinary Ophthalmic Imaging Cardiac-Gated En Face Doppler Measurement of Retinal Blood Flow Using Swept-Source Optical Coherence Tomography at 100,000 Axial Scans per Second ByungKun Lee, 1 WooJhon

More information

Structural examina.on: Imaging

Structural examina.on: Imaging ManaMa: Glaucoma Structural examina.on: Imaging Luís Abegão Pinto, MD, PhD Department of Ophthalmology CHLC Lisbon Faculty of Medicine, Lisbon University 1 11-10- 2013 Structural changes Qualitative changes

More information