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Macular thickness measurements using Copernicus Spectral Domain Optical Coherence Tomography
Laxmi Gella1, Rajiv Raman2, Tarun Sharma2
1Elite School of Optometry, No. 8, G.S.T. Road, St. Thomas Mount, Chennai 600 016, Tamil Nadu, India ; Birla Institute of Technology and Science, Pilani, India.
Normal macular thickness in the Indian population was determined using Spectral Domain Optical Coherence Tomography (SDOCT). Results show variations across different OCT instruments, highlighting the need for instrument-specific normal values.
Area of Science:
- Ophthalmology
- Medical Imaging
- Retinal Imaging
Background:
- Accurate macular thickness measurements are crucial for diagnosing and monitoring various retinal diseases.
- Spectral Domain Optical Coherence Tomography (SDOCT) is a key technology for in vivo retinal imaging.
Purpose of the Study:
- To establish normative macular thickness values in the Indian population using the Copernicus SDOCT device.
- To compare measurements obtained from different OCT instruments.
Main Methods:
- Prospective study of 58 healthy subjects.
- Comprehensive ophthalmic examination and Copernicus SDOCT imaging.
- Measurement of central foveal thickness (CFT) and photoreceptor layer (PRL) thickness.
Main Results:
- Mean CFT was 173.8 ± 18.16 microns; mean PRL thickness was 65.48 ± 4.23 microns.
- No significant difference between automated and manual CFT measurements.
- CFT was significantly lower in women than in men (p=0.008).
- Retinal thickness measurements differed significantly from those obtained using Stratus and Spectralis OCT.
Conclusions:
- Normal central macular thickness in Indians using Copernicus SDOCT ranges from 138 to 242 microns.
- Different OCT instruments yield variable measurements and should not be used interchangeably.
- Instrument-specific segmentation algorithms impact macular thickness readings.
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