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Anterior segment optical coherence tomography and its clinical applications
Sarah B Wang1, Elisa E Cornish1,2,3, John R Grigg1
1Faculty of Medicine and Health, Save Sight Institute, The University of Sydney, Sydney Eye Hospital, Sydney, New South Wales, Australia.
Anterior segment optical coherence tomography (AS-OCT) is a key non-contact imaging tool for eye structures. This review highlights its diagnostic, therapeutic, and prognostic utility but notes a lack of high-level evidence, calling for more RCTs.
Area of Science:
- Ophthalmology
- Medical Imaging
- Biomedical Engineering
Background:
- Anterior segment optical coherence tomography (AS-OCT) is a crucial non-contact imaging technique.
- It assesses ocular structures like the cornea, anterior chamber angle, and ocular surface.
- AS-OCT has diverse clinical applications documented in scientific literature.
Purpose of the Study:
- To review the existing literature on the clinical utility and efficacy of AS-OCT.
- To evaluate the quality of evidence supporting AS-OCT applications.
- To identify areas for future research and validation of AS-OCT technology.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (Medline, Cochrane, PubMed, etc.) up to June 24, 2018.
- Inclusion criteria focused on studies using OCT for anterior segment visualization.
- Study selection, data extraction, and risk of bias assessment were performed following PRISMA guidelines.
Main Results:
- The review included 82 studies encompassing various designs (cohort, case series, observational).
- Primary outcomes measured included anterior chamber dimensions, corneal thickness, tear meniscus parameters, and AS structure morphology.
- Evidence for AS-OCT in diagnostics, therapeutics, and prognostics was reviewed, revealing a breadth of applications.
Conclusions:
- AS-OCT is a valuable tool with broad clinical applications in ophthalmology.
- There is a significant lack of high-level evidence (e.g., RCTs, meta-analyses) supporting its use.
- Future research should focus on generating high-quality evidence to further validate AS-OCT technology.
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