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Related Concept Videos

Glaucoma: Overview01:25

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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Related Experiment Video

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Doppler Optical Coherence Tomography of Retinal Circulation
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Wide-field optical coherence tomography deviation map for early glaucoma detection.

Hyungjun Kim1,2, Hae Min Park1,3, Hyo Chan Jeong1,3

  • 1Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Republic of Korea.

The British Journal of Ophthalmology
|July 24, 2021
PubMed
Summary

A new wide-field optical coherence tomography (OCT) deviation map effectively detects early glaucoma (EG). This advanced wide-field OCT map shows superior diagnostic ability compared to existing methods for identifying structural damage in glaucoma patients.

Keywords:
diagnostic tests/investigationglaucomaimaging

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Glaucoma Research

Background:

  • Early glaucoma (EG) detection is crucial for preventing vision loss.
  • Current diagnostic methods using peripapillary and macular deviation maps have limitations.
  • Wide-field imaging offers potential for more comprehensive assessment.

Purpose of the Study:

  • To establish a wide-field optical coherence tomography (OCT) deviation map using swept-source OCT (SS-OCT).
  • To compare the diagnostic performance of the wide-field OCT deviation map against conventional maps for early glaucoma detection.

Main Methods:

  • A retrospective observational study included 400 eyes (200 healthy, 200 with EG).
  • Wide-field SS-OCT scans were acquired and processed into a uniform template.
  • A normative wide-field database was used to generate wide-field deviation maps.
  • Diagnostic ability was assessed using the area under the receiver operating characteristic curve (AUC).

Main Results:

  • The wide-field OCT deviation map demonstrated the highest diagnostic ability for EG (AUC=0.980).
  • Its performance was significantly superior to conventional peripapillary and macular deviation maps (p<0.05).
  • The map effectively visualized early structural glaucomatous damage over a wider area.

Conclusions:

  • The wide-field SS-OCT deviation map shows excellent performance in distinguishing early glaucoma from healthy eyes.
  • Its ability to visualize wider areas of damage makes it a valuable tool for clinical diagnosis of EG.