Atlas Optical Coherence Tomography of Macular Diseases and by Vishali Gupta, Amod Gupta, Mangat Ram Dogra

By Vishali Gupta, Amod Gupta, Mangat Ram Dogra

The fourth version of this atlas has been thoroughly up to date to supply the newest considering and know-how advancements within the use of OCT with macular ailments and glaucoma. starting with an creation to OCT, the subsequent part discusses its use with a number stipulations and issues linked to macular ailments akin to macular gap, foveal haemorrhage and retinal trauma. the ultimate part examines using OCT for prognosis and administration of glaucoma. This re-creation gains greater than 1300 illustrations together with fundus images, fluorescein angiography and OCT photographs. short case reports are defined and a brand new bankruptcy on multimodal imaging has been incorporated during this new version. The bestselling earlier variation released in 2010.

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Additional resources for Atlas Optical Coherence Tomography of Macular Diseases and Glaucoma

Example text

Page 56 Focal laser photocoagulation was applied to the hyperfluorescent spot along the upper temporal vessel.

The PED was very slow to regress and in few patients it was persistent even after a year following the initial episode.  All these features can be accurately depicted on OCT that helps not only in making early diagnosis and management but also in prognosticating the outcome in these patients.  OCT also helps in differentiating pigment epithelial detachment from serous detachment.  These changes in RPE could represent either resolving PED or more likely, the ‘sick­RPE’, thus indicating that the sick RPE is probably responsible for chronicity of the disease.

Based on clinical picture and fluorescein angiography (H, I), a diagnosis of ICSC with fibrinous exudation was established. Optical Coherence Tomography OCT scan at 45 degrees showed the presence of serous retinal detachment with a hyper­reflective area in the center corresponding clinically to fibrinous exudation (J).  The fibrin had partially resolved (K) and repeat fluorescein angiography (L) showed few areas of hyperfluorescence. Repeat OCT scan through the center of fovea (M) showed normal foveal contour with a thin hyporeflective streak under the fovea suggestive of underlying serous fluid while a vertical scan passing through the fibrin (N) showed hyper­reflectivity (arrow) with underlying area of hyporeflectivity suggestive of underlying serous fluid.

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