title: Imaging of macular diseases with optical coherence tomography.
abstract: OBJECTIVE
  To assess the potential of a new diagnostic technique called optical coherence tomography for imaging macular disease. Optical coherence tomography is a novel noninvasive, noncontact imaging modality which produces high depth resolution (10 microns) cross-sectional tomographs of ocular tissue. It is analogous to ultrasound, except that optical rather than acoustic reflectivity is measured.
  
  
  METHODS
  Optical coherence tomography images of the macula were obtained in 51 eyes of 44 patients with selected macular diseases. Imaging is performed in a manner compatible with slit-lamp indirect biomicroscopy so that high-resolution optical tomography may be accomplished simultaneously with normal ophthalmic examination. The time-of-flight delay of light backscattered from different layers in the retina is determined using low-coherence interferometry. Cross-sectional tomographs of the retina profiling optical reflectivity versus distance into the tissue are obtained in 2.5 seconds and with a longitudinal resolution of 10 microns.
  
  
  RESULTS
  Correlation of fundus examination and fluorescein angiography with optical coherence tomography tomographs was demonstrated in 12 eyes with the following pathologies: full- and partial-thickness macular hole, epiretinal membrane, macular edema, intraretinal exudate, idiopathic central serous chorioretinopathy, and detachments of the pigment epithelium and neurosensory retina.
  
  
  CONCLUSIONS
  Optical coherence tomography is potentially a powerful tool for detecting and monitoring a variety of macular diseases, including macular edema, macular holes, and detachments of the neurosensory retina and pigment epithelium.
authors.affiliation: New England Eye Center, Tufts University School of Medicine, Boston, MA 02111.
authors.forename: C A
authors.initials: CA
authors.lastname: Puliafito
authors.forename: M R
authors.initials: MR
authors.lastname: Hee
authors.forename: C P
authors.initials: CP
authors.lastname: Lin
authors.forename: E
authors.initials: E
authors.lastname: Reichel
authors.forename: J S
authors.initials: JS
authors.lastname: Schuman
authors.forename: J S
authors.initials: JS
authors.lastname: Duker
authors.forename: J A
authors.initials: JA
authors.lastname: Izatt
authors.forename: E A
authors.initials: EA
authors.lastname: Swanson
authors.forename: J G
authors.initials: JG
authors.lastname: Fujimoto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D012160:Retina / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis*; D014054:Tomography / Q000295:instrumentation / Q000379:methods*