Optical coherence tomography of corneal and scleral melts.
Corneal and scleral melts can be difficult to assess by slit-lamp due to the overlying opacity. The authors demonstrate the role of optical coherence tomography (OCT) in the diagnosis and management of two cases of corneal and scleral melt. A high-speed anterior segment OCT system operating at a 1310-nm wavelength was used. Cross-sectional OCT images showed the depth and extent of the melt. OCT images were obtained through an opaque pannus in one case and through a calcium plaque in the other. OCT images at the follow-up examination revealed a thin fluid space between the amniotic graft and cornea and its subsequent resolution in the first case and the fits of an epicardial graft and a subsequent clear lamellar corneal graft in the second case. OCT images allow physicians to assess melts through opaque media and subsequent graft integration after repair.
Reddy
Harsha S
HS
Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Li
Yan
Y
Yiu
Samuel C
SC
Irvine
John A
JA
Huang
David
D
D000328:Adult; D000368:Aged; D003316:Corneal Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D015422:Scleral Diseases / Q000175:diagnosis*; D041623:Tomography, Optical Coherence / Q000379:methods*