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.
Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Harsha S
HS
Reddy
Yan
Y
Li
Samuel C
SC
Yiu
John A
JA
Irvine
David
D
Huang
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*