Glaucoma Diagnosis and Monitoring Using Advanced Imaging Technologies.
Advanced ocular imaging technologies facilitate objective and reproducible quantification of change in glaucoma but at the same time, impose new challenges on scientists and clinicians for separating true structural change from imaging noise. This review examines time-domain and spectral-domain optical coherence tomography, confocal scanning laser ophthalmoscopy and scanning laser polarimetry technologies and discusses the diagnostic accuracy and the ability of each technique for evaluation of glaucomatous progression. A broad review of the current literature reveals that objective assessment of retinal nerve fiber layer, ganglion cell complex and optic nerve head topography may improve glaucoma monitoring when used as a complementary tool in conjunction with the clinical judgment of an expert.
Research Assistant Professor of Ophthalmology, University of Miami Miller School of Medicine, Palm Beach Gardens, Florida, USA.
Mitra
M
Sehi
Glaucoma Research Fellow, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Palm Beach Gardens, Florida, USA.
Shawn M
SM
Iverson
Confocal scanning laser ophthalmoscopy (CSLO); Fourier-domain optical coherence tomography; glaucoma progression; optic nerve head; retinal nerve fiber layer; scanning laser polarimetry (SLP); time-domain optical coherence tomography