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General


Domains: Clinical practice, Leadership & accountability

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The development of digital imaging systems for optometry has reached the point where they are an integral part of eye health assessment. In this four-part series we will cover image capture and storage, digital cameras, scanning laser ophthalmoscopy (SLO) and optical coherence tomography (OCT). 

Before you start the last part of the course please ensure that you have either completed Part One - Image Capture and Storage, Part Two - Digital Cameras and Part Three - SLO or you are familiar with the content. 

Part four offers an overview of OCT instruments. OCT allows accurate and repeatable 3-dimensional imaging and measurement of structures within the eye and this accuracy makes it useful for monitoring change over time and highlighting where such changes are not normal and possibly related to eye disease. We discuss the various methods of capture, both anterior and disc/retinal, and the interpretation of the various data plots and scans and give examples of the diagnostic benefits.


First published: April 2019
Last reviewed: December 2024

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    Clinical practice

    s.5 Keep your knowledge and skills up to date

    • Understand the use of OCT in the assessment, monitoring and diagnosis of a range of retinal diseases.
    • Understand the use of anterior OCT as an adjunct to pachymetry and slit lamp assessment.

    s.7 Conduct appropriate assessments, examinations, treatments and referrals

    • Understand the nature of and advantages of OCT in optometric practice both for clinical and medico legal purposes.

    Leadership and accountability

    s.8 Maintain adequate patient records

    • Understand the nature of and benefits offered by OCT capture and transfer as part of a secure record keeping environment. 

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      References


      Barnaby C Reeves et al (2016) Effectiveness of Community versus Hospital Eye Service follow-up for patients with neovascular age-related macular degeneration with quiescent disease (ECHoES): a virtual non-inferiority trial. BMJ Open; 6: e010685. doi:10.1136/bmjopen-2015-010685

      Mody C (2016) OCT assessment walkthrough. Optician.

      Schuman J (2012) Optical Coherence Tomography of Ocular Diseases. Slack.

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