Study on role of optical coherence tomography in high myopia.

Abstract

Starting from white-light interferometry for in vivo ocular eye measurements imaging of biological tissue, especially of the human eye, was investigated by multiple groups worldwide. First devised in 1990 by Naohiro Tanno, then a professor at Yamagata University, and in 1991 by Huang et al., optical coherence tomography (OCT) with micrometer resolution and cross-sectional imaging capabilities has become a prominent biomedical tissue-imaging technique; it is particularly suited to ophthalmic applications and other tissue imaging requiring micrometer resolution and millimeter penetration depth. OCT has also been used for various art conservation projects, where it is used to analyze different layers in a painting. OCT has critical advantages over other medical imaging systems. Medical ultrasonography, magnetic resonance imaging (MRI) and confocal microscopy are not suited to morphological tissue imaging: the first two have poor resolution; the last lacks millimeter penetration depth. OCT is based on low-coherence interferometry. In this study retinal thickness increases in the foveal region and decreases in the macular region with smaller macular volume in high myopia which positively correlates with the increase in the refractive error. OCT with cross sectional images of retinal structures greatly facilitates the study of posterior vitreoretinal anatomy in eyes with high myopia to allow detection of subtle macular changes that are otherwise undectable. So OCT can be done in a healthy high myopic population and in symptomatic myopic population who complains of worsening of visual function in the last 6 months to look for epiretinal and/or vitreoretinal traction and related macular damage

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