We have invested in advanced technology called

OCT that allows our eye doctors to have a clearer image of your eye.

Ocular Coherence Tomography

Optical coherence tomography (OCT) scans are important for establishing early diagnoses for many serious eye diseases. Learn why we have invested in advanced technology for the care of your eyes and vision.

When should I have an OCT scan?

If you are over 25 years of age or at risk of developing ocular diseases, your comprehensive eye examination may include an OCT scan. OCT scans enable your doctor to compare the images from previous years in order to detect any abnormalities or thickening of the retinal layers.
The information provided by an OCT scan will also be useful for monitoring your treatment if you have been diagnosed with ocular disease. In case you have any questions about the OCT exam, do not hesitate to contact our office at [mbv name="token-practice-phone"].

The optometrist may recommend an OCT scan if you have any of the following eye diseases or family history of eye disease. 

  • Diabetes or diabetic retinopathy 
  • Glaucoma 
  • Retinal Detachment 
  • Age Related Macular Degeneration

There are many conditions that may benefit from an OCT scan. Below we provide a more comprehensive list.

Diabetes or diabetic retinopathy

Glaucoma

Retinal Detachment

Age Related Macular Degeneration

Why should you schedule an eye exam with an optometrist that has an OCT?

An OCT is one of the most expensive technologies in a modern optometry office, ranging in price from $30,000-$80,000. When an optometry office has invested in this equipment it is a strong indication of the office's commitment to the healthcare of their patients. Furthermore the benefits of an OCT in allowing for a baseline of your eyes is important as you age, with every visit your eye doctor is able to look at previous scans and assess for any change. For patients with eye disease the benefits of an OCT are exceptionally high, the high resolution 3D images allow the optometrist to identify early signs of disease progression before permanent vision loss occurs.

What Is OCT?

Optical coherence tomography (OCT) provides detailed images of the layers in the optic nerve and retina. In the same way as an ultrasound, OCT uses light waves rather than sound waves to direct focused light beams into the eye. The beams then get reflected out from the eye. After processing, eye care professionals can view detailed cross-sectional images of various structures within the eye. An OCT takes roughly 15 minutes to complete. It is an easy and non-invasive test.

The OCT test gives highly detailed and accurate 3D imaging of the inner workings of your eye while being super comfortable for the patient. The OCT is: 

  • noninvasive 
  • painless 
  • minimal health risks
  • zero radiation

What is the use of optical coherence tomography?

Retinal conditions

Optic nerve disorders

Pre and post-surgical assessment

Biomedical Imaging Using Optical Coherence Tomography

Retinal conditions

Many retinal conditions can be diagnosed with OCT. It is generally easier to image lesions in the macula than in the mid and far periphery. Among the conditions OCT is most useful for diagnosing are:

  • Macular hole
  • Macular pucker/epiretinal membrane
  • Vitreomacular traction
  • Macular edema and exudates
  • Detachments of the neurosensory retina
  • Detachments of the retinal pigment epithelium (e.g. central serous retinopathy or age-related macular degeneration)
  • Retinoschisis
  • Pachychoroid
  • Choroidal tumors
  • Subretinal fluid

It is possible to diagnose certain conditions using only an OCT (e.g. macular hole). For other disorders, particularly vascular disorders of the retina, additional tests may be necessary (such as fluorescein angiography or indocyanine green angiography).

Optic nerve disorders

OCT is becoming increasingly popular for evaluating retinal nerve fiber layer and ganglion cell layer thickness to diagnose optic nerve disorders:

  • Glaucoma
  • Optic neuritis
  • Non-glaucomatous optic neuropathies
  • Alzheimer's disease
Pre and post-surgical assessment

Cataract surgery is one of the most common surgeries performed in the US, the OCT is an incredibly powerful tool in pre operative and post operative care for cataract patients. 

Utilizing OCT imaging as a tool for pre and postoperative assessment can provide invaluable information for the surgical management of macular holes and retinal detachments. By using OCT, surgical outcomes can be visualized, confirming reattachment and normal contour. Post-surgical imaging can sometimes be challenging because of reduced OCT signal strength caused by ocular turbidity; however, images are adequate for subjective, if not quantitative, interpretation. In cases of poor ocular media, pre-surgical scanning can reveal pathologies that can complicate surgery, such as an undetected macular hole, choroidal neovascularization, edema, or vitreomacular traction syndrome. Due to the OCT's scanning beam technology, it is possible to image even through a small pupil or tiny peripheral opening in a dense cataract that otherwise would obstruct a thorough examination.

Biomedical Imaging Using Optical Coherence Tomography

OCT has several characteristics that point to its future importance as biomedical imaging technology.

OCT images can have axial resolutions of one to fifteen micrometers, which is a significant increase over conventional ultrasound. Contrary to ultrasound, imaging can be performed directly through air, without direct contact with the tissue or a transducing medium.

Imaging can be performed in situ, without the need to excise a specimen. By doing so, it is possible to image structures where a biopsy would be dangerous or impossible. As a result, it also allows better coverage, reducing the sampling errors associated with excisional biopsy.

In contrast to conventional biopsy and histopathology, imaging can be performed in real time without the need to process a specimen. In this way, pathology can be monitored on screen and stored as high-resolution videos. By coupling real-time imaging with surgery, it is possible to provide surgical guidance based on real-time diagnosis.

Time-domain versus spectral-domain OCT in Age Related Macular Degeneration

The new spectral-domain (SD) OCT devices use a spectrometer in the receiver to analyze the spectrum of reflected light on the retina and calculate the depth of the structures, according to the fourier principle. The time-domain (TD) OCT uses this technology to eliminate the need for mechanically moving the reference arm, thereby increasing the speed of image reception and axial resolution. SD-OCT uses different algorithms than TD-OCT, and the retinal thickness measurements are not comparable between the two. SD-OCT also offers a faster rate of capturing images and higher definition. In contrast to TD-OCT which measures retinal thickness from the internal limiting membrane to the highest hyperreflective band, i.e., that combines the inner and outer segments of the photoreceptors, SD-OCT measures this near the RPE. As a result, SD-OCT measures retinal thickness values much higher than that obtained by TD-OCT.

Frequently asked questions

How is OCT performed?

What happens during OCT?

How is OCT performed?

Before starting the scan, the optometrist may dilate your eyes depending on the patient and the reason for the scan. A patient rests their chin on the machine and looks into a lens. There is no contact with the eye. Normally, it takes a few minutes to scan each eye.The OCT may be accompanied by other tests as recommended by your eye doctor. The OCT scan takes around 5-10  minutes in total. Once the detailed imaging has been processed the optometrist will go over the results of the scan with you.

What happens during OCT?

Your ophthalmologist may or may not use dilating eye drops to prepare you for an OCT exam. These drops enlarge your pupil and make it easier for your ophthalmologist to see your retina. In order to keep your head from moving, you'll need to rest it on a support in front of the OCT machine. It may take several hours for your eyes to adjust to light after you've had your eyes dilated.

Testimonials


  • Dr. Kavner is a gifted diagnostician and orthoptic therapist. He treated me several decades ago for a condition similar to dyslexia. I was having migraines five times per week. I worked with him for about a year and I experienced tremendous improvement (down to 3-4 per year) that has lasted.


    Mary K.

  • Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!


    Peter G.

  • Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!


    Kinkie F.

  • I have always found Dr Kavner's work, expertise and wisdom of the highest caliber. As one of the fathers of OT, occupational othomology, his depth and breadth of knowledge about the eyes' health and wellbeing of the patient is exemplary. Cannot say enough good things about him.


    Allen B.

  • As a long time patient and grateful recipient of Dr Kavner's care for my whole family I can wholeheartedly tell others his care is exemplary. His knowledge base is thrilling, and how ability to synthesize his wisdom into useful, accessible information is comforting, to say the least. I cannot say enough about this kind, gentle man and his legendary skills - he was one of the fathers of Occupational Optometry.

     


    Alicia C.

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