There are certain conditions in which this instrument is especially relevant for:
1. Glaucoma or glaucoma suspects. We are now able to diagnose glaucoma at an earlier stage in the disease process, because it has been found that certain layers of the retina decrease in thickness in cases of glaucoma, and that this occurs earlier in the disease process than visual field loss, which is the older technology that was previously and is still currently used to diagnoses glaucoma.
2. Macular Degeneration. The OCT allows us to visualize a cross-section of the macula, which is important in the diagnosis and treatment of this condition.
3. Macular Holes. This is another retinal condition that is very relevant to this instrument. Many macular holes occur and they cannot be seen in a retinal photo. However, they are always seen with the OCT.
EVEN IF YOU DO NOT HAVE ANY OF THESE CONDITIONS, I'M RECOMMENDING THAT ALL PATIENTS OVER THE AGE OF 18 HAVE AN OCT SCAN AT THEIR EXAM THIS YEAR, SO THAT WE HAVE BASELINE INFORMATION FOR THE FUTURE. IN THE EVENT YOU HAVE A RETINAL CONDITION THAT OCCURS SOMETIME IN THE FUTURE, WE WILL HAVE DATA TAKEN THIS YEAR THAT WE CAN COMPARE IT TO. ONCE THE BASELINE INFORMATION IS IN OUR FILES, THEN THE OCT CAN BE OPTIONAL IN FUTURE YEARS, PROVIDED YOU DO NOT HAVE ANY RETINAL CONDITIONS THAT WARRANT IT.
The OCT is the single greatest eyecare technology advancement in our lifetime. I recommend that everybody have it done once now, so that we have baseline information for the future.
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