Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease

Purpose. To assess optical coherence tomography (OCT) for guiding design and fit of a prosthetic device for corneal disease. Methods. A prototype time domain OCT scanner was used to image the anterior segment of patients fitted with large diameter (18.5–20 mm) prosthetic devices for corneal diseas...

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Main Authors: Hong-Gam T. Le, Maolong Tang, Ryan Ridges, David Huang, Deborah S. Jacobs
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/812034
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author Hong-Gam T. Le
Maolong Tang
Ryan Ridges
David Huang
Deborah S. Jacobs
author_facet Hong-Gam T. Le
Maolong Tang
Ryan Ridges
David Huang
Deborah S. Jacobs
author_sort Hong-Gam T. Le
collection DOAJ
description Purpose. To assess optical coherence tomography (OCT) for guiding design and fit of a prosthetic device for corneal disease. Methods. A prototype time domain OCT scanner was used to image the anterior segment of patients fitted with large diameter (18.5–20 mm) prosthetic devices for corneal disease. OCT images were processed and analyzed to characterize corneal diameter, corneal sagittal height, scleral sagittal height, scleral toricity, and alignment of device. Within-subject variance of OCT-measured parameters was evaluated. OCT-measured parameters were compared with device parameters for each eye fitted. OCT image correspondence with ocular alignment and clinical fit was assessed. Results. Six eyes in 5 patients were studied. OCT measurement of corneal diameter (coefficient of variation, %), cornea sagittal height (%), and scleral sagittal height (%) is highly repeatable within each subject. OCT image-derived measurements reveal strong correlation between corneal sagittal height and device corneal height () and modest correlation between scleral and on-eye device toricity (). Qualitative assessment of a fitted device on OCT montages reveals correspondence with slit lamp images and clinical assessment of fit. Conclusions. OCT imaging of the anterior segment is suitable for custom design and fit of large diameter (18.5–20 mm) prosthetic devices used in the treatment of corneal disease.
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spelling doaj-art-036a2ccdec8a448b81519f1cb51178342025-02-03T01:20:23ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/812034812034Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal DiseaseHong-Gam T. Le0Maolong Tang1Ryan Ridges2David Huang3Deborah S. Jacobs4Boston Foundation for Sight, 464 Hillside Avenue, Suite 205, Needham, MA 02494, USACenter for Ophthalmic Optics and Lasers, Casey Eye Institute, Oregon University of Health & Science, Portland, OR, USABoston Foundation for Sight, 464 Hillside Avenue, Suite 205, Needham, MA 02494, USACenter for Ophthalmic Optics and Lasers, Casey Eye Institute, Oregon University of Health & Science, Portland, OR, USABoston Foundation for Sight, 464 Hillside Avenue, Suite 205, Needham, MA 02494, USAPurpose. To assess optical coherence tomography (OCT) for guiding design and fit of a prosthetic device for corneal disease. Methods. A prototype time domain OCT scanner was used to image the anterior segment of patients fitted with large diameter (18.5–20 mm) prosthetic devices for corneal disease. OCT images were processed and analyzed to characterize corneal diameter, corneal sagittal height, scleral sagittal height, scleral toricity, and alignment of device. Within-subject variance of OCT-measured parameters was evaluated. OCT-measured parameters were compared with device parameters for each eye fitted. OCT image correspondence with ocular alignment and clinical fit was assessed. Results. Six eyes in 5 patients were studied. OCT measurement of corneal diameter (coefficient of variation, %), cornea sagittal height (%), and scleral sagittal height (%) is highly repeatable within each subject. OCT image-derived measurements reveal strong correlation between corneal sagittal height and device corneal height () and modest correlation between scleral and on-eye device toricity (). Qualitative assessment of a fitted device on OCT montages reveals correspondence with slit lamp images and clinical assessment of fit. Conclusions. OCT imaging of the anterior segment is suitable for custom design and fit of large diameter (18.5–20 mm) prosthetic devices used in the treatment of corneal disease.http://dx.doi.org/10.1155/2012/812034
spellingShingle Hong-Gam T. Le
Maolong Tang
Ryan Ridges
David Huang
Deborah S. Jacobs
Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease
Journal of Ophthalmology
title Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease
title_full Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease
title_fullStr Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease
title_full_unstemmed Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease
title_short Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease
title_sort pilot study for oct guided design and fit of a prosthetic device for treatment of corneal disease
url http://dx.doi.org/10.1155/2012/812034
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