PMID- 19525727 OWN - NLM STAT- MEDLINE DCOM- 20090908 LR - 20211020 IS - 1536-481X (Electronic) IS - 1057-0829 (Print) IS - 1057-0829 (Linking) VI - 18 IP - 5 DP - 2009 Jun-Jul TI - Imaging of optic nerve head drusen: improvements with spectral domain optical coherence tomography. PG - 373-8 LID - 10.1097/IJG.0b013e31818624a4 [doi] AB - OBJECTIVE: To demonstrate a new algorithm that can determine the shape, location, and volume of optic nerve head drusen (ONHD), which were imaged with spectral domain optical coherence tomography (SDOCT). METHODS: One exenteration patient and 4 glaucoma patients with bilateral ONHD were recruited from the Massachusetts Eye and Ear Infirmary and from a private practice office. Images were obtained using an experimental SDOCT system developed at the Wellman Center for Photomedicine, Massachusetts General Hospital. With axial resolutions of about 6 mum, SDOCT can obtain 2-dimensional images in 1/29 of a second, compared with commercially available time domain OCT instruments with 10 mum resolution images in 1.28 seconds. The volumes of ONHD were calculated with a new algorithm and were then correlated with visual field mean deviation. RESULTS: SDOCT can display 2-dimensional images comparable with histology and 3-dimensional videos of ONHD. ONHD are signal-poor regions with high-signaled borders. Larger ONHD volumes are directly correlated with larger mean deviation absolute values on Humphrey visual field testing. CONCLUSIONS: SDOCT is a potentially better technique for ONHD imaging and may improve the diagnosis and management of patients with both OHND and glaucoma. FAU - Yi, Kayoung AU - Yi K AD - Harvard Medical School, Department of Ophthalmology, Glaucoma Service, Massachusetts General Hospital, Boston, MA, USA. FAU - Mujat, Mircea AU - Mujat M FAU - Sun, Wei AU - Sun W FAU - Burnes, Daina AU - Burnes D FAU - Latina, Mark A AU - Latina MA FAU - Lin, Derrick T AU - Lin DT FAU - Deschler, Daniel G AU - Deschler DG FAU - Rubin, Peter A D AU - Rubin PA FAU - Park, Boris Hyle AU - Park BH FAU - de Boer, Johannes F AU - de Boer JF FAU - Chen, Teresa C AU - Chen TC LA - eng GR - EY 014104/EY/NEI NIH HHS/United States GR - R01 EY 014975/EY/NEI NIH HHS/United States GR - R01 EY014975-02/EY/NEI NIH HHS/United States GR - R01 EY014975/EY/NEI NIH HHS/United States GR - P30 EY014104/EY/NEI NIH HHS/United States PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Glaucoma JT - Journal of glaucoma JID - 9300903 SB - IM MH - Aged MH - *Algorithms MH - Female MH - Humans MH - Image Processing, Computer-Assisted MH - Imaging, Three-Dimensional MH - Male MH - Middle Aged MH - Optic Disk Drusen/complications/*diagnosis MH - Tomography, Optical Coherence/*methods/standards MH - Vision Disorders/diagnosis/etiology MH - Visual Field Tests/methods MH - Visual Fields PMC - PMC2697454 MID - NIHMS85785 EDAT- 2009/06/16 09:00 MHDA- 2009/09/09 06:00 PMCR- 2010/06/01 CRDT- 2009/06/16 09:00 PHST- 2009/06/16 09:00 [entrez] PHST- 2009/06/16 09:00 [pubmed] PHST- 2009/09/09 06:00 [medline] PHST- 2010/06/01 00:00 [pmc-release] AID - 00061198-200906000-00005 [pii] AID - 10.1097/IJG.0b013e31818624a4 [doi] PST - ppublish SO - J Glaucoma. 2009 Jun-Jul;18(5):373-8. doi: 10.1097/IJG.0b013e31818624a4.