8. ILM overlay on fundus
Shows exact location of
TractionâŚâŚ
Facilitate surgical
approach
Advanced visualization
⢠Choose the thickness
you want to visualise
⢠view its C Scan
⢠Overlay on the fundus
⢠Pin point pathology
⢠Of course there is 3D too
9. RNFL Analysis
Cirrus SD OCT
9
RNFL thickness along the calculation
circle is displayed in graphic format
(TSNIT) and compared to age-matched
normative data
RNFL DEVIATION MAP, overlaid on the
OCT fundus image, illustrates
precisely where RNFL thickness
deviates from the normal range. Data
points that are not within normal limits
are indicated in red and yellow.
RNFL thickness and comparison to
normative data is shown in circle,
quadrants and clock hour display
RNFL THICKNESS MAP shows the
patterns and thickness of the nerve
fiber layer within the full 6mm x 6mm
area
12. PanoMap Analysis
Wide-field structural damage assessment for glaucoma
⢠Integrated wide-field
assessment of posterior
pole with high-density scans
⢠RNFL, ONH, GCA, and
Macular Thickness analyses
all in one report
⢠Backward compatible with
your existing CIRRUS scan
data
13. New En Face Analysis
Four clinical views reveal what lies beneath the surface
IS/OS-Ellipsoid: Follows the RPE contour, centered
at IS/OS. Useful for assessing photoreceptor
disruption.
Vitreoretinal Interface (VRI): Highlights VRI
disorders, such as epiretinal membranes (ERM) and
vitreomacular traction (VMT)
Choroid: Designed to visualize choroidal
vasculature and to visualize RPE/sub-RPE structural
anomalies
Mid-Retina: Designed to highlight fluid and
exudates in the middle third of the retina (Inner
Nuclear Layer to Outer Nuclear Layer)
14. 14
Cirrus SD OCT Clinical Cases ERM Traction
Classical OCT Fundus enface image doesnât emphasize the pathology
15. 15
VRI Enface View with LSO fundus overlay
VRI enface projection emphasizes the pathology with clinically useful
information with dark areas indicating areas of ERM detachment
Clinical Cases ERM Traction
16. 16
Mid-Retina Enface View
Mid-retina slab shows the cystic spaces in the macula arranged in the classical
âflower petalâ structure. Appearance of these petaloid hyperfluorescent spaces is
the hallmark of CME on fluorescein angiography.
Clinical Cases Cystoid Macular Edema
19. 19
⢠Deliver targeted visualizations with more brilliant HD scans
⢠Automatically find the fovea using new Smart HD Scan workflow
⢠Customizable and available with Enhanced Depth Imaging (EDI)
HD Radial
360ď° perspective
with fovea as
reference point
HD 1 Line 100x
See all the details
with 100 frame
averaging
HD 21 Line See
more of the
retina for wet
AMD therapy
monitoring
HD Cross
Integrated
horizontal and
vertical b-scans
Smart HD Scans Provide Targeted Visualization
and Improve Workflow
20. 20
OCT Angiography
New non-invasive
microvasculature imaging
technology
AngioPlex⢠OCT Angiography allows visualization of
both perfused vasculature and vascular abnormalities
of the retina without the need of contrast.
21. 21
OCT Angiography
AngioPlex ⢠Technology AngioPlex Maps
AngioPlex ⢠Technology detects
motion of scattering particles such
as red-blood cells within sequential
OCT B-scans performed repeatedly
at the same location of the retina.
AngioPlex ⢠Maps consist of
reconstruction of the perfused
microvasculature within the retina
and choroid.
22. 22
OCT Angiography
AngioPlex⢠Map consists of a 2D representation of retinal the
vasculature of a particular region of interest.
Visualization of
blood flow in
superficial
retina.
Superficial Retina Map Deep Retina Map Avascular Retina Map
Visualization of
blood flow in
deep retina.
Avascular region of the
retina in healthy eyes.
Allows for detection of
abnormal vascular
growth.
23. 23
OCT Angiography
The color depth map combines superficial, deep and avascular retina
maps and allows for depth visualization of retinal blood flow
Color Depth Retina Map
Superficial Retina Map Deep Retina Map Avascular Retina Map
24. 24
OCT Angiography
AngioPlex⢠can potentially be used to detect vascular structures,
such as:
Areas of CNV in AMD
Neovascularization in Mactel
Micro-aneurysms and ischemia in DR
Occlusions and abnormalities in CRVO
and BRVO cases
Abnormalities of optic nerve
vasculature
25. 25
CIRRUS OCT Angiography
OMAGC Optical Micro-Angiography
⢠OMAGC is an imaging technique which uses the
complete complex OCT data signal including both
amplitude and phase
26. 26
OCT Angiography Clinical Cases
Courtesy of Dr. Scott Lee, East Bay Retina, Oakland, CA
Color depth encoded
AngioPlex image
Superficial Retinal Layer
AngioPlex image
Deep Retinal Layer
AngioPlex image
Color depth encoded AngioPlex image
Overlaid onto traditional FA
Diabetic Retinopathy
27. 27
BRVO
Courtesy of Dr. Scott Lee, East Bay Retina, Oakland, CA
Color depth
encoded AngioPlex
image
Superficial
Retinal Layer
AngioPlex
image
Deep Retinal Layer
AngioPlex image
Color depth encoded AngioPlex image
Overlaid onto traditional FA
B-scan showing
blood flow
OCT Angiography Clinical Cases
28. 28
Color depth encoded AngioPlex image
Overlaid onto traditional FA
Custom AngioPlex
Map Overlaid onto FA.
This layer illustrates
The presence of CNV.
B-scan with dashed
purple lines delineating
the layer
selected to create the
custom
AngioPlex map.
AMD
OCT Angiography Clinical Cases
29. 29
OCT Angiography Clinical Cases
Wet AMD with CNV
OCT Angiography
Superficial Retina
OCT Enface
Superficial Retina
Angioplex map CNV Lesion
30. 30
OCT Angiography Clinical Cases
Mactel Type 2
Angioplex map highlight regions of abnormal vasculature within Retina
Superficial Retina Deep Retina Avascular Retina Retina
Superficial Retina Deep Retina Avascular Retina Retina
31. 31
OCT Angiography Clinical Cases
DR with NVE
Angioplex map highlight regions of abnormal vasculature in vitreous
32. Swept Source OCT
Zeiss has brought in Swept Source Technology in Optical Biometry.
The IOLMasterÂŽ 700 from ZEISS provides a full-length OCT image showing anatomical
details on a longitudinal cut through the entire eye. Thus unusual eye geometries,
such as a tilt or decentration of the crystalline lens, can be detected.
Visualization of Foveal pit
allows for Fixation check
33. Anterior Segment Imaging
Cirrus SD OCT
⢠Comprehensive anterior segment imaging with
new magnetic external lenses
⢠Quick switching to anterior segment scanning
⢠First-in-class full anterior chamber imaging
from a retinal OCT
34. Anterior Segment Imaging
⢠Improved assessment for angle closure glaucoma
⢠Versatile suite of scans with corneal and refractive applications
⢠Opens up new market applications, such as fitting scleral CLâs
35. Anterior Segment Imaging
Visualizes Critical Angle Structures
Scleral Spur
Schlemmâs canal
Schwalbeâs line
⢠The scleral spur, Schlemmâs canal, and Schwalbe's line can clearly be identified
37. Anterior Segment Imaging
The first full anterior chamber view from a retinal OCT
Anterior Chamber Depth and Lens Vault manual measurements for anterior
chamber evaluation and angle closure glaucoma risk assessment
Anterior Chamber
Depth (ACD)
Lens Vault
Angle to Angle
(ATA) Distance
Corneal Thickness
38. Anterior Segment Imaging
Assess the Cornea in Detail
⢠High-definition view for
documentation and assessment
of corneal pathology
⢠Easily visualize all major corneal
layers
Tear film
Epithelium
Bowmanâs membrane
Stroma
Endothelium
39. Anterior Segment Imaging
HD Cornea Scan
⢠Stromal Distance Tool to assess residual stromal bed
thickness for LASIK enhancement decision
⢠Caliper Tool for measuring structures such as corneal
flap thickness
46. Patient Name: Maria
Diagnosis : DM Uncontrolled , 6/60 OU
AUG 11 -SEVERE NPDR WITH CSME
Therapy :
1.BE- Laser + Avastin
2.BE Ozurdex AS MAINTENENCE
3. Pred Forte + Nevanac
12MONTHS LATER
4. Cataract surgery with Ozurdex INJECTION
PREOP AVASTIN WITH LASER
5 FINAL VISION 6/12 N8
