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Clinical Atlas of Anterior Segment OCT: Optical Coherence Tomography, 1st Edition

ISBN: 9780443120466
Διαστάσεις 28 × 22 cm



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While eye care providers are thoroughly familiar with the use of optical coherence tomography (OCT) in the diagnosis and management of glaucoma and retinal diseases, many are not as familiar with its myriad uses for the diagnosis of corneal and anterior segment conditions. Anterior segment OCT (AS-OCT) can help to differentiate between various corneal pathologies, show the anatomy of the angles, obtain information about the lens-capsule complex, and guide contact lens fitting, among many other clinical uses. Clinical Atlas of Anterior Segment OCT expertly guides clinicians through all aspects of AS-OCT with hundreds of high-quality OCT images that highlight the utility of AS-OCT in diagnosing and managing a wide spectrum of anterior segment diseases.
Key Features
  • Covers the entire normal anatomy of the anterior segment and pathology of the conjunctiva, corneal epithelium, stroma and endothelium, lens, iris, anatomic angle, and clinical settings such as trauma, infection, inflammation, and contact lens fitting.
  • Includes information on using AS-OCT in clinical and surgical settings (intraoperative AS-OCT).
  • Provides rich visual guidance with over 500+ high-quality figures (anterior segment OCT imaging and clinical photos) comparing normal anatomy and a wide range of pathology, including both common and rare disorders and how to differentiate frequently confused conditions.
  • Provides a well-rounded perspective of AS-OCT, including how to use, understand, and capture images.
  • Links high-quality slit lamp images to the corresponding AS-OCT image with clear labels to show the pathology side by side.
  • Features clinical pearls in each chapter to relate key AS-OCT and clinical findings to everyday practice.
  • An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.


Cover image
Title page
Table of Contents
    List of Illustrations
    List of Tables
Section 1. Introduction to Anterior Segment Optical Coherence Tomography
1.  History of anterior segment optical coherence tomography (AS-OCT)
    I. Introduction
    II. History of optical coherence tomography development and brief review of optical coherence tomography technology
    III. Development of anterior segment optical coherence tomography devices
    IV. Features and advantages of anterior segment optical coherence tomography
    V. Clinical applications in anterior segment practice
2.  Clinical applications
    Diagnosis and evaluation of ocular pathologies
    Monitoring disease progression and severity
    Preoperative evaluation and surgical planning
    Intraoperative guidance
    Postoperative monitoring
3.  Quantitative analysis of the anterior segment
    I. Introduction
    II. Cornea
    III. Conjunctiva
    IV. Anterior chamber, iris, and iridocorneal angle
    V. Lens
    VI. Techniques
Section 2. Conjunctival Pathologic Conditions
4.  Conjunctival pathologic conditions
    I. Benign lesions
    II. Pigmented lesions
    III. Ocular surface squamous neoplasia
    IV. Lymphoma
    V. Amyloidosis
5.  Pathology of the corneal epithelium and Bowman’s layer
    I. Epithelial (anterior) basement membrane dystrophy
    II. Calcific band keratopathy
    III. Salzmann nodular degeneration
    IV. Reis-Bücklers dystrophy
    V. Peripheral ulcerative keratitis
    VI. Staphylococcal marginal keratitis
    VII. Epithelial hypertrophy
    VIII. Superficial punctate keratopathy or punctate epithelial erosions
    IX. Contact lens overwear, hypoxia, and contact lens associated red eye (clare)
    X. Dellen
    XI. Dendrites versus pseudodendrites
    XII. Corneal epithelial defects
    XIII. Corneal epithelial bullae
    XIV. Anterior stromal puncture
    XV. Thygeson superficial punctate keratitis
    XVI. Horners-Trantas dots
    XVII. Lisch epithelial corneal dystrophy
Section 3. Stromal and Endothelial Disorders
6.  Stromal dystrophies, degenerations, and depositions
    I. Stromal dystrophies
    II. Stromal degenerations
    III. Stromal depositions
    IV. Miscellaneous stromal pathologic conditions
7.  Corneal ectasias
    I. Introduction
    II. Keratoconus
    III. Post-LASIK ectasia
    IV. Pellucid marginal degeneration
    V. Keratoglobus
    VI. Posterior keratoconus
8.  Pathology of the endothelium
    I. Fuchs endothelial corneal dystrophy
    II. Pseudophakic bullous keratopathy
    III. Posterior polymorphous membrane/corneal dystrophy
    IV. Descemet’s membrane detachment after cataract surgery
    V. Amantadine-associated corneal edema
    VI. Netarsudil-associated corneal edema
    VII. COL8A2-associated corneal dystrophy
    VIII. Iridocorneal endothelial syndrome
    IX. Endothelial debris
Section 4. Iris, Angle and Lens Abnormalities
9.  Abnormalities of the iris
    I. Introduction
    II. Solid iris lesions
    III. Iris melanocytic lesions
    IV. Cystic iris lesions
    V. Congenital iris abnormalities
10.  Abnormalities of the angle
    I. Introduction
    II. Evaluation of anterior chamber angles
    III. Clinical examples of anterior segment optical coherence tomography and angle pathology
11.  Abnormalities of the crystalline lens and intra-ocular lens
    I. Imaging of the lens using AS-OCT
    II. Types of cataracts
    III. Types of implantable lenses
    IV. Postoperative complications of cataract surgery
    V. Summary
Section 5. Surgery and Associated Complications
12.  Refractive surgery
    I. Laser in-situ keratomileusis
    II. Photorefractive keratectomy
    III. Phototherapeutic keratectomy
    IV. Corneal inlays and onlays
    V. Corneal collagen cross linking
    VI. Phakic intraocular lenses
13.  Use of intraoperative AS-OCT in corneal transplant surgery
    I. Introduction
    II. Descemet stripping automated endothelial keratoplasty
    III. Descemet membrane endothelial keratoplasty
    IV. Deep anterior lamellar keratoplasty
14.  Use of anterior segment optical coherence tomography (AS-OCT) in postoperative management of full-thickness penetrating keratoplasty and lamellar keratoplasty
    I. Introduction
    II. Use of AS-OCT after penetrating keratoplasty
    III. Use of AS-OCT after anterior lamellar keratoplasty
    IV. Use of AS-OCT in select cases of corneal transplant surgery
15.  Use of AS-OCT in postoperative management of endothelial keratoplasty
    I. Introduction
    II. Use of AS-OCT in post-DSEK eyes
    III. Use of AS-OCT in post-DMEK eyes
    IV. Other postoperative complications
    V. Future directions of endothelial keratoplasty
Section 6. Pediatrics, Trauma, Contact Lenses and Other Pathologies
16.  Pediatric cornea and anterior segment imaging
    I. Introduction
    II. Cornea and external disease pathologic conditions
    III. Anterior segment and lens pathologic conditions
17.  Trauma
    I. Introduction
    II. Corneal injuries
    III. Anterior chamber and iris
    IV. Lens
18.  Applications in contact lens fitting
    I. Introduction
    II. Soft contact lenses
    III. Rigid gas-permeable
    IV. Hybrid
    V. Scleral contact lenses
    VI. Contact lenses and ocular pathology
19.  Corneal infections
    I. Introduction
    II. Bacterial infections
    III. Viral infections
    IV. Fungal keratitis
    V. Acanthamoeba keratitis
20.  Ocular inflammation
    I. Introduction
    II. Interstitial keratitis
    III. Peripheral ulcerative keratitis
    IV. Diffuse lamellar keratitis
    V. Neurotrophic keratitis
    VI. Corneal neovascularization
    VII. Miscellaneous inflammatory pathology