European Ophtalmology News, XXVII Congress of ESCRS
First Slitlamp integrated Optical Coherence Tomography system, the SL SCAN-1
Since its introduction in the early
90-ties Optical Coherence Tomogra-
phy numerous studies unequivocally
demonstrated the valuable contri-
bution of OCT to the diagnosis and
treatment evaluation of patients with
common diseases, like AMD, Diabetic
Retinopathy, and Glaucoma.
The most important value added
by OCT is insight into the third di-
mension of the structures of the eye.
The unprecedented resolution pro-
vided by the present Fourier Domain
based OCT systems available to image
the layered structure of the retina,
the peri-papillary retinal nerve fiber
layer, or the cornea, iris, and anterior
chamber has improved the quality of
the diagnostic process tremendously.
OCT is a non-contact, non-invasive,
completely save technique.
Present FD-OCT systems are stand-
alone devices. This limits their avail-
ability for routine eye investigation.
This limitation may be overcome by
implementing OCT technology in a
small unit compatible with existing
slitlamps, a device widely available in
the ophthalmologic practice. This has
lead to the realization of an add-on
OCT imaging device, the SL SCAN-1
(Topcon).
Figure 2: OCT scans of anterior segment, obtained with the SL SCAN-1. f
= iris cyst. The green line in the pictures corresponds with scan position
of SL SCAN-1.
The SL SCAN-1 uses a Fourier Do-
main OCT system (SLD light source,
central wavelength 830 nm, band-
width 30 nm, 1024 pixel CCD cam-
era, resolution in tissue 8 to 9 micron,
scan speed 5000 A-scans per sec-
ond,). The fast scanning speed, with
512 a-scans per b-scan, allows a full
b-scan to be made in approximately
0.1 seconds. In addition, the auto-
matic fast z-alignment build into the
device corrects for small movements
in the sample arm i.e, the patient, a
hand-held lens and/or slitlamp. These
features makes the OCT system fast
enough to make a full and high qual-
ity scan, even in an eye observed
through a handheld lens. The high
resolution of 8 to 9 micron in tissue
is sufficient to show all relevant lay-
ers of the retina in detail, as shown in
figure 1. A color fundus photography
of the observed area is made at the
same time (Topcon camera DC1, reso-
lution = 3.24 Mp).
First clinical impressions in pa-
tients with exudative AMD, seen in
the outpatient clinic of the Academic
Medical Center, and scanned with a
prototype of the newly developed Figure 1: OCT scans of a patient with vitreomacular traction, obtained with the SL SCAN-1. The green line in the
OCT scanning device, integrated into pictures corresponds with scan position of SL SCAN-1
a common slitlamp showed promising
results. Thirty patients, 30 eyes, were The OCT is becoming increasingly cians, not directly familiar with the the routine clinical examination of
used for analysis. Operating the de- important in ophthalmology for both pathology at hand. This could lead a patient, will increase the comfort
vice proved to be almost identical to diagnosis and follow-up of patients. to inadequate scans missing the rel- of the patient seated behind just one
standard slitlamp examination of the The slitlamp with integrated OCT evant pathology. With the slitlamp device, and will save time.
fundus of a patient. Important dur- enables to make OCT images during with integrated OCT the ophthal-
ing follow-up is the presence or ab- the normal standard examination mologist himself will make the OCT Author: Dr. Frank Verbraak
sence of signs of active leakage seen with the slitlamp, without interfer- scans, directing the scan to the area Academical Medical Centre (AMC)
on OCT images. In all patients conclu- ing with the functionality of the of interest, observed with slitlamp Amsterdam, The Netherlands
sions based on the SL SCAN-1 were slitlamp. In many clinics OCT ex- biomicroscopy, avoiding this prob-
identical, to the conclusions based on aminations are performed by techni- lem. This increases the efficiency of Information: www.topcon.eu
a standalone FD-system, the 3D-OCT-
1000 Mark II.
Visit us at
The possibility to scan the anterior
ESCRS
segment is another option included booth no. E3
in the SL SCAN-1. The scans of the
anterior segment with the prototype
Slit Lamp Adapted OCT
NEW
SL SCAN-1
are not completely comparable to the
s Both anterior and posterior segment s Full integration with current Topcon slit lamps
scans made with commercially avail-
able systems. The prototype has a
s Real time OCT imaging during s Compatible with most common hand-held lenses
central wavelength of 830 nm versus
slit lamp examination s Easy operation due to fast z-tracking
the standard 1310 nm in the com- s OCT examination at every consultation: increase and joystick linkage
mercially available systems. A longer efficiency and accuracy of diagnosis s Imagenet i-base connection
tm
wavelength allows for a slightly bet- s Large scan length (up-to 12 mm) s Measuring functionality
ter penetration of the highly scatter-
ing structures in the anterior segment.
On the other hand, the prototype is
a FD-OCT in contrast to the com-
CONNECTING VISIONS
mercially available systems, which
are time domain (TD). The images of
the anterior segment made with the
For more information visit our booth at ECSRS or contact us: T: +31 10 - 458 50 77, E: medical@topcon.eu, www.topcon.eu
prototype seemed to be of acceptable
quality (figure 2).