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European Ophtalmology News, XXVII Congress of ESCRS

First Slitlamp integrated Optical Coherence Tomography system, the SL SCAN-1


Since its introduction in the early ity scan, even in an eye observed
90-ties Optical Coherence Tomogra- through a handheld lens. The high
phy numerous studies unequivocally resolution of 8 to 9 micron in tissue
demonstrated the valuable contri- is sufficient to show all relevant lay-
bution of OCT to the diagnosis and ers of the retina in detail, as shown in
treatment evaluation of patients with figure 1. A color fundus photography
common diseases, like AMD, Diabetic of the observed area is made at the
Retinopathy, and Glaucoma. same time (Topcon camera DC1, reso-
The most important value added lution = 3.24 Mp).
by OCT is insight into the third di- First clinical impressions in pa-
mension of the structures of the eye. tients with exudative AMD, seen in
The unprecedented resolution pro- the outpatient clinic of the Academic
vided by the present Fourier Domain Medical Center, and scanned with a
based OCT systems available to image 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
the layered structure of the retina, OCT scanning device, integrated into pictures corresponds with scan position of SL SCAN-1
the peri-papillary retinal nerve fiber a common slitlamp showed promising
layer, or the cornea, iris, and anterior results. Thirty patients, 30 eyes, were The OCT is becoming increasingly cians, not directly familiar with the the routine clinical examination of
chamber has improved the quality of used for analysis. Operating the de- important in ophthalmology for both pathology at hand. This could lead a patient, will increase the comfort
the diagnostic process tremendously. 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
OCT is a non-contact, non-invasive, standard slitlamp examination of the The slitlamp with integrated OCT evant pathology. With the slitlamp device, and will save time.
completely save technique. fundus of a patient. Important dur- enables to make OCT images during with integrated OCT the ophthal-
Present FD-OCT systems are stand- ing follow-up is the presence or ab- the normal standard examination mologist himself will make the OCT Author: Dr. Frank Verbraak
alone devices. This limits their avail- sence of signs of active leakage seen with the slitlamp, without interfer- scans, directing the scan to the area Academical Medical Centre (AMC)
ability for routine eye investigation. on OCT images. In all patients conclu- ing with the functionality of the of interest, observed with slitlamp Amsterdam, The Netherlands
This limitation may be overcome by sions based on the SL SCAN-1 were slitlamp. In many clinics OCT ex- biomicroscopy, avoiding this prob-
implementing OCT technology in a identical, to the conclusions based on aminations are performed by techni- lem. This increases the efficiency of Information: www.topcon.eu
small unit compatible with existing a standalone FD-system, the 3D-OCT-
slitlamps, a device widely available in 1000 Mark II.
Visit us at
the ophthalmologic practice. This has The possibility to scan the anterior
ESCRS
lead to the realization of an add-on segment is another option included booth no. E3
OCT imaging device, the SL SCAN-1 in the SL SCAN-1. The scans of the
(Topcon). anterior segment with the prototype

Slit Lamp Adapted OCT


NEW

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.
SL SCAN-1
The SL SCAN-1 uses a Fourier Do- are not completely comparable to the
s Both anterior and posterior segment s Full integration with current Topcon slit lamps
main OCT system (SLD light source, scans made with commercially avail-
central wavelength 830 nm, band- able systems. The prototype has a
s Real time OCT imaging during s Compatible with most common hand-held lenses
width 30 nm, 1024 pixel CCD cam- central wavelength of 830 nm versus
slit lamp examination s Easy operation due to fast z-tracking
era, resolution in tissue 8 to 9 micron, the standard 1310 nm in the com- s OCT examination at every consultation: increase and joystick linkage

scan speed 5000 A-scans per sec- mercially available systems. A longer efficiency and accuracy of diagnosis s Imagenet i-base connection
tm

ond,). The fast scanning speed, with wavelength allows for a slightly bet- s Large scan length (up-to 12 mm) s Measuring functionality
512 a-scans per b-scan, allows a full ter penetration of the highly scatter-
b-scan to be made in approximately ing structures in the anterior segment.
0.1 seconds. In addition, the auto- On the other hand, the prototype is
matic fast z-alignment build into the a FD-OCT in contrast to the com-
CONNECTING VISIONS
device corrects for small movements mercially available systems, which
in the sample arm i.e, the patient, a are time domain (TD). The images of
hand-held lens and/or slitlamp. These 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
features makes the OCT system fast prototype seemed to be of acceptable
enough to make a full and high qual- quality (figure 2).