OCT Presentation

CARL ZEISS
Jena Germany
 Cirrus OCT Training

Technology and machine overview

Optical Coherence Tomography
 Company Introduction
• ZEISS is one of the world’s leading suppliers of medical devices
in the field of medical technology. It supplies innovative
technologies and application-oriented solutions for
ophthalmology and microsurgery designed to help doctors
improve the quality of life of their patients.

• ZEISS provides complete packages of solutions for diagnosis

and devices for optical coherence tomography (OCT),
perimetry, optical biometry and slit lamps. For the treatment
of eye diseases ZEISS also offers not only ophthalmologic
surgical microscopes, but also implants (intraocular lenses |
IOLs) and consumables like ophthalmic viscosurgical devices
(OVDs).
 Models of the machine

Cirrus OCT 400

Cirrus OCT 4000
Cirrus OCT 500
Cirrus OCT 5000

All is spectral domain OCTs

 Optical Coherence Tomography
• Optical Coherence Tomography (OCT) is a Non-Invasive, Non-
Contact, trans-pupillary imaging technology.

• This technology images retinal structures in vivo (within the

living body) with a resolution of 5 – 17 microns, technology
based.

• The OCT´s utilize coherence-domain reflectometry and the

coherence property of light.

• Scan resolution is not limited by pupil size or by scattering of

the light within the media.
•
 The 4 properties of light waves
1. Intensity --- The amplitude or height of the wave.

2. Wavelength --- The physical length of the wave.

Wavelength determines the color of light.

3. Phase --- The fraction of a wave as measured

from a specific point or time.

4. Polarization --- The Axial orientation of the wave.

Usually expressed as horizontal or vertical.
 Tomography vs. Topography
• Tomographic images are cross-sectional scans through
tissue, revealing the underlying structure not directly
observable.
• 2 Dimensional viewing via cross-sectioning.

• Topographic images show contour changes of a surface

only and do not immediately relay information of the
underlying structures.
• 2 Dimensional viewing via the surface.
Time Domain OCT : functional
overview
Time Domain - Stratus(OCT3) - Scan principle

1024 0 1024
Steps

MoveableReference Mirror 0
Sample
Xref.
ref.
Source = SLD
Xsample

2 mm
depth
Beamsplitter
Xref. =Xsample

Detector 0 1024

OCT Signal
• Cirrus OCT high resolution scan and cube scan
 Cirrus OCT Fundus Imaging – Model
400/500
Live OCT Fundus Technology
• Cirrus OCT – Model 400 and 500 use the OCT scan to
generate a Fundus Image, called „Live OCT Fundus
Technology“
 Cirrus OCT Fudus Imaging – Model 4000/5000

• Cirrus OCT – Model 4000 and 5000 utilize an integrated

subsystem , called „Line Scanning Laser
Ophthalmoscope“ in order to generate a high quality
Fundus Image
Theory of operation behind the Cirrus
OCT
Optical Paths – Cirrus 4000
 Spectrometer
Input from
Interferometer
Diffraction
Grating
Optical Paths – Right Side
Optical Paths – Left Side
Cirrus HD-OCT - Troubleshooting

Database Problems
 First Checks:
When did the problem first appear?
Is there an Archive connected?
Does the instrument have a DICOM
or LOCAL database?
 Database solution

Create a new database

Restore old database from Archive
Perform Database Backup/Restore,
using Ibconsole
Perform Import and Export
Cirrus HD-OCT - Troubleshooting

Software Problems
 Troubleshooting
Check Bootup sequence
Check Eventlogs
Check for Virusses
Check for Windows Account settings
Use Acronis to backup/restore
Cirrus HD-OCT Troubleshooting

Hardware problems
 Important Logfiles
Use Logfile Collector, check Background
Diagnostic Logfile and OCT Application
Logfile
Check Windows Event Viewer for
Operating System Events
Typical Hardware problems

Low OCT Signal Strength

 First checks Operator
Clean Front Lens
Check operator workflow,
demonstrate Enhancement function
Operator settings
 OCT Problem – example #1

Red OCT scan, background scan data missing

 OCT Problem – example #2

OCT Scan Cube Cutout, Corneal Lens stuck

 OCT Problem – example #3

Synchronization lost, Trigger Signals missing

 OCT Problem – example #4

Horizontal lines, Spectrometer Camera problem

Typical Hardware problems

Fundus Image – poor quality

First checks for Operator
Clean Front Lens
Use Auto-Focus
Reset settings at GUI
Electronic Problems
Iris Viewer
Typical Reasons
USB cable
Camera Sensor
Driver software
Electronic Problems
No bootup/Black screen
Typical Reasons for Model 4000

Fuses and Volt Selector

CPU PCB
Power Supply
Fans are running ? – check for
Monitor problems
Thank you