Indian Journal of Ophthalmology (Jan 2020)

An innovative and simple method, clinically comparable to high-definition optical coherence tomography in quantifying posterior segment lesions in the retina

  • Shaji P Koshy,
  • Leena Mariyam Varghese,
  • Satish Thomas,
  • Pramod Thomas

DOI
https://doi.org/10.4103/ijo.IJO_1188_19
Journal volume & issue
Vol. 68, no. 5
pp. 875 – 879

Abstract

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Purpose: To introduce a simple and inexpensive method using a fundus contact lens and a reticle, to measure retinal lesions comparing it with values obtained with high-definition optical coherence tomography (HD-OCT). This study considers optic disc as the object for comparison. Methods: Patients underwent routine ophthalmologic examination and their horizontal optic disc diameter was measured, both with the reticle and OCT. For measurement with reticle a simple equation was deduced, x = 0.7y, where x corresponds to the actual image size and y to the reticle scale reading in millimeters. Results: An aggregate of 127 eyes of 75 patients were dilated and examined. The calculated mean diameter according to OCT was 1.639 mm (standard deviation = 0.179) and that assenting to reticle was 1.713 mm (standard deviation = 0.175), with a difference in mean being 0.089 mm. Conclusion: Values obtained by this new method was found to be comparable with the OCT values for retinal measurements, useful for ophthalmologists who cannot afford expensive and sophisticated machines.

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