Spectral Optical Coherence Tomography: A Novel Technique for Cornea Imaging

Purpose: Spectral optical coherence tomography (SOCT) is a new, noninvasive, noncontact, high-resolution technique that provides cross-sectional images of the objects that weakly absorb and scatter light. SOCT, because of very short acquisition time and high sensitivity, is capable of providing tomograms of substantially better quality than the conventional OCT. The aim of this paper is to show the application of the SOCT to cross-sectional imaging of the cornea and its pathologies. Methods: Eleven eyes with different corneal pathologies were examined with a slit lamp and the use of a prototype SOCT instrument constructed in the Institute of Physics, Nicolaus Copernicus University, Toruń, Poland. Results: Our SOCT system provides high-resolution (4 μm axial, 10 μm transversal) tomograms composed of 3000-5000 A-scans with an acquisition time of 120-200 ms. The quality of the images is adequate for detailed cross-sectional evaluation of various corneal pathologies. Objective assessment of the localization, size, shape, and light-scattering properties of the changed tissue is possible. Corneal and epithelial thickness and the depth and width of lesions can be estimated. Conclusion: SOCT technique allows acquiring clinically valuable cross-sectional optical biopsy of the cornea and its pathologies.

[1]  C K Hitzenberger,et al.  Investigation of dispersion effects in ocular media by multiple wavelength partial coherence interferometry. , 1998, Experimental eye research.

[2]  R Birngruber,et al.  [Examination of the cornea using optical coherence tomography]. , 2001, Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft.

[3]  W M Petroll,et al.  Specular Microscopy, Confocal Microscopy, and Ultrasound Biomicroscopy: Diagnostic Tools of the Past Quarter Century , 2000, Cornea.

[4]  D. Pham,et al.  Imaging and Quantification of Calcified Corneal Lesions With Optical Coherence Tomography , 2004, Cornea.

[5]  Benjamin A. Rockwell,et al.  A procedure for multiple-pulse maximum permissible exposure determination under the Z136.1-2000 American National Standard for Safe Use of Lasers , 2001 .

[6]  A Boyde,et al.  Tandem‐Scanning (Confocal) Microscopy of the Full‐Thickness Cornea , 1985, Cornea.

[7]  Reginald Birngruber,et al.  Intraoperative 2-dimensional optical coherence tomography as a new tool for anterior segment surgery. , 2005, Archives of ophthalmology.

[8]  Maciej Wojtkowski,et al.  Ophthalmic imaging by spectral optical coherence tomography. , 2004, American journal of ophthalmology.

[9]  Maciej Wojtkowski,et al.  Imaging of the anterior segment of the eye by spectral optical coherence tomography , 2002 .

[10]  G Zinser,et al.  [Modified Heidelberg Retinal Tomograph HRT. Initial results of in vivo presentation of corneal structures]. , 2002, Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft.

[11]  J. Duker,et al.  Three-dimensional retinal imaging with high-speed ultrahigh-resolution optical coherence tomography. , 2005, Ophthalmology.

[12]  Zuguo Liu,et al.  Evaluation of corneal thickness and topography in normal eyes using the Orbscan corneal topography system , 1999, The British journal of ophthalmology.

[13]  D. Pham,et al.  Histopathological correlation of corneal diseases with optical coherence tomography , 2002, Graefe’s Archive for Clinical and Experimental Ophthalmology.

[14]  Reginald Birngruber,et al.  Noncontact corneal pachymetry with slit lamp-adapted optical coherence tomography. , 2002, American journal of ophthalmology.

[15]  Mauricio E Pons,et al.  Assessment of central corneal thickness using optical coherence tomography , 2005, Journal of cataract and refractive surgery.

[16]  D. Pham,et al.  Monitoring corneal structures with slitlamp‐adapted optical coherence tomography in laser in situ keratomileusis , 2004, Journal of cataract and refractive surgery.

[17]  A. Neubauer,et al.  Central Corneal Thickness Measurement with a Retinal Optical Coherence Tomography Device Versus Standard Ultrasonic Pachymetry , 2001, Cornea.

[18]  Lyndon Jones,et al.  Relation between optical coherence tomography and optical pachymetry measurements of corneal swelling induced by hypoxia. , 2002, American journal of ophthalmology.

[19]  Zhongping Chen,et al.  Dynamic morphology of clear corneal cataract incisions. , 2003, Ophthalmology.

[20]  Kunihiko Washio Standards for Safe Use of Lasers , 2007 .

[21]  E. Cohen,et al.  Confocal microscopy: a report by the American Academy of Ophthalmology. , 2004, Ophthalmology.

[22]  M. Coroneo,et al.  In vivo confocal microscopy of the human cornea , 2003, The British journal of ophthalmology.

[23]  D. Maurice The structure and transparency of the cornea , 1957, The Journal of physiology.

[24]  Y Miyake,et al.  Optical Coherence Tomography for the Noninvasive Evaluation of the Cornea , 2001, Cornea.

[25]  R. Birngruber,et al.  Untersuchungen der Hornhaut mittels optischer Kohärenztomographie , 2001, Der Ophthalmologe.