Optical Coherence Tomography, more commonly known as OCT, is a diagnostic test with the ability to assess both the anterior and posterior segments of the eye.

Optical Coherence Tomography, more commonly known as OCT, is a diagnostic test with the ability to evaluate both the anterior segment of the eye (cornea, anterior chamber, lens and iris) and the posterior segment (vitreous-retinal interface, retina and optic nerve).

Regardless of the ocular structure being evaluated, OCT can help diagnose and monitor the evolution of various pathologies.

The OCT is a non-invasive examination that can be performed quickly, in about fifteen minutes. Most of the time no preparation is needed to perform it, however, for a better performance of the OCT, the patient is asked to remove contact lenses, if used, and sometimes it may be necessary to use eye drops to dilate the pupil, in order to allow a better visualisation of the ocular fundus. During the examination there is no contact with the patient's eye.

Anterior segment OCT is important in situations where there may be alterations in the central and peripheral structures of the anterior segment, or in cases where there is a need to measure the angle between the cornea and the iris and the depth of the anterior chamber, the corneal thickness and also alterations in its structure.

It is also important to take into consideration that some pathologies that affect the transparency of the ocular media, such as cataract or corneal opacities, may hinder the capacity to acquire images.

It is an examination that allows the various anatomical structures to be mapped, including the retina, and is the only examination capable of differentiating its various layers in profile. With advances in technology, it is increasingly possible to obtain images with greater speed, higher resolution, with fewer artefacts and in 3D format.

The OCT not only allows the diagnosis of the pathology in question, but also carries out the control and evolution of it, since it will compare the most recent examinations with those previously carried out.

Therefore, this is an essential examination for pathologies such as Diabetic Retinopathy, o Glaucoma Age-related Macular Degeneration (AMD)Retinal detachmentRetinopathy Pigmentosa, among others. In these pathologies, where the evolution of the disease means an increase in difficulties for the patients, its control is fundamental for monitoring the evolution and effect of the therapy.

Anterior segment OCT can be applied in situations where there are alterations of the ocular surface, corneal dystrophies or even in situations of Glaucoma The anterior segment OCT can measure the angle between the iris and the cornea.

It is also an important examination in the pre-surgical evaluation of some pathologies, such as cataract, in which situation it is routinely performed in order to guarantee that there is no retinal pathology that may jeopardise the final result.

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