Ophthalmic imaging by spectral optical coherence tomography.

PURPOSE: To demonstrate two novel ophthalmic imaging techniques based on fast Spectral Optical Coherence Tomography (SOCT). DESIGN: Prospective observation case report. METHODS: SETTING: Research laboratory. STUDY POPULATION: A normal human subject. MAIN OUTCOME MEASURES: Correlation of an optical coherence retinal tomogram with known retinal anatomy, reduction of eye exposure to the probing light beam during Optical Coherence Tomography (OCT) examination. RESULTS: High resolution (3- X 20-mum) cross-sec, tional 2-dimensional images of the human retina in vivo have been obtained with only 0.1-second total illumination time (for 1024 A,scans), and approximately 200, muW eye exposure. Details of the optic disk in vivo have been visualized at a rate of eight frames per second, which is sufficient to provide real time analysis. The 3-dimensional images of the optic nerve correspond to the images obtained from a fundus camera. CONCLUSIONS: Because of its short acquisition time and high sensitivity, SOCT uses a 100 times lower exposure/A-scan to obtain images of comparable quality to those obtained by the commercial instrument based on traditional time,domain OCT. Spectral Optical Conherence Tomography therefore provides a much wider safety margin than the traditional method and allows relaxation of the current safety precautions forbidding more than 10 minutes/day scanning of the same location of a retina. As a result of the high speed offered by the new technique, the 3-dimensional tomograms, which allow a surgeon access to a comprehensive and detailed view of relevant pathologies, are obtained in a much shorter, clinically more reasonable time. (C) 2004 by Elsevier Inc. All rights reserved.