Extending the depth of focus for enhanced three-dimensional imaging and profilometry: an overview

Lamina cribrosa position and Bruch's membrane opening differences between anterior ischemic optic neuropathy and open-angle glaucoma

PURPOSE:

To compare the optic nerve head morphology among primary open-angle glaucoma, non-arteritic anterior ischemic optic neuropathy eyes, their fellow healthy eyes and control eyes, using spectral-domain optical coherence tomography with enhanced depth imaging.

METHODS:

Observational cross-sectional study including 88 eyes of 68 patients. In this study, 23 non-arteritic anterior ischemic optic neuropathy eyes, 17 fellow unaffected eyes, 25 primary open-angle glaucoma eyes, and 23 age-matched control eyes were included. Peripapillary retinal nerve fiber layer thickness and optic disk area were evaluated. Bruch's membrane opening diameter, optic cup depth, anterior lamina cribrosa depth, and prelaminar tissue thickness were assessed.

RESULTS:

Non-arteritic anterior ischemic optic neuropathy and primary open-angle glaucoma eyes had similar visual field mean deviation and peripapillary retinal nerve fiber layer thickness (P = 0.6 and P = 0.56, respectively). Bruch's membrane opening diameter was significantly larger in primary open-angle glaucoma eyes than in control eyes (P = 0.02). Lamina cribrosa and disk cup were deeper in eyes with primary open-angle glaucoma than both control and non-arteritic anterior ischemic optic neuropathy eyes (P < 0.001). Prelaminar tissue thickness was significantly thinner in primary open-angle glaucoma eyes than in non-arteritic anterior ischemic optic neuropathy eyes (P < 0.001). Lamina cribrosa was shallower in both non-arteritic anterior ischemic optic neuropathy and unaffected fellow eyes compared to healthy eyes (P < 0.001 and P = 0.04, respectively). No differences were found in the optic disk area.

CONCLUSION:

A forward lamina cribrosa placement and not a smaller disk could be involved in the pathogenesis of non-arteritic anterior ischemic optic neuropathy. A significantly larger Bruch's membrane opening diameter was found in primary open-angle glaucoma eyes compared with control eyes. This issue has clinical implications because Bruch's membrane opening has been considered a stable reference for disk-related measures.

Dependence of depth of focus on spherical aberration of optical systems

This paper presents a theoretical analysis and computation of aberration coefficients of the third and fifth order of transverse spherical aberration of an optical system, which generates a ray bundle with a diameter of a geometric-optical circle of confusion smaller than a predetermined limit value. Equations were derived for the calculation of aberration coefficients of an optical system, which satisfy given conditions, and for the determination of the maximum possible depth of focus for given conditions.

Depth map sensor based on optical doped lens with multi-walled carbon nanotubes of liquid crystal

In this paper, we present a novel design concept for determining the depth map of three-dimensional (3D) scenes based on an electrically controlled liquid crystal (LC) lens. The advantages of the proposed method are that it does not need any mechanical movements and a large amount of computations to acquire a depth map of a 3D scene in a relatively short amount of time. The tunable-focus LC lens doped with multi-walled carbon nanotubes is to become a key optical component for determining a depth map system. Sequenced two-dimensional images of slightly different perspectives are recorded in a short time, and the depth map of the 3D scene, according to a proposed depth estimation method and a focusing evaluation function, can be acquired in a simple way. This new method to acquire a depth map based on a doped LC lens maximizes the use of the proposed LC lens. The proposed system is novel in its compact, simple, and fast features, so we believe the proposed method can open a new creative dimension in image analysis and imaging systems and can also overcome the limitations of the conventional imaging mode.

Improved visualization of deep ocular structures in glaucoma using high penetration optical coherence tomography

The introduction of optical coherence tomography (OCT) has revolutionized ophthalmology through the ability to non-invasively image the retina in vivo. Glaucoma is the leading cause of irreversible blindness worldwide. Despite major advances in imaging techniques, the pathogenesis of glaucoma remains poorly understood at present. The lamina cribrosa (LC) is the presumed site of axonal injury in glaucoma. Its thinning and deformation have been suggested to contribute to glaucoma development and progression by impeding axoplasmic flow within the optic nerve fibers, leading to apoptosis of retinal ganglion cells. To visualize the deep ocular structures such as the choroid and the LC, OCT imaging has been used, particularly the enhanced depth imaging (EDI)-OCT modality of spectral domain (SD)-OCT. However, the posterior laminar surface especially is not seen clearly using this method. A new generation of OCTs, swept-source (SS)-OCT, is able to image the LC and the choroid in vivo. SS-OCT employs a longer wavelength compared with the conventional OCT, generally set at 1050 nm (instead of 840 nm). We review current knowledge of the LC, findings from trials that use SD-OCT and EDI-OCT, and our experience with a prototype SS-OCT to quantify choroid changes and visualize the LC in its entirety.

Imaging of the Lamina Cribrosa using Swept-Source Optical Coherence Tomography

The lamina cribrosa (LC) is the presumed site of axonal injury in glaucoma. Its deformation has been suggested to contribute to optic neuropathy by impeding axoplasmic flow within the optic nerve fibers, leading to apoptosis of retinal ganglion cells. To visualize the LC in vivo, optical coherence tomography (OCT) has been applied. Spectral domain (SD)-OCT, used in conjunction with recently introduced enhanced depth imaging (EDI)-OCT, has improved visualization of deeper ocular layers, but in many individuals it is still limited by inadequate resolution, poor image contrast and insufficient depth penetrance. The posterior laminar surface especially is not viewed clearly using these methods. New generation high-penetration (HP)-OCTs, also known as swept-source (SS)-OCT, are capable to evaluate the choroid in vivo to a remarkable level of detail. SS-OCTs use a longer wavelength (1,050 nm instead of 840 nm) compared to the conventional techniques. We review current knowledge of the LC, findings from trials that use SD-OCT and EDI-OCT, and our experience with a prototype SS-OCT to visualize the LC in its entirety.

Key Points

What is known?

•     The LC is the presumed site of axonal injury in glaucoma

•     Compared to spectral domain-OCT, enhanced depth imaging-OCT improves imaging of the LC

•     Even so, currently used SD-OCT techniques are restricted by poor wavelength penetrance of the deeper ocular layers

What our findings add?

•    SS-OCT may be a superior imaging modality for deep ocular structures

•    Prior studies used SS-OCT to evaluate choroidal thickness in both healthy and ‘normal tension glaucoma’ eyes

•    SS-OCT enables good evaluation of three-dimension (3D) lamina cribrosa morphology.

How to cite this article: Nuyen B, Mansouri K, Weinreb RN. Imaging of the Lamina Cribrosa using Swept-Source Optical Coherence Tomography. J Current Glau Prac 2012;6(3): 113-119.