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Optical Coherence Tomography and Progression

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Abstract

Detecting progression in glaucoma is crucial for detecting development of earliest signs of glaucoma and monitoring of established disease. At this point, Optical coherence tomography (OCT) is the preferred structural test for obtaining objective and quantitative data in glaucoma as structural progression frequently precedes functional progression. Spectral domain-OCT systems can evaluate changes in the RNFL, various macular outcome measures and the optic nerve head concurrently with very good reproducibility. Commercially available OCT progression software permits both event and trend analyses for all these structural outcomes. In order to fully benefit from the OCT progression algorithms, the clinician must be familiar with the basics of the approaches used by the software and need to understand the limitations of the current OCT systems. This chapter summarizes the basic methods used by progression detection software and the latter’s role in clinical practice. If used correctly, OCT progression analysis is a solid tool for monitoring early glaucoma.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, School of Medicine, Başkent University, Ankara, Turkey

    Ahmet Akman

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  1. Ahmet Akman
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Editor information

Editors and Affiliations

  1. Department of Ophthalmology, School of Medicine, Başkent University, Ankara, Turkey

    Ahmet Akman

  2. Department of Glaucoma, Dünyagöz Eye Hospital, Ankara, Turkey

    Atilla Bayer

  3. Stein Eye Institute, University of California Los Angeles, Los Angeles, CA, USA

    Kouros Nouri-Mahdavi

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Akman, A. (2018). Optical Coherence Tomography and Progression. In: Akman, A., Bayer, A., Nouri-Mahdavi, K. (eds) Optical Coherence Tomography in Glaucoma. Springer, Cham. https://doi.org/10.1007/978-3-319-94905-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-94905-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94904-8

  • Online ISBN: 978-3-319-94905-5

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