D - Ocular Imaging - Week 3 Flashcards
Are dilating drops required for digital photography?
Not required. It has non-mydriatic capacity
What does fundus illumination with red/infrared light observe?
Deep layers (choroid): good for early detection of choroidal features (e.g. CNVM - choroidal neovascular membrane)
(longer wavelengths penetrate tissue more)
What does fundus illumination with blue/green light observe?
Superficial layers: good for NFL/RGCs/Vitreous
(shorter wavelengths penetrate tissue less)
What is the usual field size for digital photography? How can we increase FOV and to what degree?
20-45 degrees.
FOV can be increased with a mosaic (multiple fields aligned by software) to 75-90 degrees. (90-100 deg cover with 90-kowa/9 points of fixation)
What is the FOV for a Wide Field platform?
180 deg. Extends to vortex vein
What is the FOV for an Ultra-widefield (UWF) platform?
180 deg. Extends anterior to vortex vein
What is the FOV for a scanning laser ophthalmoscope (sLO)?
Can cover 200 degrees in a single sweep
Define luminescence
The emission of energy via the return of an electron from a high energy state to a lower energy state
What is the difference between fluorescence and phosphorescence?
Fluorescence = short term luminescence (<10^-6 sec-ms)
Phosphorescence = long term luminescence (>mins-hours)
How does auto-fluorescence differ from regular fluorescence?
the eye tissue itself is fluorescing, not a dye
What is Lipofuscin? At what wavelength does lipofuscin auto-fluoresce?
Undigested residue of cell membranes produced in lens and by dysfunctional RPE
Auto-fluoresces @ 488nm (blue)
When does lipofuscin usually accumulate? (2)
with age (cataract) and disease (diabetes)
At what wavelength does melanin auto-fluoresce? What does melanin loss (dark zones) indicate?
787nm (Infrared). Melanin loss indicates RPE stress/death
What can we use to detect RPE changes in lipofuscin? What about melanin?
Lipofuscin: FAF - Fundus AutoFluorescence
Melanin: NIA - Near infra-red autofluorescence
What do the dark areas in FAF indicate?
RPE dropout