Trust clinical correlations when using OCT to diagnose glaucoma

Sumary of Trust clinical correlations when using OCT to diagnose glaucoma:

  • Thasarat S. Vajaranant “The thickness should not go down to zero, and that’s because of the vascular tissue,” Vajaranant said.
  • Sometimes, associated pathologies such as falsely higher retinal nerve fiber layer thickness due to schisis or vitreous traction can appear on the scan, possibly affecting measurements, she said.
  • Physicians should look for preferential retinal nerve fiber layer loss but should not solely rely on it.
  • To avoid a false negative or false positive, it is important to look beyond preferential retinal nerve fiber layer thickness analyses and employ other techniques in addition to the OTC scan.
  • Correlate clinical examinations with visual fields and have trust in those analyses, she said.

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