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SOCT spectral retinal tomography

3D SOCT 2000 (Topcon)

Exam characteristics:
Spectral retinal tomography (SOCT) is a device that has revolutionized the diagnostics of eye diseases. Eye tissue imaging in a cross-section comparable to a histological image, constitutes an invaluable diagnostic utility to test both frontal and rear section of the eyeball.


Retinal imaging in 2D and 3D views
OCT cross-sections made with the 3D OCT-2000 tomograph ideally illustrates the structure of the vitreous body and retina. There is a possible assessment of thickness of particular anatomic structures, as well as comparative assessment of the retinal state at future visits.

A picture of the fundus of the eye
A built-in fundus camera with a high-quality digital camera (16.2 MP) complements the SOCT diagnostics, allowing in particular to depict the structure of the eye revealing any pathological changes.

Glaucoma profile
A glaucoma profile allows to perform fully automated topography of the optic disc and compare it with the normative database. A glaucoma profile supplemented with the analysis of the ganglion cells and measurement of the filtration angle constitutes a complete imaging utility. The test allows a rough estimate of the average retinal nerve fibre layer (RNFL) which applies primarily in the diagnostics of glaucoma but also in demyelination diseases (e.g. sclerosis multiplex).

Scanning of the frontal section of the eye
Various analytical functions in the combination with colour imaging and SOCT 3D imaging allow the imaging and analysis of the cornea, frontal section of the eye e ( e.g. keratoconus evaluation, filtration angle, measurement of the cornea thickness, corneal assessment after the refractory treatment ).

The course of the examination
• The test is done in a seated position, most often following a pupil dilation, though,
it can also be carried out without it (at sight check centres).
• Tomography of the eye together with the description a patient receives directly after the test
• The estimated duration of the examination with the description: 40 minutes.

The SOCT examination is a non-invasive, safe procedure that can be carried out more than once.

Fluorescein angiography (FLA)

Fundus camera FF450plus (Zeiss)

Exam characteristics:
Fluoroangiography (FLA) allows an observation of the choroidal-retinal circulation, and also the pathology concerning the retina and choroid. After administering a contrast (10% solution of sodium fluorescein) a series of pictures is taken. The contrast flowing in the eye arteries and veins informs about e.g. the existence of irregular vessels, the location of pigmented lesions, neoplastic lesions. FLA is particularly useful in the early detection of lesions in diabetes.

The course of the examination
• The test is done in a seated position, most often following a pupil dilation Rarely during
the exam there may appear temporary nausea (lasting about 2-3 minutes). After administering
the contrast there may appear a skin and urine yellowish discolouration, which passes away
after about 1 day.
• The fluoroangiography result of the eye together with a description a patient
receives directly after the test.
• The estimated duration of the examination with the description: 45 minutes

Contraindications include: a sensitization to fluorescein, pregnancy, renal failure.

Colour picture of the eye

Fundus camera FF450plus (Zeiss)
3D OCT 2000 (Topcon)

A colour picture of the frontal section of the eye and the eyegrounds is a valuable medical documentation. Due to the pictures it is easier to evaluate the progression of lesions.

Ultrasound (USG)

ACCUTOME ( Scan-Plus )

Exam characteristics:

A projection (Biometry)
enables to measure the length of the eyeball and eye structures

Enables to calculate the lens optical power, so that the intraocular lens (IOL) can be implanted into the eye after cataract surgery. In addition, it enables to measure the particular structures of the eyeball it can be used in the evaluation of myopia progression.

B projection
This exam is indispensable in the eyes of non-transparent optical media (i.e. in the case of vitreous haemorrhage, corneal leukoma, cataract), in the diagnosis and location of intraocular tumors and foreign objects. Also, in assessing of high myopia, Basedow-Graves disease, retinal detachment.

The course of the examination"=:
• The test is done in a lying position. An eye doctor with the use of the USG head covered with
lubricant examines the eyeball. A patient's eye for the duration of the test is closed and there
is no need for pupil dialation.
• The USG result together with the description a patient receives directly after the test
• The estimated duration of the examination with the description: 40 minutes.

Contraindications :
Perforating wounds of the eyeball.

Examination of the visual field (Perimetry)

Humphrey 740 (Carl Zeiss) perimeter

Exam characteristics:
This allows to evaluate the central and peripheral visual field.

It is carried out routinely in the diagnosis of glaucoma but also in eye nerve diseases, damage to the central nervous system.

The course of the examination
• The tested patient looks in the central point of the apparatus dome. There appear
simultaneously light points of different intensity. The patient's task is to press
the button on the remote control each time, when he notices appearing
peripherally light points.
• The test result the patient receives directly after its completion.
• The estimated duration of the examination with the description: 30-40 minutes.

A patient's poor co-operation (e.g. in children), low vision acuity.

Computer eye examination (Autorefractor)

Topcon KR-800

The basic ophthalmic exam enabling the examination of the eye refraction and the corneal power in main optical axis.

Righton Retinomax 3 - Hand Held Autorefractor by RIGHTON (NIKON) - JAPAN:
The newest generation of the quickest and most accurate
hand held autorefrator in the world

- GOLD STANDARD among pediatric autorefractors
- GOLD STANDARD among hand held autorefractors

Intraocular pressure measurement (ocular tonometry)

(Reichert 7CR) Tonometer

The level of intraocular pressure is a factor that allows to evaluate risk of glaucoma and thus is critical for the diagnosis and treatment of this disease.

The contactless tonometer Reichert 7 with the technology of retinal response takes into account the biochemical properties of the cornea showing the value of IOPcc (Corneal Compensated) pressure which is encumbered with errors much less than other tonometry methods.

In addition, other pressure values correlated (Goldmann Correlated) allow for a better understanding of tonometry, thus allowing more accurate diagnosis and decisions as to treatment. It allows for the evaluation of actual intraocular pressure.

(Reichert (7CR) Tonometer is more accurate in the case of:
• Patients with a normal pressure glaucoma
• Patients with primary an open-angle glaucoma
• Patients after LASIK surgery and refractive surgery
• Patients with Fuchs' dystrophy
• Patients with keratoconus
• Patients with the thick and thin cornea and one of unusual biomechanical properties

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