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The Heidelberg Retinal Tomography is a diagnostic procedure used in ophthalmology. The Heidelberg Retina Tomograph (HRT) is an ophthalmological confocal point scanning laser ophthalmoscope [ 1 ] for examining the cornea and certain areas of the retina using different diagnostic modules (HRT retina, HRT cornea, HRT glaucoma).
Scanning laser ophthalmoscopy developed as a method to view a distinct layer of the living eye at the microscopic level. The use of confocal methods to diminish extra light by focusing detected light through a small pinhole made possible the imaging of individual layers of the retina with greater distinction than ever before. [4]
The original Amsler grid was black and white. A color version with a blue and yellow grid is more sensitive and can be used to test for a wide variety of visual pathway abnormalities, including those associated with the retina, the optic nerve, and the pituitary gland.
Dilating the pupil using dilating eye drops greatly enhances the view and permits an extensive examination of peripheral retina. A limited view can be obtained through an undilated pupil, in which case best results are obtained with the room darkened and the patient looking towards the far corner.
Practical instruments for fundus photography perform the following modes of examination: Colour, where the retina is illuminated by white light and examined in full colour. Red free fundus photography utilizes a filter in order to better observe superficial lesions and some vascular abnormalities within the retina and surrounding tissue. A ...
[18] [19] This has allowed OCTA to obtain detailed images of retinal vasculature in the human retina [20] and become widely used clinically to diagnose a variety of eye diseases, such as age related macular degeneration (AMD), [21] diabetic retinopathy (DR), [22] [23] artery and vein occlusions, and glaucoma. [24] [18]
The exam may be performed by a technician in one of several ways. The test may be performed by a technician directly, with the assistance of a machine, or completely by an automated machine. Machine-based tests aid diagnostics by allowing a detailed printout of the patient's visual field.
Optical coherence tomography is an adjunctive test in branch retinal vein occlusion. Macular edema is commonly seen on optical coherence tomography exams. Serial optical coherence tomograph is used as a rapid and noninvasive way of monitoring the macular edema.