Case Studies

OCT-A is changing how clinicians see the retina. This article highlights the key differences between standard OCT and OCT-A, showing how combining structural and blood-flow imaging enables earlier detection, more confident diagnoses, and comprehensive in-office care—making OCT-A an essential tool in the modern eye care practice.  

In this compelling case study, a 75-year-old woman with intermediate age-related macular degeneration (AMD) and a four-year history of non-exudative macular neovascularization (NE-MNV) is closely monitored using advanced OCT-A technology. Despite her report of increased visual distortion and a subtle increase in lesion size, her condition remained stable without signs of exudation. Through serial imaging, home monitoring, and careful follow-up, the case highlights the power of OCT-A in tracking NE-MNV progression and the importance of vigilance in preventing its conversion to an exudative form. How long can a potentially dangerous lesion remain stable—and might it even play a protective role? Read on to discover how modern imaging and personalized care converge in the nuanced management of AMD.

This case study explores the role of anterior segment OCT in fitting a scleral lens for a patient with keratoconus following corneal cross-linking. Despite being limited to one lens due to cost, the patient experienced significant visual improvement. The case underscores how OCT can streamline the fitting process, enhance precision, and support better clinical decisions in specialty contact lens care.

Discover how combining advanced imaging technologies can revolutionize eye surgery outcomes. This study compares three leading corneal imaging devices and reveals why epithelial mapping with OCT offers a critical edge in detecting early corneal irregularities like keratoconus. A must-read for anyone interested in precision vision care and the future of refractive and cataract surgery planning.

This case study, by John Warren, OD, discusses the management of a glaucoma patient with a history of LASIK surgery and significant peripapillary perfusion loss, monitored using OCT-A and visual field testing. Despite relatively stable intraocular pressure on Latanaprost and consistent test results over time, the presence of focal structural damage and microvascular dropout raises concern for potential progression. The case highlights the importance of OCT-A in tracking perfusion and structural changes, particularly in patients with thin corneas and suspected low-tension glaucoma.

Discover how renowned ophthalmologist, Dr. Robert Rothstein of Eyenamics NY, utilized the Optovue Solix OCT by Visionix to detect the presence of Buried Optic Nerve Head Drusen (ONHD) in a 24-yr-old patient with Down Syndrome. The advanced diagnostic capabilities of Optovue Solix were instrumental in distinguishing ONHD from true papilledema, highlighting its distinct OCT characteristics. This case study illustrates the importance of accurate imaging in diagnosis and the value of OCT in managing ONHD, particularly in populations with higher prevalence.

Stay ahead in the field of pediatric eye care by exploring these groundbreaking studies. Click the link below to access detailed clinical research that highlights the Retinomax's revolutionary impact on eye screening accuracy, reliability, and ease of use.

Through this case, we aim to emphasize the importance of early detection, vigilant monitoring, and personalized treatment for patients with a family history of glaucoma.