[optimal] Re: anterior heidelberg, viewing thru hazy cornea

  • From: JamesStrong <jamesdstrong@xxxxxxxxx>
  • To: optimal@xxxxxxxxxxxxx
  • Date: Fri, 19 Jul 2013 11:27:33 -0400

Denice

Now THAT sounds like an interesting Scientific Session topic... a
comparison of imaging modalities for the filtering angle blablabla.

:)

j-

On Fri, Jul 19, 2013 at 11:23 AM, CPMC Ophthalmic Diagnostic Center <
cpmceyelab@xxxxxxxxxxxxxxxx> wrote:

>  Ah, the elusive “Gray zone” of the sulcus, sclera spur and beyond. UBM
> works great, to a point.  AS-OCT has it’s shining moments.  Gonio can make
> pretty pictures.  We’re all looking for the Holy Grail- easy, high
> resolution images of the iris and beyond.  Something that can slice through
> pigment, yet penetrate deep enough for the Glaucoma guys.****
>
> ** **
>
> Sometimes, it’s having the confidence to know that it’s the technology
> failing you, not your skills.  Just as you get to the Angle and beyond,
> things start to fall apart.  UBM or at least 20MHz US works pretty well for
> the lens, at least anteriorly, but depending on the eye, the depth of the
> AC, yadayadayada, really getting enough information deep enough into the
> anterior posterior chamber is tricky….****
>
> ** **
>
> Don’t even get me started about reproducible metrics!****
>
> ** **
>
> D.****
>
> ** **
>
> *Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS*****
>
> *Ophthalmic Diagnostic Center*****
>
> *CPMC Department of Ophthalmology*****
>
> *2100 Webster Street Suite 212***
>
> *San Francisco CA 94115*****
>
> *(415) 600-3937   FAX (415) 600-6563*****
>
> ** **
>
> *From:* optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx]
> *On Behalf Of *John Head
> *Sent:* Friday, July 19, 2013 7:04 AM
> *To:* optimal@xxxxxxxxxxxxx
> *Subject:* [optimal] anterior heidelberg, viewing thru hazy cornea****
>
> ** **
>
> We have a new anterior lens and module for the Hedelberg Spectralis at a
> second site, but not much experience using it.  As a photographer familiar
> with the other Heidelberg functions, how much differnet is the anterior
> scanning methodology?  trying it a couple times, it seems that fixation can
> be an issue?  are there any optimal scan settings, ie ART levels, HS or HR?
> ****
>
>  ****
>
> basically I'm looking for some pointers, because an MD wishes to see the
> angle for possible peripheral anterior synchiae, or a "mass blocking"
> which may be causing  a "malpositioned ACIOL in the chamber."****
>
>  ****
>
> the trouble is, I don't know enough about the machines capability,
> especially when the MD says she cannot see the angle due to a "hazy cornea."
> ****
>
>  ****
>
> any suggestions or comments would be appreciated.****
>
>  ****
>
> Thanks,****
>
> John Head, CRA****
>

Other related posts: