The retinal imaging (OCT & Angiography) department of Noor Eye Hospital includes a set of eye imaging services utilizing the most advanced ophthalmic equipment and experienced specialists to provide patients with the latest diagnostic technologies and state-of-the-art techniques. In this department, there are four angiography devices, three OCT devices and one fundus camera, by which specialists of this department, in a peaceful environment, offer diagnostic services to the patients.
1- Optical Coherence Tomography (OCT): It is a type of retinal imaging that does not require the injection of contrast agents. In this method, patient collaboration and the skill of who takes the images –whether an ophthalmic photographer or a technician- to produce pictures of consistently high quality are important in achieving the desired result.
• Retinal OCT Imaging: Retinal OCT imaging is used to examine the retinal layers and to assess the extent of possible damage to this area. This diagnostic imaging test is used in early detection and follow-up of diabetic eye diseases, inflammatory eye diseases, macular degeneration in the elderly and various types of retinal disorders.
• Corneal OCT Imaging: Corneal OCT imaging is used to measure the angle of the eye, the thickness of the cornea and its various layers, as well as measure the corneal flap in candidates for a second LASIK surgery.
• Retinal Nerve Fiber Layer (RNFL) & Optic Nerve Head (ONH) OCT Imaging: RNFL and ONH OCT imaging are used to evaluate and measure retinal layers within the optic nerve. This technology is very helpful in early detection and timely treatment of glaucoma and any optic nerve disorders.
• OCT Angiography (OCTA): OCTA is a no-injection, dye-free angiography. This is one of the newest methods of examining the retina in the center of vision. Since OCTA imaging is a new method, it cannot be a perfect replacement for dye-injected angiography. However, according to new studies, it is very effective in the differential diagnosis of some retinal vascular disorders.
2- Dye-injected Angiography: This angiography is a diagnostic outpatient procedure that requires the injection of dye and uses a special camera to record the blood flow in the retina. Noor Subspecialty Eye Hospital utilizes the-state-of-art imaging technologies and equipment in the OCT & Angiography Department and has always been committed to upgrading its diagnostic equipment and technologies.
There are two types of dye-injected ophthalmic angiography:
2-1. Retinal Angiography:
• Fluorescein angiography (FA): It is a technique for examining the circulation of the retina and retinal vessels.
• Indocyanine Green Angiography (ICGA): It is a technique for examining choroidal circulation and vessels.
2-2. Corneal Angiography: Angiography for the anterior segment is a technique for examining the assessment of corneal vascularisation.
Preparation for Angiography: Prior to angiography, you should be prepared for the test and tell your ophthalmologist about any recent illnesses, medical conditions, medications you're taking, allergies, or any special conditions you have. So, if you have any of the following items, be sure to notify your ophthalmologist before the test.
1. Respiratory or cardiovascular diseases
2. Kidney or liver diseases
3. If you have a history of allergic reactions to a special food or medication
4. If you have a history of seizures, epilepsy, myocardial infarction
5. If you are pregnant or breastfeeding
6. If you have any specific disease
After this stage, your physician will perform the test by inserting standard dilation eye drops into your eyes. These make your pupils dilate. Usually the pupils of the patients referred from Retina Clinic to Angiography Department have already been dilated, otherwise special dilation eye drops will be used to dilate their pupils.
It should be noted that after the test, pupil dilation will make your vision blurry up to 24 to 48 hours.
How Is a Dye-Injected Angiography Administered?
The procedure may take from 10 minutes to an hour, depending on the patient's medical condition, the ophthalmologist's order and the type of angiography. In this method, a dye, fluorescein or ICG, is first injected into a vein in the patients arm and after dye injection the images are obtained. Using the images, the circulation of the retina and the choroid and also choroidal and retinal vessels are examined.
Dye-injected ophthalmic angiography provides a high precise diagnostic examination for diabetic eye diseases, inflammatory eye diseases, and various types of retinal disorders. The data are collected and submitted to the ophthalmologist. In many patients, undergoing an ophthalmic diagnostic angiography is necessary to determine their final treatments.
3- Fundus Photography: It is a simple method of retinal imaging that requires no further analysis or action. Fundus photographs are visual records which document the current ophthalmoscopic appearance of a patient's retina to follow up on the progress of the disease (glaucoma, eye tumors, and retinal diseases.)
Types of fundus photography procedures include:
• Color Fundus Photography
• Multi-color Fundus Photography
• Auto Florescence (FAF) Fundus Photography
• Red Free/IR Fundus Photography
• Wide Field Multi color Fundus Photography