Optic disc neuropathies and optical coherence tomography
Optic disc neuropathies and optical coherence tomography

Summary/Abstract: Introduction: Optical coherence tomography (OCT) has revolutionized the evaluation and management of optic disc neuropathies by providing objective and quantitative measurements of optic disc parameters and enabling early detection of structural changes. OCT is extensively utilized in the diagnosis, monitoring, and management of glaucoma. It helps in the assessment of optic disc parameters, including cup-to-disc ratio, neuroretinal rim thickness, and retinal nerve fiber layer (RNFL) thickness. It can show the optic disc drusen themselves and their impact on surrounding structures. OCT scans aid in measuring RNFL thickness and assessing optic disc morphology. Material and methods: Analysis consists of a group of patients monitored at the neuro-ophthalmology outpatient clinic of the Department of Ophthalmology, Faculty of Medicine, Comenius University in Bratislava over a period of one year, from January 2022 to January 2023. Cirrus HD-OCT 5000 was device used to scan optic disc of both eyes, using the optic disc cube 200x200 scanning protocol, the output of which is the RNFL and ONH analysis protocol of both eyes. Results: Group of 121 patients, of which 60 are men and 61are women, with an average age of 48.57 with a maximum of 92 years and a minimum of 22 years. From data collected so far, 13,0 % were diagnosed with retrobulbar neuritis. In which 61,11 % have had confirmed demyelinating disease. Conclusion: Serial OCT scans can help monitor changes in oedema severity, evaluate response to treatment, and identify potential complications.

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