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    An evidence-based approach to the routine use of optical coherence tomography.

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    Author
    Ly, A; Phu, J; Katalinic, P; Kalloniatis, M
    Date
    2019-05
    Source Title
    Clinical and Experimental Optometry
    Publisher
    Informa UK Limited
    University of Melbourne Author/s
    Kalloniatis, Michael
    Affiliation
    Anatomy and Neuroscience
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Ly, A., Phu, J., Katalinic, P. & Kalloniatis, M. (2019). An evidence-based approach to the routine use of optical coherence tomography.. Clin Exp Optom, 102 (3), pp.242-259. https://doi.org/10.1111/cxo.12847.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253385
    DOI
    10.1111/cxo.12847
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590481
    Abstract
    Optical coherence tomography is an imaging technology that has revolutionised the detection, assessment and management of ocular disease. It is now a mainstream technology in clinical practice and is performed by non-specialised personnel in some settings. This article provides a clinical perspective on the implications of that movement and describes best practice using multimodal imaging and an evidence-based approach. Practical, illustrative guides on the interpretation of optical coherence tomography are provided for three major diseases of the ocular fundus, in which optical coherence tomography is often crucial to management: age-related macular degeneration, diabetic retinopathy and glaucoma. Topics discussed include: cross-sectional and longitudinal signs in ocular disease, so-called 'red-green' disease whereby clinicians rely on machine/statistical comparisons for diagnosis in managing treatment-naïve patients, and the utility of optical coherence tomography angiography and machine learning.

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