A newly approved system (3D OCT-1 Maestro, Topcon) combines a high-resolution, color, non-mydriatric retinal camera with the latest spectral-domain optical coherence tomography (OCT) technology, and stands out for its versatility as well as its quality and ease of use.
Francesca Giliberti, MD, JD, acquired the OCT system in the fall of 2016, soon after its FDA approval, as an upgrade from the previous system at The Giliberti Eye and Laser Center, Totowa, NJ.
“We were attracted to the [system] because of its multifunctionality and improved technological capabilities,” Dr. Giliberti said. “This machine has excellent automation with multiple, high-definition scans, and allows us to document and follow progression in a variety of patient pathologies like diabetic macular edema (DME) and glaucoma.”
Previously, the practice had been using three different machines to image various layers of the posterior segment and optic nerve.
“This machine is so multifunctional that it takes the place of several machines,” Dr. Giliberti said. “The optic nerve and macular imaging is speedy and of high quality—the [device] also takes simultaneous color fundus photos when imaging the optic nerve and the macula.”
Results are reproducible and recognition is high because of the device’s automatic alignment feature, she said.
Additional features enable users to image the cornea and measure corneal thickness, and in patients with anterior segment anomalies, particularly narrow angles, it can be used to qualitatively assess the morphology of the angle, she continued.
Adopting the system
Dr. Giliberti’s father, Orazio Giliberti, MD, noted the practice had been researching OCT devices for several years before deciding on the new system and then waited eagerly for its FDA approval. In a market with a number of OCT options, their choice was swayed by factors such as the device’s multifunctionality and ease of integration into the practice.
“What you are trying to do for a progressive practice is to have technology that is refined, simplistic, and cost effective,” he said. “Visual outcomes and a structured analysis of the visual system are key today.”
The capabilities of the OCT have helped the practice achieve new levels of quality and efficiency and enhance its ability to manage referrals because of the multiplicity and quality of the images, he said.