Window of Opportunity
OCT can – and should – be used to support treatment decisions in glaucoma
- SAP is considered to be the gold standard technique for identifying visual field loss in patients with glaucoma
- However, there is debate over whether changes seen on OCT alone can be used to support treatment decisions in glaucoma
- I believe that OCT can – and should – be used, because it provides a window of opportunity into early management of the disease
- Presenting supporting evidence, I justify my position and explain how basing clinical decisions on OCT (even in the absence of a concomitant visual field defect) can improve outcomes for patients
The introduction of imaging with optical coherence tomography (OCT) has allowed clinicians to acquire quantitative information about the eye structures affected by glaucoma with unprecedented detail. Despite this fact, clinicians are often confused about how to use OCT information in clinical practice. Should we make treatment decisions based only on OCT? I am asked this question very often and so below I provide some evidence of why I believe OCT should be used in clinical decision-making – even in the absence of concomitant visual field loss.
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