How would you manage a scenario where OCT showed an anomaly?
In each issue, Acuity poses a topical question to a panel of members.
Rohil Goutam MCOptom
Principal Optometrist, Kerr Eyecare, Croydon
Recently, an ocular coherence tomography (OCT) scan showed an anomaly for a post-operative patient. It was a big surprise for the patient, who was expecting a clean bill of health. My first step was to explain everything about the condition to the patient before answering any questions they had. This discussion helped to alleviate their worries.
I then communicated directly with the relevant practitioner at the hospital and updated them with my management plan. Do not rely solely on the OCT and take into account all other information such as Volk assessment or visual fields.
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Related further reading
(OCT has revolutionised ophthalmology and optometry practice, allowing non-invasive in vivo optical biopsy of the anterior and posterior ocular structures.
Used properly and with appropriate training, OCT can prevent many misdiagnoses in the clinical environment.