Early detection in any disease is the only way to fight the glaucoma because damages done to the optic nerves are not reversible. Researches telling us that in progression of glaucoma, we may loose substantial amount of optic nerve cells even before detected by conventional means like visual field test and fundus photography. Ganglion cells in retinas are like a canary in a coal mine. It get affected way before visual outcomes or funds photography chan
ges. The Holy grail of glaucoma diagnosis is detecting early changes on retinal ganglion cells. They are only measurably visible in High Definition Spectral Optical Coherent Tomography ( HD -OCT). Some OCT machines can even scan the anterior chamber angles and corneal tissues. Anterior chamber angle is directly responsible for high eye pressures in glaucoma.
We offer HD – OCT optic nerve scans and anterior chamber angle OCT scans to glaucoma patients and glaucoma suspects. Normal tension glaucoma ( glaucoma with Normal to Low eye pressure) is very difficult to early detect in conventional means without HD OCT scan. If you have family history of glaucoma, or were told about cupping of optic nerve or high pressure, HD- OCT can be definitive test to rule out the possibility of disease.
You can call us to request an appointment to just have OCT scan and consultation, or you can request for full glaucoma work up to rule out the disease.
Hydroxychloroquine (Plaquenil) and chloroquine has been used for many illnesses such as lupus, rheumatoid arthritis and other inflammatory and dermatologic conditions. Plaquenil retinal toxicity can result permanent loss of vision. Early detection can make big differences on visual outcomes of retinal side effects. It is important to catch the side effect of drug early enough to reverse the changes otherwise irreversible drug effects.
According to revised Plaquenil screening protocol by American Academy of Ophthalmology, spectral domain OCT is the must have test to enable early detection. Spectral domain OCT scan is the only test that is sensitive enough to catch early changes much before other tests can detect.
We offer Zeiss Cirrus Spectral HD OTC test. The test can be ordered by your doctor with / without our doctors interpretation and consultation. Please call us at 248-332-0200 to schedule your appointment today.
The eyes are the windows to the brain. By understanding layers and cells of eyes, we can understand more of our ultimate mystery, the brain. Seeing the layers of live retina was not possible until OCT technology. HD-OCT shows even more details of eyes down to the individual layers. Some layers in the retina changes way before the vision changes. Macular degeneration, glaucoma and diabetic eye disease are some of many eye diseases that can benefit from this early detection technology. The eyes close association with brain also reveals changes in some systemic diseases such as multiple sclerosis and Alzheimer’s.
Dr. Youn strongly believes the HD- OCT technology and decide to offer this futuristic diagnostic test to anyone who is interested. We use Zeiss Cirrus HD-OCT ( Spectral Domain Optical Coherence Tomographer). If you have family history of central retinal disease or using plaquenil ( hydroxychlroloquine), or interested to analyze retinal ganglion cells in conjunction with MS or Alzheimer’s, ask us at the time of your appointment.