See user manual for more information on normative data. The fundus image acquired with the model 500 will be captured at. The spectraldomain cirrus oct carl zeiss meditec, released in 2007, initially. Pdf anterior segment tomography with the cirrus optical. Download the zeiss progression analysis tools flyer. Early identification of progression is of utmost importance because appropriate treatment can slow disease. Artifacts in spectraldomain optical coherence tomography measurements in glaucoma.
Spectraldomain optical coherence tomography with multiple bscan averaging for enhanced imaging of retinal diseases. Optical coherence tomography dr tushya om parkash dr om parkash eye institute 2. Nerve fiber layer rnfl thickness map is a topographical display of rnfl. With handbook of retinal oct, you can master the latest imaging methods used to evaluate retinal disease, uveitis, and optic nerve disorders. This new highperformance oct instrument from carl zeiss meditec offers a quantum leap forward. Anterior segment tomography with the cirrus optical. The current version was introduced in 2007 and has evolved over the last 10 years with hardware and software upgrades such as macular ganglion cell analysis and guided progression analysis. Today, that leadership continues with new clinical assessment tools for cirrus 5000 and 500. The widespread use of this imaging modality is due, at least in part, to continuous hardware and software advancements. Optical coherence tomography oct imaging has been widely accepted by ophthalmologists as an attractive imaging modality.
Spectralis oct the modular imaging platform heidelberg. Interpretation of oct differentiate between inner and outer retinal disease as first step interpretation of oct differentiate between inner and outer retinal disease as first step inner retina most common vascular disease htn and dm interpretation of oct differentiate between inner and outer retinal disease as first step outer retina. Part one introduction optical coherence tomography oct is an essential tool for diagnosing and managing retinal diseases and glaucoma. Cirrus hdoct rnfl and onh analysis report key parameters, compared to normative data, are displayed in table format.
Deupree uses the newest, stateoftheart, highdefinition macula scanner on the market. Factors affecting cirrushd oct optic disc scan quality. Optical coherence tomography oct has become essential to clinical eye care as perimetry or fundus photography. John lind offers pearls for evaluating cirrus oct scans. With the essential oct solutions from zeiss, manage a broader range of pathologies, provide comprehensive care and elevate and grow your practice. This cirrus is in excellent condition and is just a little over a year old.
Further development enabled application of optical coherence tomography in evaluation of the integrity of the nerve fiber layer, optic nerve cupping, anterior chamber angle, or. With guided progression analysis gpa, cirrus hdoct can aid in the identification of glaucoma progression through rnfl thickness event analysis and trend analysis. Anterior segment tomography with the cirrus optical coherence tomography article pdf available in journal of ophthalmology 20123. No kickbacks no exotic trips no stock options heidelberg spectralis 6 mode zeiss cirrus model 4000. Ideal at any stage of your career, this easytouse, clinically oriented handbook provides a quick, templated, and portable guide for the interpretation of optical coherence tomography scans. Page 1 cirrus hdoct 5000 and 500 technical specifications.
Zeiss cirrus hdoct 5000 technical specifications pdf. Zeiss cirrus hdoct advanced retinal imaging from cliff williams, kirkcaldy, fife, scotland duration. Cirrus 500 the esssential oct as the worlds leading oct innovator, zeiss has been at the forefront of industrydefining advancements that have made oct standard of care. It not only provides a wealth of information, but it is also non invasive and easy to perform. Evaluating the optic nerve for glaucomatous damage with oct. Optical coherence tomography oct has become an important tool for. Used carl zeiss zeiss oct cirrus oct for sale dotmed.
Cirrus delivers a diagnostic analysis you can trust. Guide to interpreting spectral domain oct by patty seiden. Cirrus data cubes are registered with data from prior visits after the scan is. Along with its small footprint and fast capture speeds, cirrus is designed to improve workflow efficiency while helping you deliver better care to. Reliability and validity of cirrus and spectralis optical coherence tomography for detecting retinal atrophy in alzheimers disease polo v, garciamartin e, bambo mp. The design of the cirrus is different from the other commercial oct devices since it is not designed around a slit lamp and joystick, but instead employs a mouse. With the introduction of the gmpe software for spectralis, rnfl analysis is. Instrument approach training videos next from cirrus.
The cirrus hdoct software presents threedimensional data volumes and segmentation results in the form of interactive internal limiting membrane and retinal pigment epithelium maps, fundus image overlays, and an advanced visualization system that allowed rapid interpretation of the threedimensional data. Retinal assessment using optical coherence tomography. Cirrus rnfl and onh analysis elements oct en face fundus image shows boundaries of the cup and disc and the rnfl calculation circle. Spectraldomain oct is an established tool to assist clinicians in detecting glaucoma and monitor disease progression. Practical application and interpretation for glaucoma and retinal disease highlights from a panel discussion held at the annual meeting of the american academy of ophthalmology in november 2008 in atlanta. Building upon and refining the groundbreaking retinal imaging technology first introduced by industryleader zeiss, the zeiss cirrus hdoct 4000 facilitates an examination of the anterior and posterior of the eye at an extremely fine spatial scale, without making any contact with the eye. Through our new training and safety program, cirrus approach, cirrus aircraft is committed to ensuring that every cirrus pilot is as comfortable and proficient flying their aircraft as mr. Physicians should begin by assessing the retinal nerve fiber layer rnfl thickness map, which should ideally show butterfly wings with red spots to indicate adequate thickness. If change is outside the range of expected variability, it is identified as progression. This ocx uses the same files that are used by windows to format drives, it can check and mark bad sectors, can pause and resume the. Different oct systems have been introduced recently for quantitative and qualitative analysis of the rnfl, and. Serial optical coherence tomography oct of the retinal nerve fiber layer rnfl and threshold visual field analysis, herein referred to as glaucoma progression tests, comprise much of our ability to achieve this task. Optical coherence tomography in agerelated macular. Spectraldomain oct is the standardofcare in routine every day clinical practice.
Stratus versus cirrus oct in amd the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. An hourglass shape of yellow and red colors is typical of normal eyes. Gary miller cra, octc geisinger health system danville, pa i receive no compensation whatsoever from the companies mentioned in this presentation. Clinical use of oct in assessing glaucoma progression. This platform allows clinicians to configure each spectralis to the specific diagnostic workflow in the practice or clinic. It permits to define the location and nature of the changes in the retina and adjacent structures and objectively evaluates the thickness of the retina and surrounding structures. Zeiss offers clinicians a fullspectrum of oct models cirrus 6000, cirrus 5000, and cirrus 500 that deliver essential to the most advanced imaging solutions and are catered to. Advanced interpretation of the cirrus oct anthony b.
The zeiss cirrus hdoct is a noninvasive technology used for imaging the vitreous and retina the multilayered sensory tissue lining the back of the eye. To support this effort, we in cirrus flight standards and operations have been working hard on our next set of learning videos. Cirrus hdoct is the spectral domain oct system developed by carl zeiss meditec dublin, ca. Used carl zeiss cirrus hdoct 5000 oct for sale dotmed. However, its clinical examination is often difficult and subjective. Introduction optical coherence tomography oct technology allows the acquisition of crosssectional images of the retina with semihistologic resolution. Comparison of stratusoct and cirrus hdoct imaging in. The rnfl deviation map shows deviation from normal.
Unchecking the hide extensions checkbox zeiss cirrus system to turn on the hardware and launch the. Evaluation of the retinal nerve fiber layer rnfl plays an essential role in the diagnosis and followup of glaucomatous patients. Cirrus for retinal disease with the new fasttrac retinal tracking system, precise macular thickness analyses, fovea finder, detailed layer maps and more than 100 bscans at your disposal, cirrus provides the framework to. This cuttingedge diagnostic system allows our doctors to get a complete crosssectional or 3dimensional view of your retina using an optical measurement known as lowcoherence. Pinilla j, larrosa jm, satue m, otin s, and pablo le eye lond. Cirrus hdoct 5000 is the clinical powerhouse with fasttrac, and sophisticated analyses for the busy advanced care practice.
Event analysis assesses change from baseline compared to expected variability. The integrated rnfl thickness deviation map shows deviation from normal rnfl thickness map also displays cup and disc mask optic nerve head calculations are presented in a combined report with rnfl thickness data. Cirrus oct software software free download cirrus oct. Cliff williams independent opticians 104,642 views 5. Not only does it supply you with barsetting imagery, it delivers detailed diagnostic and change analyses you can rely on time and again. Reproducibility of peripapillary retinal nerve fiber layer thickness and optic nerve head parameters measured with cirrus hdoct in glaucomatous eyes. Listing a study does not mean it has been evaluated by the u. Optical coherence tomography oct is an optical acquisition method to examine biological tissues. For the first time, immerse yourself in truly grand views. Oct, multiple scanning laser fundus imaging modalities, widefield and ultrawidefield, scanning laser angiography and oct angiography. Seoul 121828 mapogu 1411, sangsudong 2f, br elitel bldg. It is a complex technology that looks in detail at the structure and layers of the retina. Featuring spectral domain technology, cirrus hdoct delivers exquisite highdefinition images of the ocular structures.
Both are complemented by statistical software packages designed to. Cirrus hdoct with retinal nerve fiber layer and macular. Zeiss cirrus oct brochure the village optician ltd. Glaucoma is an optic neuropathy characterized by progressive loss of retinal ganglion cells and optic nerve damage that may result in visual field loss and irreversible blindness.
Zeiss cirrus hdoct 5000 manufactured in 20 single private practice owner installed less than 1 year version 6. A status report a comprehensive look at the evolution of oct software design and database development. Litwak, od, faao va medical center baltimore, maryland glaucoma 101 glaucoma is a disease of the ganglion cell axons damage occurs at the level of the lamina cribrosa selective damage to the superior and inferior poles of the optic nerve. The first retinal oct with full anterior chamber imaging. Cirrus highdefinition optical coherence tomography compared. Activex ocx to format floppies and removable diskswhat is new in the version 1. Yellow pixels denote change from both baseline exams. When you own a cirrus aircraft you become part of a family where worldclass service and support is our number one priority. Cirrus oct high definition retina scanner high definition oct spectral domain retina scanner. We use it when we have seen something in the eye that we wish to examine more closely. We offer a global network of over 200 cirrus authorized service centers ascs ready to maintain your aircraft from the first oil change to an engine overhaul, a highly experienced team of cirrus technical support staff with over 100 years of combined experience and a. In recent years, oct has become an important imaging technology used in diagnosing and following macular pathologies. Comparison of the diagnostic accuracies of the spectralis. Retinal nerve fiber and optic disc, optic disc structure analysis.
For the entire oct examination 6 scans stratus oct, 128 scans cirrus oct algorithm line failures were detected in 69. Introduction oct is a non contact, non invasive, micron resolution cross sectional study of retina which correlates very well with the retinal histology it was unbelievable that histopathology without biopsy of a structure which was literally untouchable. There are normals for ocular structures deviation from the norm abnormality pathology being able to discern differences in reflectivity, morphology and qualitative measures either from normals or from previous scans is the essence of oct interpretation. Cirrus oct has better scan quality than stratus oct, especially in glaucomatous eyes. Oct today for now, oct is most useful when a patient is either a glaucoma suspect or has earlytomoderate disease, as a tool for helping to detect damage and progression or conversion from glaucoma suspect or ocular hypertensive to glaucoma.