Publication: Estudio de tomografía de coherencia óptica ocular en niños sanos: nervio óptico, mácula y capa de células ganglionares
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2020-10-27
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Gómez de Liaño Sánchez, María Rosario
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Universidad Complutense de Madrid
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Abstract
La tomografía de coherencia óptica (OCT) es una prueba no invasiva con la cual se pueden obtener imágenes de la retina y el nervio óptico con mucha resolución, proporcionando a su vez mapas de grosor de las diferentes estructuras que pueden orientar al clínico en el diagnóstico y seguimiento del paciente. Esto ha supuesto una verdadera revolución en la oftalmología pediátrica, por la gran cantidad de información que es capaz de aportar con tan poco tiempo de captura. Sin embargo, la mayor limitación de su utilización en la población pediátrica es que ninguno de los modelos de OCT actualmente comercializados dispone de bases de datos normativas para individuos menores de 18 años, de manera que las clasificaciones por códigos de colores que se emiten en el informe final se confeccionan comparando cada grosor con la base normativa de adultos que tiene cada OCT incluida en su software. Por lo tanto, no sólo es importante disponer de bases de datos normativas pediátricas para todas las mediciones con los diferentes modelos de OCT disponibles en la actualidad, sino que más importante aún es averiguar si existe alguna diferencia entre ambas bases de datos y lo que podría suponer en la práctica clínica disponer de una base de datos normativa pediátrica incluida en cada dispositivo...
Optical coherence tomography (OCT) is a non-invasive technology for in vivo acquisition of high-resolution images of the retina and optic nerve, providing thickness maps of the different ocular structures which help the clinician for the diagnosis and patient follow-up. This has meant a real revolution for paediatric ophthalmology, as large amount of information is able with minimal patient collaboration time. However, no commercially available OCT device includes an age-normalised database for individuals younger than 18 years, thus limiting its application in paediatric patients. Because of that, the colour code classifications currently reported are made after comparing each paediatric parameter with adult reference database included in the OCT software. Therefore, it is important not only to have paediatric normative databases for all ocular measurements with the different currently available OCT devices, but also to find out if there is any difference between both reference databases and what could imply having this paediatric databases for clinical daily practice...
Optical coherence tomography (OCT) is a non-invasive technology for in vivo acquisition of high-resolution images of the retina and optic nerve, providing thickness maps of the different ocular structures which help the clinician for the diagnosis and patient follow-up. This has meant a real revolution for paediatric ophthalmology, as large amount of information is able with minimal patient collaboration time. However, no commercially available OCT device includes an age-normalised database for individuals younger than 18 years, thus limiting its application in paediatric patients. Because of that, the colour code classifications currently reported are made after comparing each paediatric parameter with adult reference database included in the OCT software. Therefore, it is important not only to have paediatric normative databases for all ocular measurements with the different currently available OCT devices, but also to find out if there is any difference between both reference databases and what could imply having this paediatric databases for clinical daily practice...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Inmunología, Oftalmología y ORL, leída el 03-03-2020