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Comprehensive Glaucoma Imaging

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Albert and Jakobiec's Principles and Practice of Ophthalmology

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Abstract

Advancements in ocular imaging over the past four decades have revolutionized glaucoma practice worldwide. As glaucomatous vision loss cannot be restored, early diagnosis, proper management, and timely intervention are essential to slow disease progression. The emergence of advanced computerized imaging modalities has shifted glaucoma assessment from being largely subjective to mostly objective. These modalities can document and accurately quantify the optic nerve head and the macula regions, which are affected by the disease. With various ocular imaging devices evolving over the years, optical coherence tomography (OCT) has become the dominant imaging technology in glaucoma practice. From the first prototype device to the newest swept-source OCT, each generation improved in image acquisition time, scan resolution, and artifact reduction, making structural assessment more accurate and sensitive. This advancement allows clinicians earlier detection of glaucoma diagnosis and increased sensitivity in monitoring of progression enabling timely modification of treatment to halt further damage. Moreover, the introduction of OCT angiography (OCTA) drew attention to the vascular component as an important element in glaucoma pathogenesis. In addition to technical advancements, the imaging field continues to evolve by the incorporation of innovative software such as image processing and artificial intelligence. Taken together, the role of ocular imaging is expected to further expand with a substantial impact on clinical management.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, NYU Langone Health, New York, NY, USA

    Yoav Glidai, Gadi Wollstein & Joel S. Schuman

  2. Department of Ophthalmology, University of Colorado School of Medicine, Aurora, CO, USA

    Malik Y. Kahook

  3. Ophthalmic Consultants of Connecticut, Fairfield, CT, USA

    Robert J. Noecker

Authors
  1. Yoav Glidai
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  2. Malik Y. Kahook
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  3. Robert J. Noecker
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  4. Gadi Wollstein
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  5. Joel S. Schuman
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Corresponding author

Correspondence to Joel S. Schuman .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Oregon Health & Science University Department of Ophthalmology, Portland, OR, USA

    Daniel Albert

  2. Massachusetts Eye and Ear, Boston, MA, USA

    Joan Miller

  3. Department of Ophthalmology, University of Illinois at Chicago Department of Ophthalmology, Chicago, IL, USA

    Dimitri Azar

  4. Department of Ophthalmology, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. New York Eye and Ear Infirmary of Mount Sinai, New York, USA

    James C. Tsai

  2. Department of Ophthalmology, Stanford University, Palo Alto, USA

    Yang Sun

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Glidai, Y., Kahook, M.Y., Noecker, R.J., Wollstein, G., Schuman, J.S. (2020). Comprehensive Glaucoma Imaging. In: Albert, D., Miller, J., Azar, D., Young, L. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-90495-5_167-1

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  • DOI: https://doi.org/10.1007/978-3-319-90495-5_167-1

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