Clinical Scorecard: Elevating Corneal Management With AS-OCT

At a Glance

Key Highlights

• AS-OCT enhances provider efficiency and patient satisfaction
• Anterion device effectively images corneal conditions and post-surgical evaluations
• Customized settings allow for precise scleral lens assessments
• Epithelial mapping aids in identifying corneal ectasias for LASIK candidacy
• Post-operative imaging tracks changes in anterior segment anatomy

Guideline-Based Recommendations

Diagnosis

• Use AS-OCT for detailed imaging of corneal conditions and post-surgical assessments
• Employ epithelial mapping to detect early corneal ectasias

Management

• Utilize Anterion for evaluating endothelial keratoplasties and scleral lens fitting
• Assess anterior segment metrics for refractive surgery planning

Monitoring & Follow-up

• Post-operative imaging to monitor changes in ICL vault and anterior chamber angle

Risks

• Potential for misdiagnosis if relying solely on corneal topography without AS-OCT

Patient & Prescribing Data

Patients with complex corneal shapes and those undergoing refractive surgery

AS-OCT provides critical imaging for tailored scleral lens prescriptions and surgical planning

Clinical Best Practices

• Incorporate AS-OCT in routine evaluations for corneal transplant patients
• Train technicians on AS-OCT to enhance imaging quality and patient experience
• Utilize 360-degree scans for comprehensive assessments of limbal clearance

References

• Brooke M. Messer, OD, FSLS, FAAO