StratusOCT demonstrated reproducible measurements of NFL thickness, macular thickness, and optic nerve head parameters. The best reproducibility was found for dilated standard scanning for NFL and ONH parameters and for dilated high-density scanning for macular parameters.

We present an analytical solution for the scattering of diffuse photon density waves from an infinite circular, cylindrical inhomogeneity embedded in a homogeneous highly scattering turbid medium. The analytical solution, based on the diffusion approximation of the Boltzmann transport equation, represents the contribution of the cylindrical inhomogeneity as a series of modified Bessel functions integrated from zero to infinity and weighted by different angular dependencies. This series is truncated at the desired precision, similar to the Mie theory. We introduce new boundary conditions that account for specular reflections at the interface between the background medium and the cylindrical inhomogeneity. These new boundary conditions allow the separate recovery of the index of refraction of an object from its absorption and reduced scattering coefficients. The analytical solution is compared with data obtained experimentally to evaluate the predictive capability of the model. Optical properties of known cylindrical objects are recovered accurately. However, as the radius of the cylinder decreases, the required measurement signal-to-noise ratio rapidly increases. Because of the new boundary conditions, an upper limit can be placed on the recovered size of cylindrical objects with radii below 0.3 cm if they have a substantially different index of refraction from that of the background medium.

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Purpose-To compare ultrahigh-resolution optical coherence tomography (UHR-OCT) technology to a standard-resolution OCT instrument for the imaging of macular hole pathology and repair; to identify situations where UHR-OCT provides additional information on disease morphology, pathogenesis, and management; and to use UHR-OCT as a baseline for improving the interpretation of the standard-resolution images. Design-Observational and interventional case series.Participants-Twenty-nine eyes of 24 patients clinically diagnosed with macular hole in at least one eye.Methods-A UHR-OCT system has been developed and employed in a tertiary-care ophthalmology clinic. Using a femtosecond laser as the low-coherence light source, this new UHR-OCT system can achieve an unprecedented 3-μm axial resolution for retinal OCT imaging.Comparative imaging was performed with UHR-OCT and standard 10-μm resolution OCT in 29 eyes of 24 patients with various stages of macular holes. Imaging was also performed on a subset of the population before and after macular hole surgery. Main Outcome Measures-Ultrahigh-and standard-resolution cross-sectional OCT images of macular hole pathologies.Results-Both UHR-OCT and standard-resolution OCT exhibited comparable performance in differentiating various stages of macular holes. The UHR-OCT provided improved imaging of finer intraretinal structures, such as the external limiting membrane and photoreceptor inner segment (IS) and outer segment (OS), and identification of the anatomy of successful surgical repair. The improved resolution of UHR-OCT enabled imaging of previously unidentified changes in photoreceptor morphology associated with macular hole pathology and postoperative repair. Visualization of the junction between the photoreceptor IS and OS was found to be an important indicator of photoreceptor integrity for both standard-resolution and UHR-OCT images.Conclusions-Ultrahigh-resolution optical coherence tomography improves the visualization of the macular hole architectural morphology. The increased resolution of UHR-OCT enables the visualization of photoreceptor morphology associated with macular holes. This promises to lead to a better understanding of the pathogenesis of macular holes, the causes of visual loss secondary to macular holes, the timing of surgical repair, and the evaluation of postsurgical outcome. Ultrahighresolution optical coherence tomography imaging of macular holes that correspond to known alterations in retinal morphology can be used to interpret retinal morphology in UHR-OCT images.Comparisons of UHR-OCT images with standard-resolution OCT images can establish a baseline for the better interpretation of clinical standard-resolution OCT images. The ability to visualize photoreceptors and their integrity or impairment is an indicator of macular hole progression and surgical outcome.The initial classification, staging, and pathogenesis of idiopathic macular holes were based largely on clinical examination and fluorescein angiography. 1,2 More recently, optical cohe...