Ancillary ophthalmic imaging plays a critical role in diagnosing, monitoring, and guiding treatment for a wide range of eye conditions. Automated perimetry, such as the Humphrey Visual Field (HVF), measures peripheral vision and detects functional loss from glaucoma, optic neuropathies, and neurologic disease. Optical Coherence Tomography (OCT) provides high-resolution cross-sectional imaging of the retina and optic nerve, allowing detailed evaluation of the macula for conditions such as macular degeneration, diabetic macular edema, epiretinal membranes, and retinal vascular disorders, while also precisely assessing the retinal nerve fiber layer and ganglion cell complex in glaucoma.

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Additional advanced retinal imaging includes fluorescein angiography, which uses a specialized dye and sequential photography to evaluate retinal circulation and identify leakage, ischemia, or abnormal new blood vessel growth. Digital fundus photography documents the retina and optic nerve for careful comparison over time. When visualization of the back of the eye is limited—such as in dense cataract or vitreous hemorrhage—ocular ultrasound provides essential information about the retina, vitreous, and posterior segment structures.

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For the front of the eye, anterior segment OCT offers detailed imaging of the cornea, anterior chamber angle, and lens. We also utilize Pentacam corneal tomography, which provides a comprehensive three-dimensional analysis of the cornea, including curvature, elevation maps, pachymetry, and anterior chamber measurements. This technology is invaluable for detecting keratoconus and other corneal ectasias, evaluating irregular astigmatism, planning refractive or cataract surgery, and assessing overall corneal health.

 

Together, these imaging modalities enhance diagnostic precision, enable early disease detection, and support highly individualized treatment planning.