Dr Bruce Munro uses advanced scanning technology including 3 OCT machines to help detect eye disease.
The Optical Coherence Tomography (OCT) can reveal 3D images of the optic disc and macula, and provide non-invasive 3D images of blood flow in the eye . The exam only takes a few seconds. Nothing touches your eyes, there are no puffs of air, and no flashes of bright light, but Dr Munro may need to use eye drops to make your pupils larger.
Dr Munro’s Equipment includes:-
- The Optos Panoramic 200 Dx camera captures a retinal colour Digital Scan.
- Retinal Heidelberg OCT records precise macula detail.
- ZEISS Cirrus 5000 HD-OCT providing non-invasive 3D images of blood flow in the eye.
- Humphrey Field Analyzer 3 (HFA3), with Liquid Lens technology.
- Glaucoma Nidek Advance RS 3000 OCT.
- YAG Laser for Iridotomy and Capsulotomy.
- Oculograph Corneal Imaging System.
- Kowa 3D Glaucoma disc colour photography
- Zeiss Forum glaucoma integration Visula Field and OCT software.
- Haag Streit slit lamp Microscope with Digital Camera plus viewing screen.
Haag Streit Slit Lamp Microscope with Digital Camera
Sophisticated microscopy – fascinating versatility
The BQ 900® stands for excellent optics, versatility and ease of use. The standard for those requiring advanced slit lamp microscopy. A modular system, offering digital video and still photography and a wide range of accessories include teaching scopes, inclined eyepieces and, for retinal specialists, the unique stereo variator.
- The versatile slit lamp system
- Stereo variator, best retinal view even through small pupils
- Professional Imaging featuring Imaging Module IM 900
- Ergonomic, wide aperture optics for fatigue free daily use
- Economic, high quality, low maintenance and depreciation
- NEW: LED-Power for more details
OCT Scan 3 Dimensional eye care
The use of OCT-A allows visualization of the microperfusion of the retinal and choroidal vascular networks and their alterations due to diverse diseases in high resolution and with segmentation of different anatomical layers. The exact interpretation of the three-dimensional OCT-A images and their clinical application are currently under clinical evaluation.
Dr Munro has three OCT spectral domain machines with Nidek 300 Advance, Heidelberg Spectralis and Zeiss Cirrus 5000.
ZEISS CIRRUS 5000
It’s not only new, it’s amazing
The introduction of ZEISS AngioPlex ushers in a new era in retinal care.
Now, ultra-clear 3D microvascular visualisations with non-invasive technology can be a routine part of my retina practice.
- Full depth colour encoded image
- A single additional OCT scan generates an ultra-clear 3D OCT angiography image.
- Vascular imaging with standard OCT diagnostic imaging.
OCT been a great advance in optic disc and macula retinal assessment.
It usually does not require dilating the pupils, which means your vision is not blurry afterwards.
It provides unique information about the back of the eye which cannot be obtained any other way, helping in the diagnosis of Glaucoma and Macula Degeneration and Diabetic Maculopathy.
However if dense cataract is present then pupil dilatation may be required.
The scan photographs are taken in high-resolution digital format. These may be transferred over the internet to your optometrist or another eye specialist ophthalmologist involved in your care.
- Wide area and high definition OCT with tracing HD function for accurate averaging of up to 120 images.
- Selectable OCT sensitivity
- Torsion Eye Tracer (TET) for accurate image capture
- High resolution AngioScan OCT-Angiography image
The Humphrey Visual Field Analyser
is used for help in diagnosis and following control of Open Angle Chronic Glaucoma.
Automated Humphrey visual field testing is important to access the ‘side vision’ which can be affected in neurologic, as well as ophthalmologic, problems. The test is often used to follow glaucoma and Dr Munro has the new SITA testing process, which makes this particular test quicker and so less tiring, but still reliable.
200Dx Ultra-Widefield Retinal Imaging
Ultra-widefield digital retinal imaging introduced by Optos is increasingly becoming a standard of care for primary eye care providers. The 200Dx technology is designed to simultaneously capture a digital image view of the retina from central pole to periphery.
The images, aimed at a primarily healthy patient base, allow the detection, documentation and monitoring of ocular pathology and systemic disease that may first present in the periphery.
KOWA 3D Stereoscopic camera
We have now installed a new concept retinal camera with “SSP” – Simultaneous Stereoscopic Photography.
3D – Stereo Field angle：34°（20°×27°）
Instant and simultaneous 3D photography is possible in 1-shot.
Stereoscopic images are captured without image/parallax shifts.
Retinal observation on 3D images
The shape of the optic cup and disc can be viewed in a 3D image.
The 3D image analysis of optic disc strongly supports glaucoma diagnosis.
Ellex laser capsulotomy
A cataract occurs when the eye’s focusing lens, which lies just behind the pupil, becomes cloudy and obstructs the transmission of light to the retina. While surgery to replace the natural lens with an implanted artificial lens is the only way to correct cataracts, approximately 20 percent of patients will experience a side effect from the surgery called secondary cataract. In the case of a secondary cataract, the posterior capsule, a thin membrane that lies just behind the implanted lens becomes clouded over with scar tissue that grows in response to the surgery. The most effective way to treat a secondary cataract is a simple laser procedure called posterior capsulotomy.
During posterior capsulotomy treatment a laser photo-disruptor is used to create an opening in the centre of the clouded posterior capsule which removes the obstruction once again and allows light to reach the retina. The procedure is painless, requires no anaesthesia and typically results in improved vision within a day. Laser capsulotomy is performed whilst sitting at the slit lamp microscope table, with assistance by a staff member to help you to be as comfortable and relaxed as possible.
A less common form of glaucoma occurs when the aqueous fluid flow is obstructed by the anatomy of the eye blocking the path for fluid to reach the trabecular meshwork. This is known as Angle Closure Glaucoma (ACG) and often treated by performing a Laser Iridotomy with a photo-disruptor. During iridotomy, a laser is used to create a tiny opining in the peripheral iris that allows fluid to flow directly into the anterior chamber from behind the iris. This typically resolves the raised intraocular pressure and allows the anatomy of the eye to return to its normal state. Laser peripheral iridotomy is performed whilst sitting at the slit lamp microscope table, with assistance by a staff member to help you to be as comfortable and relaxed as possible.