Abstract

Recently, in vivo trans-conjunctiva optical coherence tomography (OCT) imaging of the lacrimal passage was demonstrated using a turbid commercial eye drop as an extrinsic contrast agent. However, static OCT images are not sufficient to unambiguously delineate the lumen boundary to render 3D lumen images of the lacrimal passage by segmentation. The turbid eye drop is expected to include small particles that flow and undergo Brownian motion and can be used as an extrinsic contrast agent for dynamic OCT. We conducted dynamic OCT measurements of the lacrimal passage using a swept source OCT system. Firstly, characterization of the dynamic OCT properties of the eye drop was performed. For improved delineation of the lumen boundary, we calculated the sum of the squared differences of intensities with two different normalization parameters. By making composite color images from OCT images and these two dynamic OCT images, we could execute unambiguous segmentation of the lumen of the lacrimal passage. Three-dimensional volumetric images of parts of the lacrimal passage, i.e., lacrimal canaliculus and lacrimal punctum, are demonstrated.

Highlights

  • In this study, the human lacrimal punctum (LP) and lacrimal canaliculus (LC) of the lacrimal drainage system were imaged using dynamic optical coherence tomography (D-OCT)

  • The sample arm light illuminated the volunteer through an optical circulator (CRS) (Opneti Communications, China), collimator lens (CLS), and objective lens (OLS)

  • The present observation was only done on the lower LC and LP because of easy flipping of the eyelid

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Summary

Introduction

The human lacrimal punctum (LP) and lacrimal canaliculus (LC) of the lacrimal drainage system were imaged using dynamic optical coherence tomography (D-OCT). A precise morphological determination of the 3D volumetric structure of the punctum and use of a properly shaped punctal plug may decrease the occurrence of such problems These examples show the clinical usefulness of morphological imaging of the lacrimal drainage system. By imaging through the conjunctiva, an LC could be distinctly imaged as a hypo-intensity region because of weak light scattering of the mucosa and tear They could further image the lumen of the LC by applying a turbid eye drop as a contrast agent before imaging to partially replace tears with it. Our imaging in this work was limited to the lower LP and LC because of ease of flipping the eyelid

Experimental system
Data processing
Extrinsic contrast agent
Time interval analysis of a dynamic OCT signal
Lacrimal canaliculi images with contrast agent
Maximum intensity projection images
Findings
Discussions and conclusion
Full Text
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