This research proposal from a multi-disciplinary team of ophthalmologists and biomedical engineers seeks to improve the accuracy of OCT representations of the eye and hence the clinical and research measurements made from OCT images. Hardware and algorithmic innovations will be made and then applied to two important clinical diagnostic measurements. In the anterior eye, accurate measurement of corneal shape determines corneal refractive power. In individuals who have undergone LASIK, however, current clinical diagnostics cannot accurately measure this shape and hence cannot measure corneal refractive power. As these individuals age, this can result in complete spectacle dependency at all distances when they later require further optical modification with cataract surgery; this gap has been recognized as a priority by the National Eye Institute. In the posterior eye, ocular shape is correlated with pathology in myopia. Ocular shape is currently obtained using magnetic resonance imaging, and the attendant logistical and cost barriers with MRI limit the widespread use and investigation of these posterior eye measures. These developments have both direct immediate clinical and research applicability by enabling the specified measures as well as future implications for spatial measurements of the eye from OCT images.

Public Health Relevance

The proposed research is relevant to public health because it is expected to improve clinical care and study of two widespread eye conditions: cataract (surgery) and myopia. The proposed research directly addresses topics in the NEI's Vision Research Needs, Gaps, and Opportunities: to 'address cataract surgery outcomes for the aging population of postrefractive surgery patients' and addresses a way to clinically study morphometry in myopia progression. Thus, the proposed vision research is relevant to the part of NIH's mission to pursue and apply knowledge to help improve quality of life through health research.

Agency
National Institute of Health (NIH)
Institute
National Eye Institute (NEI)
Type
Research Project (R01)
Project #
5R01EY024312-04
Application #
9389496
Study Section
Neuroscience and Ophthalmic Imaging Technologies Study Section (NOIT)
Program Officer
Mckie, George Ann
Project Start
2014-12-01
Project End
2019-11-30
Budget Start
2017-12-01
Budget End
2018-11-30
Support Year
4
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Duke University
Department
Ophthalmology
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
Pasricha, Neel Dave; Bhullar, Paramjit Kaur; Shieh, Christine et al. (2017) Four-dimensional microscope- integrated optical coherence tomography to enhance visualization in glaucoma surgeries. Indian J Ophthalmol 65:57-59
Grewal, Dilraj S; Bhullar, Paramjit K; Pasricha, Neel D et al. (2017) Intraoperative 4-Dimensional Microscope-Integrated Optical Coherence Tomography-Guided 27-Gauge Transvitreal Choroidal Biopsy for Choroidal Melanoma. Retina 37:796-799
Bhullar, Paramjit K; Carrasco-Zevallos, Oscar M; Dandridge, Alexandria et al. (2017) Intraocular Pressure and Big Bubble Diameter in Deep Anterior Lamellar Keratoplasty: An Ex-Vivo Microscope-Integrated OCT With Heads-Up Display Study. Asia Pac J Ophthalmol (Phila) 6:412-417
McNabb, Ryan P; Tian, James; Farsiu, Sina et al. (2017) Retinal imaging in human autopsy eyes using a custom optical coherence tomography periscope. Biomed Opt Express 8:4152-4159
Lezama, José; Mukherjee, Dibyendu; McNabb, Ryan P et al. (2016) Segmentation guided registration of wide field-of-view retinal optical coherence tomography volumes. Biomed Opt Express 7:4827-4846
Kuo, Anthony N; Verkicharla, Pavan K; McNabb, Ryan P et al. (2016) Posterior Eye Shape Measurement With Retinal OCT Compared to MRI. Invest Ophthalmol Vis Sci 57:OCT196-203
Todorich, Bozho; Shieh, Christine; DeSouza, Philip J et al. (2016) Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes. Invest Ophthalmol Vis Sci 57:OCT146-53
Pasricha, Neel D; Shieh, Christine; Carrasco-Zevallos, Oscar M et al. (2016) Needle Depth and Big-Bubble Success in Deep Anterior Lamellar Keratoplasty: An Ex Vivo Microscope-Integrated OCT Study. Cornea 35:1471-1477
McNabb, Ryan P; Grewal, Dilraj S; Mehta, Rajvi et al. (2016) Wide field of view swept-source optical coherence tomography for peripheral retinal disease. Br J Ophthalmol 100:1377-82
Pasricha, Neel D; Shieh, Christine; Carrasco-Zevallos, Oscar M et al. (2015) Real-Time Microscope-Integrated OCT to Improve Visualization in DSAEK for Advanced Bullous Keratopathy. Cornea 34:1606-10