Eye care – getoct.com – professional messages

Ein Schwerpunkt am 11.GETOCT-Kongress wird die AngioOCT sein. Viele praktische Beispiele werden Sie rüsten für das kommende Jahr. Damit Sie schon gut vorbereitet sind, schenke ich Ihnen unseren AngioOCT Atlas! >Download AngioOCT Atlas: AngioOCT_Peter Maloca & Pascal Hasler

This post was kindly inspired by Dr. Sébastien Barré, Institute of Topographic and Clinical Anatomy, University of Berne, Switzerland. Enjoy an impressing baby! We offer a Holographic 3D video of an unborn, 32-weeks young, healthy and lovely baby imaged with 3D ultrasound and enhanced with a special GCM-denoising filter (GygerCattinMaloca). The images are obtained with 3D ultrasound from a baby and freed from speckle-noise that may degrade the image quality. Speckle-noise may be a problem in a lot of medical imaging systems like ultrasound (US), computer tomography (CT), magnetic resonance imaging (MRI) or optical coherence tomography (OCT). In our OCT research laboratory (OCTlab) at the University of Basel, Switzerland, we developed a special filter to free a medical imaging volume from speckle-noise.   Take some minutes to produce your own HoloDevice using a simple transparent foil (view template) and put it on your tablet, darken the room. Have fun of  your vision! Dr. med. Peter Maloca Luzern &  University of Basel, Switzerland   View HoloBaby (best in a dark room on your tablet with your own built HoloDevice): Making View BabyHolo:   Instruction for making your own BioHoloDevice from a transparent foil. Best impression is obtained in a dark room using a tablet (or mobile), look at the moving baby from the side. Download BioHoloTemplate for iPad (jpg): Download BioHoloTemplate for iPad (PDF): > Holodevice Template iPad.   Copyright ©2015 GETOCT™ Ltd. All rights reserved.      

Eine 50 jährige Frau verlor ihr linkes Auge wegen einer ausgedehneten Netzhautablösung. Am besseren rechten Auge: doppeltes Pech! Sie hatte ein Melanom! Das Auge konnte gerettet werden.  Es wurde erfolgreich mit Protonen bestrahlt, der Tumor schrumpfte. Der Visus verblieb um 0.5, manchmal sogar 0.7, wenn die Sicca nicht ausgeprägt war. Nach Jahren trat dann leider Visusverlus auf 0.3 und Metamorphopsien. Was war passiert? A female had lost her left eye because of an extended retinal detachment. In her right eye, she had a melanoma, that was cured with proton beam radiation therapy. Years later, loss of visual acuity occured, but why? >Download PDF Melanoma_Macular edema_Dr Maloca (1.4 MB)      

Anbei finden Sie einen typischen Fall zum Üben der retinalen Zonen. Please find enclosed a typical case to improve your OCT skills. > Download Cases 01_Dr Maloca (Film) > Download  Cases 01_Dr Maloca (PDF)  

Dieser Workshop dient dem Erfahrungsaustausch und der Wissenserweiterung im Hinblick auf diese Herausforderungen. Die bewährte Kombination aus Vorträgen und praxisnahem Erfahrungsaustausch durch die gemeinsame Diskussion von wirklichen Fällen macht den großen Erfolg der ZEISS Academy aus. Schicken Sie uns daher schon vorab Ihre Anregungen, damit wir diese thematisieren und diskutieren können. Die Optische Kohärenztomographie ist bei Erkrankungen des hinteren Augenabschnitts aus unserem Ordinationsalltag nicht mehr wegzudenken. Der Schwerpunkt unserer täglichen Leistungen liegt auf der individuellen Beratung und Betreuung unserer Patienten. Viele stellen sich die Fragen: •    Wie gehe ich mit meinen Glaukom- und Retinapatienten um und wie schleuse ich sie in einem effizienten Ablauf ein? •    Welche praktischen Hilfsmittel gibt es bereits, um unseren Patienten eine personalisierte Versorgung zu ermöglichen und mir als Arzt und meinem Personal den Arbeitsablauf in meiner Ordination zu erleichtern? •    Wo und wie bekomme ich Tipps und Tricks von erfahrenen Kollegen? Vortrag Dr. med. Peter Maloca >Download: Smart Office_Wien_2015 - OCT Workshop    

Sie denken, das, was Ihre Augen Ihnen zeigen, ist wahr? Wirklich? Die richtige Welt ist aber gar nicht so, wie wir sie sehen. Die Welt "innen und aussen" ändern sich stets und Sie müssen eine Verbindung herstellen. Schauen sie meinen Film und halten Sie den Atem an. Diese 3D GETOCT Phanatasie ist für Sie! 3D Phantasien sind "in" dieses Jahr. Schauen Sie, was vor Ihren Augen fliegt und sogar in Sie hineinrast, das es gar nicht gibt. Ihr Hirn betrügt Sie. Beachte: nichts, was Sie sehen ist wirklich wahr. Genau so ist es mit den OCT-Bildern als Augenarzt: das Hirn diagnostiziert die Bilder sofort und Sie können sich vor einer "Diagnose" fast nicht wehren. Darum gibt es bei allen OCT-Bildern einen guten Tipp von Dr. Maloca: zurücklehnen, geniessen und warten bis die "OCT-Wahrheit" erscheint! >Geniessen Sie (mit einer Rot-Cyan-Brille) und lachen Sie über Ihre Augen und Ihr Hirn und über dieses Wunder. /Watch (with Red-Cyan glasses)  and hold your breath. Just enjoy and smile about your eyes and brain showing you a miracle. Ihr Dr. med. Peter Maloca, Luzern/Augenklinik Universität Basel You think, what your eyes are showing you is true? Really? The world seems not to be what it is. The "inner" and "outer" world change and you have to connect. This GETOCT 3D fanatasy is for you. 3D fantasies are in this year. Watch, what is passing before your eyes, that even does not exist. Your brain is fooling you. Realize: it is not really true what they say to you.  Still, this is the stuff your world is made off. Not every OCT image is "true".  The brain diagnoses the OCT  images immediately and you can almost not defend yourselve against a "diagnosis". But there is a good and simple tipp from Dr. Maloca: sit back, relax and wait and wait until the " OCT truth" appears! Download for personal use (Copyright ©2015 GETOCT™ Ltd. All rights reserved.) > 3D Tri Schwarm Red-Cyan

Dank unseren Augen, welche die Welt jeweils aus einem etwas anderen Winkel sehen,  können wir einen Raum in seiner Tiefe erfassen und uns darin problemlos orientieren. Spannend wird es, wenn dem Hirn etwas vorgegaukelt wird, das gar nicht räumlich gar existiert. Sie benötigen für diese otpische Illsuon eine Rpt-Cyan-Brille./ Thanks to our eyes, which see the world from a slightly different angle,  we can enter a space in its depth and orient ourselves in it easily. It is exciting, when our brain is faked with something that does not even exist. You will need red cyan 3D glasses for this optical illusion.    Copyright ©2014 GETOCT™ Ltd. All rights reserved. Download: 3D Tristar single. Optical illusion from a doctor ©2014 GETOCT™ Ltd

The fist high resolution 3D-OCT PDF-booklet from our OCTLab, University of Basel, is available at only CHF 30.- incl. MWST/VAT. The money will be used to 100 percent for the scientific work at the OCTlab of the University of Basel. You will receive the password to open the PDF-book after  you paid. Thank you! Kind regards, Dr. med. Peter Maloca, Co-Founder of OCTlab, www.octlab.ch. >Order "OCT Atlas Project 1" (CHF 30.- incl. MWST/VAT. You will receive the password to open the book after you have paid): Email "I order OCT Atlas Project 1" >> Download OCT Atlas Project 1 (60MB, High Resolution PDF):  GETOCT Atlas Project 1   Billing adress: FO139970 “OCTIab UAK Basel”,  Universitätsspital Basel,  Fonds/Drittmittel,  Hebelstrasse 36,  4031 Basel, Banking details: Basler Kantonalbank, Spiegelgasse 1, CH-4001 Basel SIC 770 / Swift BKBBCHBB CHF: IBAN: CH76 0077 0016 0477 3360 9 EURO: IBAN: CH62 0077 0016 0636 4380 1 Content OCT Project 1: Anterior Segment High Resolution OCT 3D Normal Iris Lens Diaphragma 3D Pseudo Exfoliation, PEX – Cataracta senilis in 3D Partial Detachment of Posterior Vitreous, PVD Vitreomacular Adhesion, VMA – Cross Sectional OCT Detached Vitreous Posterior Vitreous Detachment – Symptomatic Posterior Vitreous Detachment, sVMT Posterior Vitreous Detachment – Close up – Cross Sectional OCT Small Symptomatic Vitreomacular Traction sVMT Macular Hole - Overview Macular Hole - Cross Sectional OCT Macular Hole - Close Up View       > Download OCT Atlas Project 1 (60MB, you will receive the password to open the book after  you paid): The GETOCT Atlas Project 1 >>Order "OCT Atlas Project 1" (CHF 30.- incl. MWST/VAT.):  info@getoct.ch.

Anbei finden Sie für Ihren persönlichen Gebrauch, meinen Vortrag - gehalten an den Basler Fortbildungstagen 2014 der Augenklinik der Universität Basel, Schweiz. Ziel des Vortrages war es, mit einigen Tipps und Tricks auf Fehlerquellen hinzuweisen und diese zu vermeiden./Find enclosed my presentation about hints and tricks in the use of OCT  (for personal use only). Dr. med. Peter Maloca, Luzern & University Basel, Switzerland. Download >Script OCT Tipps Tricks Uni Basel & Luzern Dr.med. Peter Maloca (PDF, 10MB)        

Happy Easter! Hopefully you were able to enjoy delicious chocolate eggs and to start the new week with a lot of power. Not every person can enjoy chocolate as patients suffering from diabetes. We show you a special case of a diabetic patient who unerwent retinal laser therapy, cataract surgery last year and still didn't get the power to control his diabetes adequately. Last year everything was nice and clear, but the visit of this week showed a pronounced deterioration with loss of visual acuity. GETOCT offers interactive OCT training Do you want to learn more about diabetic retinopathy? For interactive reasons, questions are programmed in Flash: >flash player needed, password required (free for GETOCT members and newsletter subscribers). Play training (you need FlashPlayer)>> Quiz on complications of diabetes      

>English version find below Es ist unglaublich und wunderschön zu sehen, wie OCT zum Segen der modernen Augenmedizin geworden ist. Die wirklich interessante Geschichte begann circa 2003, wo mit dem ersten kommerziell verfügbaren Time-Domain-OCT Stratus eine neue Epoche in der augenmedizinischen Diagnostik und Therapie eingeläutet wurde. Für den Patienten stand erstmals eine schonende und berührungsfreie Methode bereit, die ohne Nebenwirkungen beliebig oft wiederholt werden konnte. Follow the first OCT presentation: Download the first OCT presentation (113MB:  OCT anno 2003 Dr Maloca Der Augenarzt betrat zuerst einen völlig neuen Mikrokosmos, obwohl aus histo-pathologischen Studien schon sehr viel bekannt war. Dennoch galt es mit Fleiss und Ausdauer, Erfahrungen zu sammeln, um die beste Diagnostik und Therapie zu finden. So haben beide Seiten von der heute etwas angestaubten, aber in den Grundzügen noch stets modernen Time-Domain-Technologie profitiert und viele Augen konnten gerettet werden. Als Erinnerung an diese "gute alte OCT-Zeit" wird hier der allererste Vortrag zu "OCT und Auge" veröffentlicht. Die Krankheiten haben in all den Jahren nichts an ihrer Aktualität und Gefährdung verloren. Doch gelingt es heute immer besser, die gefährliche Situation schneller und effektiver zu meistern. Schon 2003 zeigte sich eine neue Bildsprache, die mit den OCT-Geräten der neuesten Spectral-Domain-Technologie weiter verfeinert wurde. Dem Augenarzt erschliesst sich diese manchmal eigenwillige Sprache nicht sofort, sodass die "Originale OCT-Präsentation anno 2003" auch heute Prinzipen zur richtigen Diagnostik aufzeigen kann. Viele interessante Minuten wünscht Dr. med. Peter Maloca, Luzern/University Basel.   It's amazing and wonderful to see how OCT has become a blessing of modern ophthalmology. The really interesting history began circa 2003, where it was heralded with the first commercially available time-domain OCT Stratus, a new era in eye care diagnostics and therapy. The eye doctor first entered a completely new microcosm, even though it was already very much known from histopathological studies. Nevertheless, it was hard work and perseverance to gain the top-experience to find the best diagnosis and treatment. So both sides have benefited from the "2003 modern time-domain technology" and many eyes were saved. As a reminder to those "good old OCT-time" , the very first lecture will be published here in its original version. The diseases have lost in all the years none of their risks. But they can be defined today more quickly and effectively. In 2003 there was a new "visual language" introduced , which has been refined with the newer OCT devices as with the latest spectral domain technology. The eye doctor does not understand this sometimes idiosyncratic language immediately, so that the "Original OCT presentation from 2003" can reveal principles for proper diagnosis even today. Many interesting minutes wishes Dr. Peter Maloca, Lucerne /University Basel.

>View the program:  Program_OCT Course_Basic Swiss Eye Science Course 2014 The result of the evaluation shows to which high level the Swiss OCT-basic course has moved again in its second year. The OCT course was focused on the knowledge and skills that the modern eye doctor needs in his daily carefully work with his patients. Many OCT-images and OCT-movies showed how exciting and eventful a career of an ophthalmologist can be in saving the vision of his entrusted patients. In addition to the general OCT-theory there was the opportunity for a hands-on on some current OCT scanners, so that the technical skills were trained under experienced eyes, too. The relatively small size of the group allowed exciting and active discussions, so, boredom was a foreign word for these two days. At the end, everyone felt very good on a higher level, surrounded by a fascination for the medicine of today, bringing  a great advantage to the patient. >What can a trainer say, if an evaluation for an OCT course could be scored best with 6 points, and the course finally is rated more than a  "6", just excellent? This is a real perfect result and satisfaction for all.  A big "thank you" to all participants who were not only involved, but have contributed with many questions to the glance of this unique OCT event in Switzerland. Kind regards, Dr. med. Peter Maloca, Biel-Bienne 2014.   Nice impressions: OCT Course Swiss Eye Week 2014   Feedbacks from the participants: "Great presentations, high skills of the speaker, great fun, very informative, thank you very much for these two excellent days!" "Particularly pleasing was the mix of all the structured cases and the hands-on on the OCT scanners, just phantastic! Every ophthalmologist should attend this OCT-course. It is an excellent beginning, in order to acquire the basic knowledge about OCT. Nothing needs to be improved. Thank you, Dr. Maloca for all your energy. You're a great teacher, the students can feel save and good. We need more such courses!" Dr. med. Brigitte Michielsen, Sion. "For me it was gratifying to note, that a relatively simple vocabulary has been used to describe the complicated OCT findings and diagnoses. Incredible many different OCT images, along with detailed explanations and lots of patience, and above all a lot of humor. Just perfect!" Lucienne Goetz , Basel. "A very well structured OCT course, exceptional. Thank you!" Dr. med. Jeanne Kündig, Lausanne. "Très bon orateur, très didactique, adapté à tous les niveauy de connaissance. Merci de populariser cette belle methode et de votre motivation contagieuse". M. Finger, Bern. "Very good speaker, very didactic, suitable for all levels of knowledge. Thank you to popularize this beautiful method in a contagious way and with your motivation." M. Finger, Bern. "I enjoyed the vast number of images and interactivity. It improves how to read an OCT image. The OCT course gives  guidelines for the interpretation of OCT in a simply way. Very nice to use the different OCT scanners. The clear line of the presentations and the possibility to ask every question you want was impressive." Drs. med. XY    

>View the program: Program_OCT Course_Basic Swiss Eye Science Course 2014 OCT (optical coherence tomography) resembles ultrasound but uses harmless laser light. Coherent light waves produce cross-sectional images of retinal tissue). In a novel, very interactive course the physical basics of OCT terms, failure modes and settings will be discussed. A second module offers hands-on exercises in small groups at OCT scanning systems. A third module supports networking among participants to build reliable interactions and share their experiences even far in the future.  The aim of the course is that each participant can perform an OCT independently and collect findings for a correct diagnosis. Play an important quiz to be prepared (you need Flash): play >> Quiz on OCT Retinal Zones and Layers by Dr. med. Peter Maloca   Augenpraxis Dr. med. Peter Maloca Department of Ophthalmology University of Basel, OCTLab

In Keratoconus the cornea has not the structural force to keep its round shape which results in a distorted reduced vision. View the images of an advanced stage and discuss what to do best: Download file to discuss which therapy would be best in advanced Keratoconus:  Advanced Keratoconus GETOCT 10 2013

A nice gesture from Optos  to realize rapidly which more eye diseases have to be discovered. Download-> DE_Optos_Diagnostic_Atlas_A4 (PDF).

Why do you work?       -> Deutsche Version siehe unten No time for your patient, no time for a serious exam, no time for a good conversation, no quiet moment for an explanation, no time for a coffee? Why the hell then do you work? Are you already a real slave of your own time? Who made you beeing a slave? You like that? If yes, forget it, be a slave. Do not read, what I have to report. Maybe you just like to be a slave. Detect your "dead time zone"! Finally. It is not a question of time. No! It is a question how you waste your time.   Ask yourself, where you can find these little monsters, called "time eaters" or "chronophages". In Switzerland we are masters about time and I can show you a way out to make time beeing your friend. Time wasters in an eye doctor's office are poor organization, untraceable reports, unstructured data, many instruments with their own different formats which do not communicate with each other. I call this "dead time zone". No wonder that the office staff get in trouble, too, looses it's motivation. At this point the game might be over. But there are doors that suddenly donate time - no matter which system you are working. To be ophthalmologist is a wonderful thing. What could be nicer than an eye? A marvel of nature. Zeiss Data Forum Software Ophthalmologists take pictures of many details, print it or save it then somewhere where they are no longer to be found. Getting more and more digital, results often in an  analog or digital chaos of data.  This chaos can be structured efficiently. The software "Zeiss Forum" arranges patient data, associates them with each other and allowes their analysis. In addition, data can be imported from devices, either manually or as if by a magic hand - completely automatically. Only when you try you will know it. Data life zone with Forum: save time for the patient and you more competence more space much more efficiency higer professionalism motivated staff increased networking with collegues and patient more value of the office environmental protection(paper, printer) and finally save money Demo Zeiss Forum (Workshop von Zeiss Schweiz an der Schweizerischen Augenärztegesellschaft Locarno 2013) -> view Demo "Forum Zeiss" by  GETOCT Blog Warum arbeiten Sie? Keine Zeit für Ihre Patienten, keine Zeit für eine seriöse Untersuchung, keine Zeit für ein gutes Gespräch, keine ruhige Minute für eine Erklärung,  keine Zeit für einen Kaffee? Wofür arbeiten Sie dann noch? Sind Sie schon ein richtiger Sklave Ihrer eigenen Zeit? Wenn ja, dann vergessen Sie es und lesen Sie nicht weiter, was ich zu berichten habe. Vielleicht möchten Sie gerne ein Sklave bleiben. Wo sind die "Todeszonen"? Es ist nicht eine Frage der Zeit. Nein! Es ist eine Frage, wie man aus der Zeit und Ihnen zwei Freunde macht. "Zeit-Fresser" lauern in einer Augenarztpraxis überall. Typisch sind schlechte Organisation, unauffindbare Berichte, unstrukturierte Daten, viele Messgeräte mit eigenen Formaten, die miteinander nicht kommunizieren. Kein Wunder, dass auch das Personal irgendwann genug hat. Dann kann es zu spät sein. Es gibt aber Möglichkeiten, die plötzlich Zeit spenden - egal mit welchem System Sie arbeiten. Zeiss Data Forum Software Augenarzt zu sein, ist eine wunderbare Sache. Was gibt es Schöneres als ein Auge? Ein Wunderwerk der Natur. Augenärzte fotografieren viele Details, drucken diese aus oder speichern sie dann irgendwo ab, wo sie dann oft nicht mehr  zu finden sind. Je digitaler, je mehr digitales und analoges Daten-Chaos! Dieses Chaos kann effizient strukturiert werden. Die Software "Zeiss Forum" arrangiert Patientendaten, verknüpft sie untereinander und erlaubt deren Analyse. Zudem können Daten aus Geräten importiert werden, teils manuell, teils wie von Geisterhand - völlig automatisch. Nur wenn man etwas Neues probiert, weiss man, ob es klappt. "Daten-Lebenszone:"

->This video shows the latest OCT technology in full length- without a cut. This demo film is shown in "real life", without a cut or ​​any corrections. A young gentleman was measured to test the functionality of the newly introduced Fast Tracker. In the middle of the measurement, the person moves away from the scanner, sits down again, and very surprisingly, the scanner automatically finds the last position and finishes the scanning procedure as if nothing has happened. Surprise, suprise! -> View Tracker Test by GETOCT. Copyright © 2013 GETOCT™ Ltd. All rights reserved. Download Video -> Hard Core Test Eyetracker Cirrus5000HD GETOCT

Stargardt's disease is a genetic disease of the retina. Morbus Stargardt ist eine genetische Krankheit der Netzhaut.                                                                                           ->English version below. ->View: case from GETOCT database enriched by Dr. med. Filippo Simona, Locarno, Switzerland and Dr. med. Peter Maloca, Lucerne, Switzerland. Register for more details at www.getoct.com.                     Die Netzhaut ist eine wichtige Gewebeschicht im Auge. Ein essentieller Teil der Netzhaut wird Makula genannt und ist der Ort des schärfsten Sehens. Nur mit der Makula können kleine Details gesehen werden. Lesen eines Buches ohne eine gesunde Makula ist nicht möglich. Defektes Gen als Ursache des Morbus Stargardt: ABCA4-Gen Der deutsche Augenarzt Karl Stargardt hat diese beidseitige Augenkrankheit 1901 in Marburg beschrieben. Der Begriff Fundus flavimaculatus wurde durch den Schweizer Augenarzt Adolphe Franceschetti 1963 eingeführt. Die Netzhaut ist aufgebaut durch verschiedene Zellen, die in Schichten angeordnet sind. Beim Morbus Stargardt sterben lichtempfindliche Zellen vor allem in der Makula langsam ab (Makuladegeneration). Üblicherweise wird der Begriff Makuladegeneration heute vor allem für einen Verlust der zentralen Sehschärfe bei älteren Personen verwendet. Makuladegeneration entspricht aber eine Gruppe von verschiedenen Krankheiten, welche schlussendlich zu einem ähnlichen Resultat führen: den Verlust des schärfsten Sehens, der in jedem Lebensalter auftreten kann. Die Ursache beim Morbus Stargartdt ist ein genetischer Defekt, der zu einer übermässigen Ansammlung von Lipofuszin vor allem in den Pigmentblattzellen führt. Liposfuszin wird als "Alterspigment" betrachtet.  Damit die Krankheit ausbrechen kann, müssen beide Eltern Träger des Defektes sein. Erhält ein Kind nur von einem betroffenen Elternteil den Gendefekt, so ist es wohl Träger, wird aber selber keine Krankheit entwickeln. Die Stargardt-Krankheit zeigt sich schon in der Kindheit und Jugend. Meistens ist der Verlauf um so langsamer, je später im Leben die ersten Symtome auftreten. ABCA4-Gen und Rim Protein - Vitamin-A-Dimer-Theorie Das ABCA4-Gen ist verantwortlich für die Herstellung eines relativ grossen Proteins (sogenanntes Rim Protein). Ein gesundes Rim-Protein ist wichtig den Transport von Vitamin A von den lichtempfindlichen Sehzellen (Photorezeptoren) zu den Pigmentblattzellen (Retinales Pigmentblatt, RPE). Im Pigmentepithel wird normalerweise das Vitamin A rezykliert und wieder genutzt. Beim Morbus Stargardt funktioniert der Vitamin-A-Transport nicht ausreichend, sodass sich Vitamin A-Produkte ansammeln und in der Menge toxisch wirken ("Vitamin-A-Dimer"). Auch bei gesunden Menschen erfolgt eine gewisse Vitamin-A-Dimer-Produktion, doch dauert die Anreicherung mehrere Jahrzehnte, bis eine toxische Schwelle erreicht wird. Morbus Stargard: eine Krankheit - verschiedene Namen Verschiedene Namen werden für diese Krankheit verwendet: -Juvenile Makuläre Degeneration (lat. juvenilis = jugendlich, zeitliches Auftreten schon im jugendlichen Alter) -Makuläre Dytrophie mit Flecken, Typ 1  (Erscheinungsform beim Betrachten mit dem Augenspiegel) -Fundus flavi-maculatus (lat. fundus = Boden/Hintergund eines Organs,  flavi = gelb, maculatus = befleckt, , beschrieben durch den Schweizer Augenarzt Adolphe Franceschetti 1963) -"Schießscheibenmakulopathie"oder " Ochsenaugen-Makulopathie" (deutsch, Erscheinungsform beim Betrachten mit dem Augenspiegel) -"Bull's eye" (engl., Erscheinungsform beim Betrachten mit dem Augenspiegel) -Stargardt's Disease (engl. disease =Erkrankung) -SGD (als Abkürzung) Woran entdeckt man einen Morbus Stargardt? Es entstehen Probleme mit dem zentralen Sehen, welches verschwommen, verzogen sein kann und durch dunkle Stellen beeinträchtigt ist. Die Gewöhnung von Hell zu Dunkel kann verlangsamt sein.

In diesem kurzen Video wird gezeigt, wie eine OCT-Messung des Auges Schritt für Schritt abläuft: unkompliziert, absolut ohne Schmerzen, ohne Berührung des Auges und ohne den Patienten zu beeinträchtigen. Das ist hochmoderne Augenmedizin auf höchstem technologischen Stand. Der Film ist gedacht, um Patienten die Schritte zu zeigen und ihnen eine sorgenfreie Untersuchung zu ermöglichen. This short video demonstrates an OCT experience: uncomplicated, without pain, without contact and without affecting the patient. This is state of the art eye care on to the highest technological standards. The film is intended to help patients to illustrate the steps of an OCt scan and give them a worry-free eye exam. ->View video OCT Scan Step by Step: -> Download: OCT Scan Step by Step by GETOCT

The Swiss Eye Week 2013 takes place in Bienne/Switzerland, a convenient localization to most of the members of the Swiss Society of Ophthalmology (SOG SSO). Swiss Society of Ophthalmology was founded in 1907 and is in close contact to the Swiss Medical Association Foederatio Medicorum Helveticorum (FMH). There will be four courses for intrested participants during the swiss eye week: The Basic Science Course, The Clinical Science Course, The Swiss Eye Research Meeting, gathering retinal neuroscience groups and scientists in other fields of basic research in ophthalmology and for the first time a Special Swiss Basic Science OCT Course. In this new, very interactive Optical Coherence Tomography (OCT) course, the focus is set on the clinical relevance of OCT. "What is realy important? " This highly skilled OCT course has three objectives: independence, technical feasibility and networking across Switzerland, as well as worldwide. At the end of the course each participant will be independently able, to aquire OCT data from nearly all OCT scanners and rise OCT findings, to relate them for an exact diagnosis and thus an appropriate therapy, to enhance the quality of patient care, in short Swiss OCT Quality. In addition, a number of hands-on at various available OCT scanners is offered under professional guidance and instructions. Finally, all participants will be digitally linked together, so that they are never left alone with their OCT findings. Swiss OCT Quality and Community for a real professional interaction. A big thank you for the perfect organization,  especially to Mrs Maria Oehler and Jacqueline Mathys, Swiss Society of Ophthalmology SSO-SOG,  Congress Office. These exercises are specifically designed for the Swiss Eye Weeks OCT students. The quizes are programmed in Flash, so a Flash player is has to be downloaded first. There ist a time limit of 3 minutes for each test, hurry up! Start exercises (password is required: OCT123): Test 1 Basiscs Swiss Basic Science OCT Course Dr. med. Peter Maloca Test 2 Diabetes Swiss Basic Science OCT Course Dr. med. Peter Maloca Test 3 Glaucoma Basiscs Swiss Basic Science OCT Course Dr. med. Peter Maloca ->View video Impressions of the First Swiss Basic Science OCT Course 2013: ->Download video: 1st Swiss Basic Science OCT Course Statements Swiss Eye Week Basic Science OCT Course 2013 : "Für mich der beste Kurs, den ich jemals in meiner 31-jährigen Augenarztkarriere erlebt/mitgemacht habe, insbesondere didaktisch hervorragend und punkto Darstellung Spitzenklasse (und davon verstehe ich schon was als ehemaliger Assistenzarzt der AUM (Abteilung für Unterrichtsmedien am Inselspital). Auf dem  Beurteilungsblatt habe ich unter „presentation“ eine „7“ angekreuzt….. Dr. med. Fredi Kilchhofer, Augenarzt FMH, St.Gallen "Ja, dieser Kurs hat mir viel Licht ins Dunkel gebracht....! Als OP-Pflegefachfrau werde ich ja ab April mit diesem Gerät und Ihrem "OCT Wissen" an die Arbeit gehen. Das Augenärztezentrum St.Gallen wird dann neu eröffnet und ich werde sicher die eine oder andere Frage haben. Es war intensiv und hat sich für mich extrem gelohnt! MERCI!"  Es grüsst Sie Monika Rohrer, St. Gallen. "Gerne erinnere ich mich an den OCT-Kurs und habe meiner Kollegin vorgeschwärmt: super Kurs für angehende OCT-Userinnen resp. solche, die es werden möchten und es noch nicht gewagt haben. Vermittelt die notwendigen OCT-Basics konzentriert und verständlich und reduziert deutlich die Hemmschwelle, entsprechende Bilder zu interpretieren. Super fand ich auch den Geräteüberblick vor Ort mit der Möglichkeit, diese direkt auszuprobieren. Tolles Hands-on! Ich kann den OCT-Kurs wärmstens empfehlen! Merci nochmals für das Engagement!"    Dr. med. Barbara Frank Dettwiler, FMH Ophthalmologie, spez. Ophthalmochirurgie, Lyss. "Kurz: ein toller OCT-Kurs in Biel! Ich bin nicht mehr so orientierungslos, wenn ich mit dem "OCT unterwegs" bin,

Deutsche Version untenstehend. First Zeiss Cirrus 5000 HD OCT in Switzerland by Dr. med. Peter Maloca, Blueye Vision Tech & GETOCT.COM. ->visit Blueye Vision Tech GETOCT.COM was given the opportunity as a first party in Switzerland to test the brand new Cirrus 5000 from Zeiss Switzerland.   Already the Cirrus 4000 showed its intuitive, compact dimensions, a nice designed user interface and a great robustness. Thus, the Cirrus 4000 had 7 years worked daily without any fail! This is a very nice performance for a computer, for a highly complex optical coherence (OCT) scanner it is almost a miracle. The new Cirrus 5000 system features a modernized system based on a fast Windows 7 computer with much more faster processing and OCT camera system, a larger viewing monitor and a wireless mouse and keyboard. You will experience an increased speed, more comfort and and a better reliability. ->View first Swiss Impression of the brandnew ZeissCirrus5000 Optical Coherence OCT. Copyright © 2013 GETOCT™ Ltd. All rights reserved. ->Download Swiss Impressions Zeiss Cirrus5000HDOCT: Impressions Cirrus5000 GETOCT Hard Core test NEW FastTrac™ retinal tracking system - full video without a cut. This video shows the latest OCT technology in full length- without a cut. -> View Tracker Test by GETOCT. Copyright © 2013 GETOCT™ Ltd. All rights reserved. This demo film is shown in "real life", without a cut or ​​any corrections. A young gentleman was measured to test the functionality of the newly introduced Fast Tracker. In the middle of the measurement, the person moves away from the scanner, sits down again, and very surprisingly, the scanner automatically finds the last position and finishes the scanning procedure as if nothing has happened. Surprise, suprise! Download Video -> Hard Core Test Eyetracker Cirrus5000HD GETOCT General features - OCT Tools offered by Zeiss Cirrus 5000HDOCT. Macula OCT Tools: Precision FoveaFinder™ NEW FastTrac™ retinal tracking system NEW Macular Thickness OU Analysis Advanced RPE analysis Macular Thickness and Change Analysis Macular Thickness Normative Data Glaucoma OCT Tools: Retinal Nerv Fiber Analysis (RNFL) Retinal Nerv Fiber Analysis (RNFL) Normative Data Ganglion Cell Analysis Guided Progression Analysis (GPA™) Cornea Tools: Axial Corneal Tghickness Analysis Corneal 3D Imaging   First encounter- Cirrus 5000 HD OCT - a solid big brother. Zeiss offered a wide range of tools to for the diagnosis of glaucoma, maculopathies and anterior segment conditions without an additional lens to be installed. At the first touch with the Cirrus 5000  you find your way very quickly. The setup has been consistently adapted from Cirrus 4000 and expanded: The mouse and keyboard are now wireless and elegant to use. The mouse fits well in the hand, for larger hands it might be a little too small. The keyboard shows a need of getting used, because the keys are close together and the keyboard is arched. The arrow keys are placed into only one piece. The screen is much larger which facilitates the survey. Professional OCT simplicity. "Reduce to the max ", was chosen as maxime and successfully implemented. A visual tour of the software is intuitive and pleasant as the controls are reduced to the most necessary and were placed very clear. The technical adaptation to the examiner of such a highly complex OCT technology is exemplary. In an OCT aquisition test - carried out by a 65 year old woman who had no knowledge of computers or even strange things like OCT - the data collection lasted under professional guidance only 2 minutes and 42 seconds. Patient data. The input of the patient data go as previously very fast and easy. Acquisition of the OCT data. The positioning of the head, focusing on the desired location to go quickly as before - perfect for OCt beginners. The generous protocols consist of anterior segment analysis (corneal thickness and m...

Intro: -Vitreous floaters are very common, require no treatment, but are uncomfortable and accompanied by light flashes or peripheral vision loss, they may indicate a retinal detachment. -Glaskörper-Trübungen (Mouches volantes) sind häufig, erfordern meist keine Behandlung, sind aber unangenehm, von Lichtblitzen-Begleitung oder peripherem Sehverlust begleitet sind sie ein Warnzeichen für eine Netzhautablösung. What is the vitreous? The vitreous body (humor) is a more or less clear gelatinous mass and occupies the entire space of the cavity of the eyeball between the posterior surface of the lens and the retina.  The vitreous is important in the first months of life in formation of the eye, but has no special function exept for maintenance of its transparency which is important for vision, intraocular pressure and providing a passage for metabolites. The vitreous occupies four fifths of the volume of the eye and weights about 4.0 g. It contains no vessels and no nerves. The vitreous body is composed of many small "bags" and communicating channels, convex posteriorly and to the sides, anteriorly there is a slight depression in which the lens is located. A central canal (Cloquet's canal) with a diameter about 2 millimetres becomes wider as it approaches the optic nerve.  Peripherally it is very close with the inner retina, and is fixed to the anterior part of the eye, described as "vitreous base".  The strength of fixation depends on the location: optic disc> macula> retinal vessels> retinal tissue. The vitreous is 99% water and 1% is formed bei special collagen fibers and hyaluronic acid. Is the vitreous important? Yes! These fibers form a wondrous network. Over the years, or in special situations (myopia, inflammation, accidents) these delicate nets decompose, fibers clump together and liquid filled spaces arise. The fluid in theses spaces has no "shock absorbing vitreous network" around it, and moves without restriction leading to a stronger force development on the attached retina. The possibility of a retinal tear and a possible retinal detachment increases, particularly at the vitreous base. Are changes of the vitreous important? Sometimes. In every person, the vitreous body changes over the years. This is a normal process. Typically, the transparency is reduced and these fibrillar aggregates are seen as "dancing midges". These opacities are seen only with sufficient light, for example, looking on a white wall, the snow or at the blue sky 90 degrees from the sun. However, one must never look at the sun. In the dark, these opacities are invisible. It is very disturbing when one moves from light into the fog, whene the eye is then illuminated diffusely and " hundreds of flies" suddenly appear. This is not dangerous, but can interfere, especially in people who are very dependent on their eyes as photographers and illustrators. Therapy against vitreous floaters? In this situation "patience" helps as the cloudiness moves along the force of gravity and thus out the optical axis. This can unfortunately take months. In appropriate cases, a direct laser treatment of the floaters may be considered. Uncomfortable it can be when suddenly extraordinarily many new floaters occur, associated with flashes or a  "lightning". These flashes can be a sign of a more powerful traction of the vitreous to the retina. The retina is relatively tough and usually nothing happens. Nevertheless, a check carried out at an eye doctor is important. With excessive traction a tear in the retina may occur, opening an entry to the subretinal space. Sometimes these holes heal on their own. In critical situations, a hole is sealed off with a laser beam, so that the tear can not go further, but it takes up to two weeks untill the laser spots are strong enough. If the lesion is progressing only surgery can help: from the outside of the eye (scleral buckling) or inside (vitrectomy). These surgeries show very good results,

Put nothing into the OCT  image what is not there! It’s a challenge to record a good OCT image of an eye.  The even greater challenge is the correct interpretation of the findings! A systematic approach is described, called GETOCT CoCoCo system: View tutorial: Download: CoCoCo system GETOCT

Back from the summer holidays? You are stored sun energy! Plants convert electromagnetic energy directed from the sun into biochemical energy and store it into sugar. Your body converts this chemically stored energy back into electrical power at a cellular level. You can stretch your hand to the sun to capture it, but from the first day of your life, you already have the solar energy in yourself. You are connected to the sun, your body is nothing more or less than a sun storage. In diabetes, the use and flow of this energy storage is disturbed. Yours Peter Maloca, MD. What to do in diabetic retinopathy? by Martin K. Schmid, MD The strategies change, new knowledge has to be evaluated and proofed. The findings of today may already be obsolete tomorrow. We can only show a snapshot of the current knowledge about diabetes. General recommendations must always be placed in the context of the affected patient. There is no standard diabetes patient, each person is different, everybody needs a customized procedure. Basic frame: It sounds simple but first of all: the basic frame of all diabetic problems, is the diabetes itself. Diabetic retinopathy represents "only" the complication of the underlying disease, called diabetes. Good interdisciplinary management of the underlying disease means control and treatment of the most important paramaters. Responsible for the treatment and control of the underlying disease are the internist and the patient together. How should we monitor patients with diabetes? It is important to know that after 20 years, more than 80 percent of affected patient develop a diabetic retinopathy. There are mainly the situations: 1. Pregnancy: Pregnancy can be a source of danger in diabetes. Pregnancy can lead to a diabetes decompensation. A baseline checkup should already occur if a desire for pregnancy exists. During pregnancy the patient should be checked every three months, even monthly in special cases. 2. Type 1 diabetes: Currently it is recommended in type 1 diabetes: annual check from the fifth year of manifestation, or from the age of eleven. In the presence of type 1 diabetes without retinopathy annual inspection should be performed. In the presence of type 1 diabetes with retinopathy, the procedure corresponds to the severity. 3. Type 2 diabetes: In type 2 diabetes, it is different because at diagnosis 36 percent already show a retinopathy. If the retina is healthy in diabetes type 2, nevertheless the retina should be examined annually. In diabetes with a healthy retina or only a few microaneurysms an annual inspection is recommended. A moderate diabetic retinopathy means only a few hemorrhages, microaneurysms, beaded veines. In question of an ischemia a fluorescence angiography is worthwhile.  An OCT may be helpful in a decrease of visual acuity with looking for a macular edema. The checks are carried out every 6 to 12 months depending on the situation. An advanced diabetic retinopathy is characterized by the 4-2-1 - rule -Presence of more than 20 microaneurysms in the four quadrants -or venous beading in two quadrants and/or one quadrant with IRMA View video Strategies in diabetes GETOCT 5: Download video -> Strategies in Diabetes GETOCT5 Therapeutic strategies in macular edema: Currently, the treatment of a macular edema is a most discussed topic. A proposal for control and treatment in diabetic macular edema is presented in this video. A proposal for control and treatment: In severe diabetic retinopathy a fluorescence angiography (FA) and OCT are performed. These two methods are the basis for the indication of a therapy. The laser is still an important tool, especially for the treatment of ischemia. After treatment, frequent monitoring is necessary. Consider the morphology and function of the macula: In a dry macula, good visual acuity and inconspicuous biomicroscopy, checks are carried out every year.

We put together some new trivia questions about diabetes and OCT. For interactive reasons questions are programmed in Flash.   Klick here to play Quiz 2 on diabetes in full size: Quiz 2 on diabetes GETOCT  

Diabetes damages the blood vessels and if untreated, can lead to blindness. The newest discoveries with anti-VEGF therapy in diabetes have their own requirements. One question is when should a macular edema be treated and when not? So far, a clinically significant macular edema was the main criterion for therapy. There has been a shift from clinically significant macular edema towards the concept of  "center involving or central subfiled thickening".  With OCT, the course over time can now be controlled much more accurately. View video strategies in diabetes GETOCT 4 Youtube channel: The question is, which concept is better: "clinically significant macular edema"  versus  "center involving". In the label (package leaflet) of Lucentis is nothing written about retinal thickness. The single most important criterion is the visual acuity loss due to macular edema in diabetes. Monthly injections of Lucentis for three consecutive months until visual acuity is stable. Re-treatment, if the visual acuity is worse again. It is to discuss whether the visual acuity alone is a good parameter for treatment. What is a "clinically significant macular edema"? A GETOCT memory aid: important are two circles and a line (cross section papilla): 1. First inner circle with 500 microns around foveola 2. Second circle with one disc diameter around the the foveola 3. A line represents the disc diameter The definition of clinically significant macular edema is important: 1.Retinal thickening within 500 microns of the center (foveola) 2.Hard exudates within 500 microns around the foveola with adjacent retinal thickening 3. Retinal thickening greater than one disc diameter in order to one disc area around foveola The disadvantage of this arrangement is that the findings are not always clear. Diabetes is a vascular disease Diabetes affects vessels. Therefore, the assessment of the ischemic component is very important. Diabetes on the retina leads to a thinning of the peri foveolar capillary network. The normal fovelar avascular zone (FAZ) increases in size. Almost always, the lesions are irreversible. The capillary network is so badly damaged that swelling can not longer be caused, no edema is visible in advanced cases. In an avascular retina, OCT of the foveola shows completely thinner layers. The normal fine retinal layers are destroyed, but a few crumbs are visible. In very far-advanced stage, anti-VEGF and laser have no great benefit anymore for the visual acuity. The goal of therapy in very advanced situations is no longer the visual acuity, but to prevent vascular proliferations, thus bleeding and a secondary glaucoma or even blindness. Download video: Strategies in Diabetes GETOCT 4

OCT from third to the fourth dimension Thanks OCT, we obtain information to the third dimension. Flurescence angiography allows only limited statements about the spatial extent of processes The retinal thickness is measured precisely with OCT and an objective quantification is possible. The fourth dimension means a precise control over the course of years at exactly the same place. The measurements are comparable with each other really well. With OCT is a synchronous mapping and comparison over time is possible and changes are shown. In some OCT devices the scanning area is permanently adjusted, no matter where the patient looks. This is advantageous because the patient can't fix very well in advanced diseases. From these cross sections thicknesses maps can be produced, even differences over time can be calculated. Anti-VEGF for diabetic macular edema? Anti-VEGF for diabetic macular edema has been investigated in many studies. The combination with ranibizumab turns to an increase in visual acuity. the sole laser therapy worsened the situation at the beginning rather. The number of injections in the combined group with a laser can be reduced. Immediate or delayed laser? Another study on laser: what impact does an immediate or delayed laser? If successful, the strategy with immediate laser, a significant gain is produced. When laser was carried out somewhat later, however, a similarly good progress is produced.  So it's not a big difference whether immediate or slightly delayed laser is done. The results with triamcinolone and laser show in the first 6 months of a profit, then drop due to cataract formation.  The number of injections in this study is also at eight to nine injections per year.   Youtoube Channel:   Download video: Strategies in Diabetes GETOCT 3  

(Bells palsy, Fazialisparese)  suddenly a "lopsided" face: The facial nerve palsy (Bells palsy) is one of the most common injuries of affected cranial nerves. The paralysis affects all of its innervated facial muscles, so that the origin of the disorder is quickly visible. Most often there is no clear cause, it is often associated with infection. In diabetes a facial paralysis occurs more often, which fortunately is usually benign in course with spontaneous remission. A major problem is due to paralysis of outer eye muscles resulting in an incomplete eyelid closing. The cornea can dry out, a visual loss occurs, even infection and scarring can permanently impair vision. Therefore, a good humidification is important using eye drops, ointments and a monoculus (Uhrglasverband). Problems of monoculus The disadvantage of a monoculus is that older people show difficulties to change the monoculus themselves, withdrawal may be painful in a thin and sensitive skin,  allergies to adhesives occur soon, massive cosmetic restriction with grotesque appearance  interfere with the patient in his dealings with his social environment. Thus the patient may not feel very comfortable. GETOCT shows a nice trick to improve patient's quality of life. Plese view the video:   View video (Recordings were made with the consent of the patient) : http://youtu.be/33JogOotVLM Download video: Trick in dry eye facial nerve paralysis GETOCT

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We put together some trivia questions about diabetes and OCT. For interactive reasons questions are programmed in Flash. Klick here to play full size: Quiz on Diabetes GETOCT 1 in Flash

Indepedent living despite diabetes Diabetes is well known and you can hear it everywhere. Still, diabetes is an insidious disease, especially on the eye. The affected patient often feels very healthy and he is supposedly doing well. If restrictions occur diabetes shows its evil side. Diabetes is like a ball, which was triggered and the direction and speed, one can only guess. Life will never be the way it once was. Therefore it is best to give diabetes not a chance. Eye doctors in collaboration with other physicians and the diabetes specialists are very important partners of the patient. The main goal is an indepedent living and to enable a high quality of life. Our esteemed colleague, Dr. Martin K. Schmid, Co-Medical Chief at Eye Clinic Lucerne, Switzerland, proved to us the honor on 7th GETOCT meeting in Lucerne. He lectured in close collaboration with the public on diabetes and OCT. View Strategies in Diabetes part 2: Strategies in Diabetes GETOCT 2  

Diabetes is a vascular disease. The eye is composed of vessels. Therefore, only the ophthalmologist can control the diabetic eye. What is the most asounding fact you can share about diabetes with us? Even in a total decompensation of diabetes, hope will never die. We show you with informed consent a very impressive case between life and death.  View Video Strategies in Diabetes part 1: Download Video Strategies in Diabetes Part 1: Strategies in Diabetes GETOCT 1  

Optical Coherence Tomography (Optische Kohärenztomographie, OCT): Time ist so short to do only routine work, you can be sure that there must be something more to be discovered. What should you say? There are sufficiently OCT scanner and the market is saturated. The poor ophthalmologists should not be plagued with all with the machines. Are you still waiting for the right OCT scanner to buy or to work with? Are you waiting for the 100 procent machine? This device doesn't exist! View user video about OptosOCT SLO: Yet! Optos has dared, and it is amazing what their brand new OCT scanner is capable. As a world first blog we are reporting about a new all-in-one device suitable for nearly every purpose: OptosOCT SLO.   Components of the System The device is comparable to the other OCT scanner with a dual setup: a scanner unit and a separate aquisition/analysis standard PC system (a screen and keyboard with mouse). As a separate part a frontlens is included for anterior segment imaging which must be screwed to the anterior part of the optical head. Start the OCT Engines Compared with other OCT's the launch of the system is very simple, very smooth and user friendly. One must press only two buttons on the main power switch/PC, the system starts by itself and is ready, no separate configuration is needed. Patient Screen The input of patient data is a bit a cumbersome solution. In particular, the birth date is inconvenient to enter. The patient screen has a bit a confusing design, because it is mixed up with different tabs of patient data, acquisition protocols and analysis. A standard manually adjustable head rest is offered to ensure a good positioning of the patient. Once the alignment is carried out correctly the OCT scanner is guided by using the operator's controls. A special feature is that the live image of the CCD camera on the screen is to be find unobtrusively at the right bottom corner. For beginners, this may be somewhat confusing, because the fast exact focusing  is regarded as the primary key setting. The workflow would be more intuitive if the eye of the examiner is guided in a serial way on the screen. Once the three presented white dots are displayed sharp, clear and at a minimum size the measurement can begin. On the screen  a relative nice infrared image of the fundus is projected. Fine adjustment of lateral and axial movements are corrected using the joystick. For larger corrections the chinrest is moved by using the up / down buttons. A little disadvantage is that the patient's head behind the scanning unit virtually disappears so  that one has not always a direct visual control on the positioning and the patient's condition. Potpurry of Scan Protocols The OptosOCT SLO system shows its strengths: a whole potpurry of acquisitions protocols is disclosed. The tomographic imaging contains all standard protocols by means of Line Scanning, Raster Scanning, Radial Scanning, 3D Retinal Topography, RNFL Scannning, Optic nerve Topography. Those who still want more can use the Cornea-Lens-Module: a separate lens has to be screwed on the optical head of the scanner. It takes a little finesse, because the grooves of the anterior chamber lens are a little too fine shot, but it goes pretty fast. This extension includes a relative detailed imaging of the cornea, the anterior chamber and even the angle. The quality of no current OCT system at 800nm is outstanding  in relation to the cross sectional imaging. But the OptosOCT SLO is moving in the medium quality range. Therefore, it is still a gift without being asked for: corneal pachymetry may be performed as well. That might be a very nice additional bonus in patients with corneal pathologies or glaucoma. Fast and easy Signal Centration An ideal solution is to center the OCT signal. In other OCT devices with buttons, the signal must be moved gradually into the lower third of the scanning window.

Eye doctors are experts at recognizing patterns. Every day, they compare the eyes of their patients with pictures from their clinical experience. Still, often we are blind to perceive a change. GETOCT begins here a simple, fun workout called Eye Acrobatics. You must consciously direct your attention to individual details to find differences in virtually identical images. Find in this proliferative diabetic retinopathy (PDRP) six subtle differences. The secret of GETOCT Eye  Acrobatics is revealed here (flash): Disclosure Eye Acrobatics 1 GETOCT PDRP (swf)

Find the best apple performing the GETOCT Apple Test! Apples look good, taste, and contain many healthy vitamins for healthy eyes! How can you find the most delicious apple? Just make the GETOCT Apple Test. Download: Big Apple Test GETOCT View Big Apple Test for healthy vitamins online: