Diagnostic options at our university hospital

The field of diagnostic imaging in ophthalmology has changed considerably in recent years. By using the latest technology, we are able to record and analyze findings and compare them over time. The images of the eye are taken by a small, specialized and highly experienced team and made available digitally to the treating physicians in our Clinical Department. This enables us to record and interpret even the smallest changes on the basis of new findings. At the same time, our archive allows us to track treated patients and their progress for up to 30 years.

We offer the following diagnostics, among others:

  • Objective refraction including corneal radii, NCT measurement
  • Sonography: A-scan, B-scan, ultrasound biomicroscope (UBM), sonographic IOL calculation
  • Schirmer testing
  • Testing for anisocoria including pilocarpine 1%/0.1% and cocaine eye drops
  • Endothelial cell count measurement
  • Vision school and orthoptics
    • Orthoptic status, Harms wall, prisms, skiascope, molecular genetic examination
    • Electrophysiological examinations: including Ganzfeld ERG, multifocal ERG, EOG, VEP

 

Spectral-domain optical coherence tomography (SD-OCT)

Optical coherence technology is a non-contact imaging technology that can scan and visualize consecutive structures based on different travel times of a laser beam. The principle itself is comparable to ultrasound technology, but with a significantly higher resolution for the layers that are important in ophthalmology. The latest examination devices according to the spectral domain standard (SD) enable even more precise visualization in order to reliably distinguish possible pathological changes.

Application area anterior segment: visualization of the corneal structure, assessment of the progression of lamellar keratoplasties, examination of conjunctival changes, examination of iris changes, checking the size and invasiveness of small tumors

Posterior segment: visualization of the retina with analysis of the individual retinal layers, monitoring of changes in retinal thickness, single layer analysis, diagnosis and monitoring of retinal edema and macular holes, diagnosis of congenital diseases

Further information on the device technology we use: Spectralis SD-OCT

 

Spectralis HRA+OCT

Multimodal imaging
With the Heidelberg Spectralis system, we offer one of the most comprehensive options for imaging the eye. Our devices offer:

  • Infrared imaging
  • Fundus autofluorescence imaging
  • Multicolor imaging
  • Fluorescein angiography
    • Combined/isolated ICG angiography
    • Ultra-wide angle angiography
  • integrated SD-OCT imaging
    • including anterior segment module
    • including wide-angle module
    • NSITE module
    • Glaucoma minimum rim width module

 

Pentacam anterior segment tomography

For a long time, the cornea could only be assessed using a slit lamp. Later, the first devices were developed that could measure the distortion of circles projected onto the cornea. Our latest device version of anterior segment tomography of the eye allows a modern, precise recording of the cornea using a combination of an optical sectional image and a Scheimflug camera. Your cornea is illuminated with a narrow slit, similar to a slit lamp examination, and a camera attached to the side records the course of the rays through all optical media up to the iris and lens. By rotating the system, your entire anterior segment can be captured and analyzed in the blink of an eye: 2-second measurement, 50 cross-sectional images, 138,000 measuring points.

Area of application anterior segment: visualization of the corneal structure / corneal thickness / refractive power of the cornea, examination for regular and irregular astigmatism, assessment of the anterior chamber depth, assessment of the progression of lamellar and perforating keratoplasties, examination for keratoconus
Further information on the device technology we use: Oculus Pentacam

 

HRT Rostock cornea module

Confocal biomicroscope for assessing the cornea. Laser scanning technology, magnification 63x.

Fields of application:

  • Assessment of corneal infections and search for acanthamoebae
  • Assessment of corneal transplants
  • Endothelial cell count measurement as an indication of endothelial function and graft function
  • Nerve plexus analysis in diabetics

 

Visual field diagnostics

Visual field examination
Visual fields are used in the examination of glaucoma as an indication of the remaining nerve fibers and thus for progression analysis. They also play an important role in the context of expert opinions, in the assessment of fitness to drive and in the examination of retinal diseases. Furthermore, a change in the visual field in otherwise unremarkable eye findings can also provide information about more centrally located disorders (e.g. prolactinoma).

Goldmann visual field
Wide-angle visual field with manual light markers. Expert opinion standard.

Octopus 900 (Haag-Streit)
Our standard in glaucoma diagnostics for determining a 30° field of vision. We also offer special forms for the early detection of glaucoma and diagnosis of macular diseases (e.g. chloroquine maculopathy)

 

Callisto eye (Zeiss)

Computer-assisted cataract surgery
We offer you an integrated treatment process for your cataract operation. The biometric measurement of the eye already stores essential characteristics for the optimal positioning of the artificial lens. This information is then also available to the surgeon in the operating room, and lines for precise incision guidance and alignment can be displayed during the operation. Indispensable for the precise alignment of toric premium lenses, but also an aid for all other implantations.
Further information: Zeiss company