How do you use optical coherence tomography in the diagnosis and management of patients with multiple sclerosis and related diseases?

Personally, I do not routinely obtain OCTs, but I always find them helpful. Most of my patients who have had optic neuritis tend to have them yearly under the care of their ophthalmologist and I review them for stability. One could argue that these should be done annually along with MRIs for all pat...

OCT has demonstrated potential as an early predictor of clinical progression and should be monitored frequently in patients with MS.

OCT of the optic nerve and ganglion cell complex gives a baseline to enable follow-up of continued damage to the RNFL and enables you to see retrograde degeneration of the retina if intracranial damage progresses. It is easily done, quick, and inexpensive.