Glaucoma Tests: Green Light Technology Explained - Ophthalmology

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Glaucoma examination


1) The energy of the green light used in this examination is generally lower than that of the infrared light used in OCT (Optical Coherence Tomography) for glaucoma.
2) The name of this examination is Fundus Autofluorescence (FAF).
3) It uses a specific wavelength of visible light, not laser or infrared.
4) This examination is considered safe and does not typically cause damage to the optic nerve head, retina, or optic disc.
5) The duration of the examination is usually brief, typically lasting only a few minutes.

cw, 40~49 year old female. Ask Date: 2009/10/21

Dr. Xie Wenzhen reply Ophthalmology


Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following advice: The issue you mentioned regarding fluorescein angiography is primarily used to examine problems related to the retinal blood vessels.
Unless there is an allergy to the contrast agent or an inability to eliminate the agent from the body, it should not pose any other harm.
Lastly, I wish you peace and happiness!

Reply Date: 2009/10/21

More Info


Understanding glaucoma tests and the technologies used to assess the optic nerve and retinal health is crucial for effective diagnosis and management. In response to your question regarding the use of green light technology in clinical settings, let's delve into the details.

1. Energy Comparison with OCT: Optical Coherence Tomography (OCT) utilizes infrared light to create high-resolution images of the retina and optic nerve. The energy of the light used in OCT is generally lower than that of visible light, including green light. Green light, often used in various ophthalmic examinations, can penetrate the eye differently than infrared light. However, the energy levels are not directly comparable as they serve different purposes in diagnostics.

2. Name of the Examination: The examination you are referring to that utilizes green light is likely Fundus Photography or Fluorescein Angiography. These techniques can help visualize the optic nerve head and retinal structures. Fundus photography captures detailed images of the retina, while fluorescein angiography involves injecting a dye that highlights blood vessels in the retina, allowing for the assessment of circulation and potential abnormalities.

3. Type of Light Used: The light used in these examinations is typically not classified as laser light but rather as standard visible light or specific wavelengths of light (like green) for enhanced contrast. For example, fluorescein angiography uses blue light to excite the fluorescein dye, which then emits a green light that is captured by the camera.

4. Potential Damage to the Eye: Generally, the use of green light in these examinations is considered safe and does not cause damage to the optic nerve, retina, or optic disc. However, any procedure that involves the use of dyes (like fluorescein) can have risks, particularly for individuals with allergies to the dye or those with certain medical conditions. It is essential to discuss any concerns with your ophthalmologist before undergoing such tests.

5. Duration of Use: The duration of exposure to light during these examinations is typically brief. For instance, a standard fundus photography session may last only a few minutes, while fluorescein angiography may take longer due to the time required for the dye to circulate and for multiple images to be captured. The actual exposure to bright lights is minimal and controlled to ensure patient safety.

In summary, while OCT is a powerful tool for assessing the optic nerve's thickness and health, green light technology, through methods like fundus photography and fluorescein angiography, provides complementary information about the retina and optic nerve head. These techniques are safe, with minimal risk of damage to the eye, and are essential in the comprehensive evaluation of glaucoma and other retinal diseases. Regular eye examinations and discussions with your eye care provider are crucial for maintaining eye health, especially if you have risk factors for glaucoma or other ocular conditions.

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