DRI OCT Triton™ Series

Swept Source Optical Coherence Tomography

NEW PixelSmart ™

See. Discover. Explore.
The diagnostic power of Swept Source OCT
Deep Range Imaging¹.

“Swept Source adds a new dimension to OCT. The TOPCONDRI Swept Source OCT is easy to use, provides unique clinicalinformation, and has improved my practice. For the first time, we
can in-vivo visualize not only the vitreo-retinal interface but also
the cortical vitreous which is important at the time when more
and more therapies are delivered via intra-vitreal injections.
Deeper imaging brings choroidal thickness, helping guide myclinical decisions. Seeing more helps guide my therapy andallows me to treat more effectively. I find Swept Source OCT
an essential tool to look for biomarkers of disease regression or
progression.”
Prof. P. E. Stanga
Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at NIHR/
Welcome Trust Manchester CRF & University of Manchester
1) Fabio Lavinsky, Daniel Lavinsky. Novel perspectives on swept‑source optical coherence tomography. Int J Retin Vitr (2016) 2:25

2

Welcome to the New
Frontier in OCT Imaging.
The DRI OCT Triton combines the world’s
first2 Swept Source OCT technology withmultimodal fundus imaging.

Image Quality
Triton’s Swept Source with its 100 kHz
scanning speed and 1,050nm wavelength
results in a clear and detailed images evenfor the deepest layers of the eye with shortacquisition time. Visualize not only theretina and vitreous, but also the choroidand sclera1.

Diagnostic capability
Seeing deeper makes it possible to havea better understanding of many ocularpathologies1.With features such as OCT
angiography, fundus autofluorescence anden face OCT, Triton empowers clinicianswith multimodal imaging capability to help
assess and preserve patient’s eye health.

Practice efficiency
The Triton’s automated functions, including
single scan captures and SMARTTrackTM
system, are designed to optimize yourpractice workflow by simplifying data
capture, analysis and follow-up.

1) Fabio Lavinsky, Daniel Lavinsky. Novel perspectives on swept‑source optical coherence tomography. Int J Retin Vitr (2016) 2:25
2) 2015 Comprehensive Report on The Global Ophthalmic Diagnostic Equipment Market

3See Deeper . See More.
1

Proliferative diabetic retinopathy

Lateral: 12mm
Courtesy: Prof. P. E. Stanga, Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at N IHR/
Welcome Trust Manchester CRF & University of Manchester

Color

FA

Courtesy: Prof. P. E. Stanga, Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at N IHR/
Welcome Trust Manchester CRF & University of Manchester* FA photography and FAF photography can be performed using only DRI OCT Triton Plus.

1) Fabio Lavinsky, Daniel Lavinsky. Novel perspectives on swept‑source optical coherence tomography. Int J Retin Vitr (2016) 2:25

4

FAF

Central serous chorioretinopathy

Lateral: 12mm
Courtesy: Prof. P. E. Stanga, Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at N IHR/
Welcome Trust Manchester CRF & University of Manchester

Color

FA

FAF

Courtesy: Prof. P. E. Stanga, Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at N IHR/
Welcome Trust Manchester CRF & University of Manchester* FA photography and FAF photography can be performed using only DRI OCT Triton Plus.

5

See Deeper . See More.
1

Pathological myopia

Lateral: 12mm
Courtesy: Prof. P. E. Stanga, Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at N IHR/
Welcome Trust Manchester CRF & University of Manchester

Macular pucker

Lateral: 12mm
Courtesy: Prof. P. E. Stanga, Manchester Royal Eye Hospital, Manchester Vision Regeneration (MVR) Lab at N IHR/
Welcome Trust Manchester CRF & University of Manchester
1) Fabio Lavinsky, Daniel Lavinsky. Novel perspectives on swept‑source optical coherence tomography. Int J Retin Vitr (2016) 2:25

6

Image through cataract

Lateral: 12mm

a)

b)

c)

a, b, c courtesy of Kazuya Yamagishi, MD (Hirakata Yamagishi Eye Clinic, Japan)

7

Discover What
Lies Beneath
TOPCON’s SS OCT AngioTM combines OCT angiography with a Swept Source OCT.
OCTARATM, a proprietary image processing algorithm, provides highly sensitive angiographic detection3,
allowing for visualization of vascular structures even in the choroid and deeper retinal layers.

High-sensitivity Imaging and Deeper Intravascular Flow Visualization1
Swept Source technology and OCTARATM allow the deeper structures to be visualized with less depthdependent signal roll-off 3. Additionally, the 1μm wavelength makes OCT Angiography imaging possible forpatients with media opacities.

Rapid Scanning, Real Time Eye Tracking
At 100,000 A-Scans per second coupled with invisible* scanning lines and the SMARTTrackTM eye tracking
system, ‘the Triton quickly captures a dense data set and provides an en face OCT Angiography image ofthe retinal microvascular flow network’3.
* OCT Angiography scanning line may be faintly visible during capture to some people with certain conditions

Efficiency & Workflow Integration
Multimodal platform provides comparison of microvascular impairment with FA, FAF, OCT and true color
fundus images in a single device*.
*DRI OCT Triton Plus

12x12mm 512 pixels

Superﬁcial (AMD) (3.0 x 3.0mm)
Courtesy: Yusuke Ichiyama, MD(Shiga University of Medical Science)

Courtesy: Akihiro Ishibazawa, MD, PhD, Asahikawa Medical University
Graduate School of Medical Sciences, Hokkaido, Japan Deep (AMD) (3.0 x 3.0mm)
Courtesy: Yusuke Ichiyama, MD(Shiga University of Medical Science)

8

Nerve head (NFL defect) 6.0 x 6.0mm
Courtesy: Kazuya Yamagishi, MD.,
Hirakata Yamagishi Eye Clinic, Japan

Superﬁcial 3.0x3.0mm
Courtesy: Akihiro Ishibazawa, MD, PhD, Asahikawa Medical
University Graduate School of Medical Sciences, Hokkaido, Japan

Outer retina (CNV with Fibrosis) (4.5 x 4.5mm)
Courtesy: Dr.Carl Glittenberg, MD, Karl Landsteiner Institute forRetinal Research and Imaging, Austria

Choroid (BM-100μm) (PCV) (4.5 x 4.5mm)
Courtesy: Dr.Carl Glittenberg, MD, Karl Landsteiner Institute forRetinal Research and Imaging, Austria

3) Magdy Moussa, Mahmoud Leila, Hagar Khalid. Imaging choroidal neovascular membrane using en face swept-source optical coherence tomography angiography. 		
Clinical Ophthalmology 2017:11 1859–1869

OCTARATMOCTARATM is the image processing technology which extracts the signal changes derived from vascular flowusing multiple OCT B-Scans acquired at the same position. It demonstrates high sensitivity for the detectionof low blood flow in microvasculature3.

Choroid (GA ) (3.0 x 3.0 mm)
Courtesy of SriniVas R. Sadda, M.D.,

R. Sadda,
M.D., Doheny Eye Institute, UCLA
Courtesy:
DohenySriniVas
Eye Institute,
UCLA

Choroid (CNV )Courtesy: SriniVas R. Sadda, M.D., Doheny Eye Institute, UCLA

RPC(Glaucoma)
Courtesy: Kazuya Yamagishi, MD., Hirakata Yamagishi Eye Clinic, Japan

Multimodal Viewing
En face angiography images, B-scans and fundus photography can all be viewed on a single screen using
IMAGEnet®6 and PinPointTM registration, so that area of interest can be assessed using multiple image
modalities. Selected layers can easily be customized to enhance the clarity of specific pathological features.
- Color- FA- FAF

Fundusimage

SS OCT Angio
thumbnails- Vitreous- Retina- Superficial- Deep- Outer Retina- Sub-RPE- Choriocapillaris- Choroid

SS OCT Angio
enlarged

Angio‑B

Projection
image- Projection- En-face- Retina Thickness- RNFL Thickness- GCL++Thickness- GCL+ Thickness

B‑scanBlood flow signal is overlaid on the B-scan.
Flow signal above the RPE is displayed in red;flow signal below the RPE is displayed in pink.

3) Magdy Moussa, Mahmoud Leila, Hagar Khalid. Imaging choroidal neovascular membrane using en face swept-source optical coherence tomography angiography. 		
Clinical Ophthalmology 2017:11 1859–1869

9

Discover What
Lies Beneath
Proliferative diabetic retinopathy

SS OCT AngioTM Montage
Courtesy: Akihiro Ishibazawa, MD, PhD.
Asahikawa Medical University Graduate School of Medical Sciences, Hokkaido, Japan

10

Before treatment

After treatment

Courtesy: Akihiro Ishibazawa, MD, PhD.
Asahikawa Medical University Graduate School of Medical
Sciences, Hokkaido, Japan

Courtesy: Akihiro Ishibazawa, MD, PhD.
Asahikawa Medical University Graduate School of Medical
Sciences, Hokkaido, Japan

Branch retinal vein occlusion

SS OCT AngioTM Montage

Courtesy:Yuichiro Ogura, MD, Professor and Chairman, Department of Ophthalmology and Visual Science, Nagoya City
University, Nagoya, Japan

11

Discover more possibilities:
see beyond and deeper
OCTA metrics on Triton SS OCT Angio allows clinicians to objectively and quantitatively assess retinal
vasculature, providing valuable insights into the patient’s eye health.

Courtesy: Michael H. Chen, O.D.

12

Swept Source
OCT Imaging
1,050nm wavelength
The longer wavelength lightprovides better tissue penetration,
allowing visualization into thedeepest layers of the eye1.

Courtesy: Professor Jose Maria Ruiz Moreno MD, University of Albacete, Spain

scanning speed of 100,000 A-scans/sec
The fast scanning speed of 100,000 A-scans/sec
enables capture of clear B-scans4 by acquiring
more A-scans within a given image acquisition

DRI OCT-1 Atlantis(A-scans/sec.)
100,000(Swept Source OCT)&DRI OCT Triton(Swept Source OCT)

90,00080,00070,000time. This helps to reduce artifacts from60,000involuntary eye movements such as saccades

50,000and blinks.

40,000

3D OCT-2000

Fourier Domain OCT

Swept Source OCT technology;(Spectral Domain OCT)

3D OCT-1000

30,000(Spectral Domain OCT)

20,000Time Domain OCT

Invisible scan lines

Conventional OCTDRI OCT Triton

Tracing the visible

Concentrate on

scan line

the fixation target(Year)

5

201

201
2
201
3
201
4

200
9
201
0
201
1

200
6
200
7
200
8

200
3
200
4
200
5

199

7
199
8
199
9

200
0
200
1
200
2

10,000The invisible 1,050nm wavelength light helps
patients concentrate on the fixation target
during the scan, reducing involuntary eye
movement. It supports more efficient workflow
in a practice by reducing the need to rescan.

1) Fabio Lavinsky, Daniel Lavinsky. Novel perspectives on swept‑source optical coherence tomography. Int J Retin Vitr (2016) 2:25
4) Shoji Kishi. Impact of swept source optical coherence tomography on ophthalmology. Taiwan Journal of Ophthalmology 6 (2016) 58-68

13

En face OCT imaging

en face image

Projection image

Lamina Cribosa

Lamina Cribosa

en face imaging allows for independent
dissection of a depth range defined by twoboundaries, selected from seven possible
boundaries, by flattening the 3D data cube.

Flattening

Original image

Courtesy: Prof. T. Nakazawa, MD,PhD, Tohoku University, Japan

en face image

en face image

RNFL

Choroid

Flattened image

Courtesy: Prof. T. Nakazawa, MD,PhD, Tohoku University, Japan

Vitreous visualization
Dynamic FocusTM
Dynamic FocusTM on Triton allows foracquisition of images with near uniform focus
and image quality throughout the entire depthof the image, which helps to enhance thetypically weaker signal from the vitreous.
Clear image
in all area
EVV (Enhanced Vitreous VisualizationTM)
EVV helps clinicians assess vitreous and vitreoretinal interface abnormalities1. Contrast can be quickly
adjusted to the needs of the physician, depending on the area of greatest interest.
EV V

14

OFF

EV V

ON

1) Fabio Lavinsky, Daniel Lavinsky. Novel perspectives on swept‑source optical coherence tomography. Int J Retin Vitr (2016) 2:25

Discover from
Cornea to Choroid

Courtesy: Michael H. Chen, O.D.

Anterior segment imaging
Triton’s (optional) anterior segment imaging capabilities allow for
visualization of the cornea, anterior chamber angle, iris and sclera5.
Image samples

OCT image B-scan length 16mm

Anterior segment in Radial scan

10
11
12

9

8 7 6 5Anterior segment in 3D scan

4

3
2
1

5) Judyta Jankowska-Szmul, Edward Wylegala. The CLASS Surgical Site Characteristics in a Clinical Grading Scale and Anterior Segment Optical Coherence Tomography:
A One-Year Follow-Up.Journal of Healthcare Engineering 2018, Article ID 5909827

15

7 boundary segmentation/5 layer thickness maps/caliper function
Retinal tissue layers are automatically segmented by the Topcon Advanced Boundary Software (TABSTM),
enabling quantification of retinal thickness and sub layers6 7.

Retina
RNFL
GCL++
GCL+

CSI

Choroidal thickness maps
Understanding choroidal structural changes in

Retinabetweenthe ILM-OS/RPE boundaries

RNFL

betweenthe ILM-RNFL/GCL boundaries

GCL+

betweenthe RNFL/GCL-IPL/INL boundaries

GCL++

betweenthe ILM-IPL/INL boundaries

relation to various disease and disease management,
has been of long-standing interest to clinicians8 .
Triton provides clear visualization of the choroid,and generates choroidal thickness maps to aid in theassessment of choroidal structure.

CSI

betweenthe BM-CSI boundaries or ILM-CSI boundaries

Hood Report (for Glaucoma)
Retinal Thickness/RNFL/GCL and Optic Nerve
Metrics in just one scan. This report streamlines thedecision-making process through the correlationof structure (GCC/RNFL) with function (overlay ofvisual field test locations)6.

6) Zhichao Wu, Denis S. D. Weng, Rashmi Rajshekhar, Abinaya Thenappan, Robert Ritch, Donald C. Hood. Evaluation of a Qualitative Approach for Detecting Glaucomatous
Progression Using Wide-Field Optical Coherence Tomography Scans. Trans Vis Sci Tech. 2018;7(3):5.
7) Beatriz Abadia, Ines Suñen, Pilar Calvo, Francisco Bartol, Guayente Verdes, Antonio Ferreras. Choroidal thickness measured using swept-source optical coherence 		
tomography is reduced in patients with type 2 diabetes. PLoS ONE 13(2): e0191977.

168) Sushmitha Rao Uppugunduri, Mohammed Abdul Rasheed, Ashutosh Richhariya et al. Automated quantification ofHaller’s layer in choroid using swept-source optical coherence tomography. PLoS ONE 13(3):e0193324

DRI Meets Multimodal
Fundus Imaging:See the Whole Picture
Swept Source OCT incorporates
multimodal fundus imaging
DRI OCT Triton can acquire the OCT
and fundus image in a single capture.
PinPointTM Registration identifies thelocation of the B-scan on the fundus
image. Comparison between the B-scan
and fundus image can support clinicalefficiency during diagnosis.
Courtesy: Jay M. Haynie, O.D.

OCT + Color fundus

Courtesy: Jay M. Haynie, O.D.

OCT + FAF

True color* Fundus images
The DRI OCT Triton offers a true color,
non-mydriatic fundus image. Fluorescein
Angiography (FA) and Fundus
Autofluorescence (FAF) are available** toenhance the diagnostic capability of
Triton Plus. The all-in-one device supports
efficient workflow in practice.
*Color fundus image with white light, with 24-bit color.
**DRI OCT Triton Plus :OCT /Anterior OCT (Option)/ OCT Angiography (Option) /Color /Red-Free / FA / FAF
DRI OCT Triton :OCT /Anterior OCT (Option)/ OCT Angiography (Option) /Color/
Red-FreeColor

Red-freeSensor Information
Color Imege Sensor : 5MP
FA Image Sensor :4MP

FAF Image Sensor :

4MP
FA

FAF

17

Stereo photography
Three dimensional visualization of color
fundus images can be achieved by acquiring
images in stereo photography mode.
Triton’s on-screen acquisition guidance
supports quick and easy operation with autoalignment for capturing stereo pairs.

Panoramic wide field photography
In addition to macular and disc imaging, theTriton provides wide coverage of the retina.
A panoramic graphic can be created frommultiple fundus or OCT Angiography images.

18

Smarter Tracking.
Smarter Workflow.
SMARTTrack™
The SMARTTrackTM system enhances the
tracking and follow-up ability of the Triton witha variety of functions designed to enhance
its user-friendliness:•

Fundus-Guided Acquisition (FGA)•

Follow-up Function•

Tracking Photography

Lock on to the OCT scan line

Reference image

OCT ScanLive View

19

Fundus Guided Acquisition (FGA)
OCT scan location can be easily set by
selecting the scan area on the fundus image.
With FGA, the operator can choose to capture
or import a fundus image, select the scan
location and automatically acquire a B-scan atthat location.

Follow-up Function
This function allows you to retrieve andre-analyze the same location at follow-up, forcomparison of past and current images. All an
operator needs to do is simply select the pastdata and Triton automatically captures thesame area.

20

Motion Correction/Compensation/
Rescanning Function
Motion Correction
Corrects the Z direction movement
Compensation Function
Tracks the eye and then compensates for
the X direction movement.
Rescanning Function

After compensation

Before compensation

Parts of the scanning area may be missed due
to Y direction eye movement. In such a case,the rescanning function automatically activatesto rescan the missing area.

Alignment navigation
When an operator wishes to acquire an image,the Triton’s monitor guides the operator to reduce
potential errors and make operation simple.
•

Auto focus and auto shoot, in color/FAF mode•

Auto focus, auto-Z and Z-lock function, in OCT
mode

too closeOK

too far

Small pupil solution
Live Fundus View
The fast scanning speed allows the Triton tocreate a live en face fundus image, an ideal tool for
precisely visualizing the scan position. This makes
the disc, retinal vessels and scanning position easy
to see, even in patients with small pupils.
OCT capture mode without
retinal photography
Triton can also capture a 3D scan, with or without
color fundus photography, to avoid a miotic
response and better meet the needs of patientswith the smallest pupils.

21

Reinventing Swept
Source Imaging:
Triton with PixelSmartTM is the nextstage in Swept Source OCT imaging
NEW! PixelSmart™
Triton with PixelSmart
The next level in Swept Source OCT Imaging
PixelSmart is Topcon’s new image processing
algorithm which reduces speckle noise to improve
contrast, producing a better image quality.
PixelSmart is available for all Triton 3D scans,existing and new:22•

3D Wide•3D Macula•

3D Disc•

Combination scans

Specifications
Observation & Photography of Fundus Image
Photography Type
Color, FA*, FAF*, Red-free**Picture Angle
45°
Equivalent 30° (Digital Zoom )Operating Distance
34.8mmPhotographable Diameter of Pupil
Normal: φ4.0mm or more
Small pupil mode diameter: φ3.3mm or more
Observation & Photography of Fundus Tomogram
Scanning Range (on fundus)
Horizontal Within 3 to 12mm
VerticalWithin 3 to 12mm
Scan Pattern
3D scanLinear scan (Line-scan/Cross-scan/Radial-scan/Raster-scan)
Scan Speed
100,000 A-Scans per second
Lateral Resolution
20μm
In-depth Resolution
Digital: 2.6μm
Optical function: 8μm
Photographable Diameter of Pupil
φ2.5mm or more
Observation & Photography of Fundus Image / Fundus Tomogram
Fixation target
Internal fixation target :Dot matrix type organic EL
The display position can be changed and adjusted.
The displaying format can be changed.
Peripheral fixation target :This is displayed according to the internal fixation target
indicated position.
External fixation target
Observation & photography of anterior segment***
Photography typeIR
Operating distance
17mm
Observation & photography of anterior segment tomogram***Operating distance
17mm
Scan range (on cornea)
Horizontal Within 3 to 16mm
Vertical Within 3 to 16mm
Scan pattern
3D scanLinear scan (Line-scan/Radial-scan)
Scan speed
100,000 A-Scans per second
Fixation target
Internal fixation target
External fixation target
Electric Rating
Power Source
Voltage: 100-240V
Frequency: 50-60Hz
Power input
250VA
Dimensions / Weight
Dimensions
320-359 mm(W) X 523-554 mm(D) X 560-590 mm(H)Weight21.8kg (DRI OCT Triton)
23.8kg(DRI OCT Triton Plus)*
FA photography and FAF photography can be performed only with the DRI OCT Triton Plus.
** In this digital red-free photography, the color image is processed and is displayed as a pseudo red-free photographed image.
*** Observation & photography of anterior segment can be performed only when the anterior segment attachment is used.

23

TOPCON CORPORATION
75-1 Hasunuma-cho, Itabashi-ku, Tokyo 174-8580, JAPAN. Phone: +81-(0)3-3558-2522/2502 Fax: +81-(0)3-3965-6898 www.topcon.co.jp
TOPCON MEDICAL SYSTEMS, INC.
111 Bauer Drive, Oakland, NJ 07436,
U.S.A.
Phone: +1-201-599-5100
Fax: +1-201-599-5250
www.topconhealthcare.com
TOPCON CANADA INC.
110 Provencher Avenue, Boisbriand, QC
J7G 1N1 CANADA
Phone: +1-450-430-7771
Fax: +1-450-430-6457
www.topcon.ca
TOPCON HEALTHCARE SOLUTIONS, INC.
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U.S.A.
Phone: 1-201-599-5100
Fax: 1-201-599-5250
www.topconhealthcare.com
TOPCON HEALTHCARE SOLUTIONSASIA PACIFIC PTE. LTD.
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Pacific Tech Centre, SINGAPORE 159303
Phone: +65-68720606
E-mail: medical_sales@topcon.com.sg
www.topcon.com.sg
TOPCON HEALTHCARE SOLUTIONSEMEA OY
HQ & Product Development
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Phone: +358 20 734 8190
www.topconhealth.eu

TOPCON HEALTHCARE SOLUTIONSAUSTRALIA PTY LTD
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Phone: +61-8-8203-3306
Email: au.info@topcon.com
www.topconhealth.com.au
REP
TOPCON EUROPE MEDICAL B.V.
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P.O.Box 145, 2900 AC Capelle a/d IJssel,
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Phone: +31 -(0)10-4585077
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E-mail: medical@topcon.com
www.topconhealthcare.eu

EC

TOPCON ITALY
Viale dell’ Industria 60, 20037 Paderno
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Phone: +39-02-9186671
Fax: +39-02-91081091
E-mail: info@topcon.it
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TOPCON IRELAND MEDICAL
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Phone: +353-12233280
E-mail: medical.ie@topcon.com
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TOPCON (GREAT BRITAIN) MEDICAL LTD.
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Newbury, Berkshire, RG14 5PX, UK
Phone: +44-1635-551120
Fax: +44-1635-551170
E-mail: medical@topcon.co.uk
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Phone: +49-(0)2154-8850
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Email: topconfrance@topcon.com
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Phone:+65-68720606
Fax:+65-67736150
E-mail: med.sales.sg@topcon.com
www.topcon.com.sg

IMPORTANT In order to obtain the best results with this instrument, please be sure to review all user instructions prior to operation.
Not available for sale in all countries. Please check with your local distributor for availability in your country.
©Topcon Corporation | M000039G-4

TOPCON INSTRUMENTS ( MALAYSIA ) SDN.
BHD.
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Selangor, MALAYSIA
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Room 2808, Tower C, JinChangAn Building,No.82, Middle Section of East 4th Ring Road,
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Phone: +86-10-8794-5176