01.10.2025

25 years on – OCT breakthrough that transformed ophthalmology

At the 6th Scientific & Training Conference “OCT in Ophthalmology” in Bydgoszcz, experts reflected on 25 years of progress in optical coherence tomography. The pivotal shift to true 3D Fourier-domain imaging turned early prototypes into a clinical standard now used worldwide.

In an interview with TVP3 Bydgoszcz, Prof. Maciej Wojtkowski emphasized that first-generation OCT systems fell short of clinical expectations. The decisive change came with volumetric 3D measurement, finally delivering reliable diagnostic signals that ophthalmologists could use in day-to-day practice.

Prof. Andrzej Kowalczyk recalled that the team’s original goal was in-eye substance quantification. While that aim was not achieved, the process yielded a method nearly 100 times faster than the U.S. alternative at the time. This leap accelerated OCT’s path into routine clinical use.

Bridging science and practice

Organized by the Oftalmika Eye Clinic and Inspire Congress, the conference gathered researchers and clinicians to discuss current applications of OCT and its future directions. It was also a moment to highlight the role of pioneers such as Prof. Andrzej Kowalczyk, whose vision and mentorship helped carry Fourier-domain OCT from concept to clinic.

A quarter century after its breakthrough, OCT has revolutionized ophthalmology. It has become an indispensable diagnostic tool for retinal and optic nerve diseases, enabling faster decision-making and more effective treatment for patients worldwide.