The Lawton Service Unit (LSU) which includes the Lawton Indian Hospital (LIH), Anadarko Indian Clinic (AIC), and the Carnegie Indian Clinic (CIC), Indian Health Services (IHS) has a requirement for the acquisition of an Optical Coherence Tomographer (OCT) with Angiography to replace the existing device which has reached end-of-life and is no longer serviceable. The OCT addresses a critical clinical need for high-resolution, rapid retinal imaging used in the diagnosis and monitoring of glaucoma, diabetic macular edema, macular degeneration, and other ocular pathologies. Without a functional OCT, the facility's ability to provide timely, accurate ophthalmic diagnostics and disease management for the IHS patient population is significantly impaired.