Widefield Retinal · PDF fileWidefield Retinal Imaging Thomas W. Stone, MD ... •...
Transcript of Widefield Retinal · PDF fileWidefield Retinal Imaging Thomas W. Stone, MD ... •...
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Widefield Retinal
Imaging
Thomas W. Stone, MD Retina Associates of Kentucky
The Springs Medical Center
July 17, 2014
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History of Imaging
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Optomap fa
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optomap
Standard
Images Courtesy of Mat MacCumber, MD,
Rush University
CMV Patient
Same Patient, Same Day
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ResMax® = 100° image with a resolution of 11µm
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+4 Cortical Cataract
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Considerations • Clinic issues
• Location
• Effect on Flow
• Opportunity Cost in Space, Dollars
• People issues
• Photographer use/ease
• Patient use/ease
• Image interaction – software
• Clinical Utility
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Considerations • Clinic issues
• Location
• Effect on Flow
• Opportunity Cost in Space, Dollars
• People issues
• Photographer use/ease
• Patient use/ease
• Image interaction – software
• Clinical Utility
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Cases
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Case 1: Retinal Vascular
DM. Presented with VH/PDR OS.
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Case 2: Macular Disease
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Case 3: Autofluorescence
Angioid streaks
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Case 4: Uveitis
Vasculitis with vitreous hemorrhage
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Case 5: Tumors
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Case 6: CRVO
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Advantages • Provides a detailed view of the
peripheral retina, color, and angiography
• Real-time imaging with angiography
• Easy to use, non-contact, works well
with media opacity
• Integrates well with existing hardware,
mature software platform
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• Kernt M, Schaller UC, Stumpf C, et al. Choroidal pigmented lesions imaged by ultra-wide-field
scanning laser ophthalmoscopy with two laser wavelengths (Optomap). Clin Ophthalmol 2010;4:829-
36.
• Meyer CH, Saxena S. Non-mydriatic imaging of a giant retinal tear with the Optos Optomap
Panoramic 200MA. Clin Experiment Ophthalmol 2010;38:427.
• Mudvari SS, Virasch VV, Singa RM, et al. Ultra-wide-field imaging for cytomegalovirus retinitis.
Ophthalmic Surg Lasers Imaging 2010;41:311-5.
• Meyer CH, Holz FG. Documentation of congenital hypertrophy of the retinal pigment epithelium with
wide-field funduscopy. Semin Ophthalmol 2009;24:251-3.
• Coleman P, Barnard NA. Congenital hypertrophy of the retinal pigment epithelium: prevalence and
ocular features in the optometric population. Ophthalmic Physiol Opt 2007;27:547-55. Shah SP, Jain
A, Tsui I, et al.
• Optos Optomap Panoramic 200MA imaging of a serous choroidal detachment responsive to
furosemide. Semin Ophthalmol 2009;24:40-2.
• Khandhadia S, Madhusudhana KC, Kostakou A, et al. Use of Optomap for retinal screening within an
eye casualty setting. Br J Ophthalmol 2009;93:52-5.
• Neubauer AS, Kernt M, Haritoglou C, et al. Nonmydriatic screening for diabetic retinopathy by ultra-
widefield scanning laser ophthalmoscopy (Optomap). Graefes Arch Clin Exp Ophthalmol
2008;246:229-35.
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DRCR Protocol AA
• One Optos image appears to give more
information than 7 standard ETDRS
fields
• Early studies show those patients with
peripheral findings progress more rapidly
than those without
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Thank You
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Thank You
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