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Widefield Retinal
Imaging
Thomas W. Stone, MD Retina Associates of Kentucky
The Springs Medical Center
July 17, 2014
History of Imaging
Optomap fa
optomap
Standard
Images Courtesy of Mat MacCumber, MD,
Rush University
CMV Patient
Same Patient, Same Day
ResMax® = 100° image with a resolution of 11µm
+4 Cortical Cataract
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
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
Cases
Case 1: Retinal Vascular
DM. Presented with VH/PDR OS.
Case 2: Macular Disease
Case 3: Autofluorescence
Angioid streaks
Case 4: Uveitis
Vasculitis with vitreous hemorrhage
Case 5: Tumors
Case 6: CRVO
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
• 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.
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
Thank You
Thank You