Innovation in retinal diseases – ultra-widefield imaging
Pol J Public Health 2015;125(1): 14-16
JOANNA DOLAR-SZCZASNY, ANNA ŚWIĘCH-ZUBILEWICZ, JERZY MACKIEWICZ
Department of Retinal and Vitreous Surgery, Medical University of Lublin, Poland
The understanding of retinal disease has evolved rapidly with a growing number of clinical evidence supplied by ultra-widefield retinal imaging.
Optos 200Tx ultra-widefield retinal imaging system uses a scanning laser ophthalmoscope, as well as an ellipsoid mirror. This creates a possibility of making a virtual focal point inside the eye and, in turn, enables the system to simultaneously make a single capture of the central retina and periphery. This system offers multimodal ultra-widefield imaging, including color photographs, fundus autofluorescence images, red-free images and fluorescein angiography (FA), allowing visualization of the retinal circulation. For color photographs, green and red lasers are used simultaneously to allow visualization of retinal substructures from the sensory retina and retinal pigment epithelium to the choroid.
In our clinic ultra-widefield fluorescein angiography has became an elegant diagnostic imaging modality that has improved our ability to diagnose and plan treatment strategies.
In the future widefield imaging will probably be coupled with OCT (optical coherence tomography) option to better evaluate retinal pathologies in the periphery.
ultra-widefield imaging, fluorescein angiography, fundus autofluorescence, red-free image, optical coherence tomography.