Optos 200-degree ultra-widefield non-dilated fundus photography?
1.
I would like to ask if, during the Optos 200-degree ultra-widefield non-dilated retinal imaging examination, it is possible for the device to come into contact with the cornea.
During the procedure, my eyes had to be very close to the central measurement aperture, and there was someone pushing my head forward from behind.
My nose and mouth were touching the machine, but I am unsure if my eyeball made contact.
I am concerned about the potential for pressure on the eyeball and the risk of infection.
2.
Which device provides a wider view of the retina: this machine or a traditional indirect ophthalmoscope? What is the maximum viewing angle for traditional dilated indirect fundus photography?
3.
Will the laser light from this machine, when used every six months over a long period, cause any damage to the eyes, such as the macula, retina, or optic nerve?
Kuan Ying, 30~39 year old female. Ask Date: 2020/11/20
Dr. Gao Pilin reply Ophthalmology
Hello Kuan-Ying,
1.
To see a wider field, according to optical principles, one should be closer to the eye.
However, under normal circumstances, this should not touch the cornea, so there should be no risk of infection.
2.
Traditional dilated fundus examinations and photography can be affected by pupil size, which also influences the visual field.
The eyes can look in different directions to increase the visible area, but the angle may not reach 200 degrees.
3.
Photography should not involve laser light, so having it done every six months should not harm the eyes.
Taiwan E-Hospital Puzi Hospital Ophthalmology:
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I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2020/11/20
More Info
The Optos 200-Degree Ultra-Widefield Imaging system is a significant advancement in eye care, particularly for retinal imaging. This technology allows for a comprehensive view of the retina without the need for dilation, which can be particularly beneficial for patients who may not tolerate dilation well. Let's address your questions regarding this imaging system.
1. Contact with the Cornea and Potential Risks: During the Optos imaging process, the device is designed to capture images of the retina without direct contact with the eye. The system uses a non-contact method, which means that while you may feel pressure on your forehead and chin from the device's stabilizing features, the camera itself does not touch your eye. It is unlikely that the cornea would be touched or compressed by the device. However, if you have concerns about pressure or potential infection, it is always best to discuss these with your eye care provider. They can provide reassurance and explain the safety measures in place during the imaging process.
2. Comparison with Traditional Indirect Ophthalmoscopy: The Optos system offers a much wider field of view compared to traditional indirect ophthalmoscopy. While traditional methods, especially those requiring dilation, can typically visualize around 30-50 degrees of the retina, the Optos system can capture up to 200 degrees in a single image. This allows for a more comprehensive assessment of the peripheral retina, which is crucial for detecting conditions such as retinal tears, detachments, and other pathologies that may not be visible with standard methods.
3. Safety of Laser Light Exposure: The laser light used in the Optos imaging system is designed to be safe for the eyes. The exposure is brief, and the system is calibrated to minimize any potential harm. Long-term studies have shown that the use of such imaging systems does not lead to damage to the retina, macula, or optic nerve when used appropriately. However, as with any medical technology, it is essential to use it judiciously. If you have specific concerns about the frequency of imaging or any underlying eye conditions, it is advisable to discuss these with your ophthalmologist. They can provide personalized recommendations based on your eye health and history.
In summary, the Optos 200-Degree Ultra-Widefield Imaging system is a valuable tool in modern ophthalmology, providing extensive views of the retina without the discomfort associated with dilation. It is designed to be safe and effective, with minimal risk of contact with the eye. If you have any lingering concerns or specific conditions that may affect your eye health, maintaining open communication with your eye care provider is crucial for ensuring the best outcomes for your vision.
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