A PICTURE IS WORTH 1,000 WORDS

Here, we asked each of the fundus imaging manufacturing companies, listed in alphabetical order, to submit information on their newest systems, along with a photo that demonstrates a capability of the device. (Navigate to the websites provided for more information about each.)

CANON

Canon CR-2 AF Digital Non-Mydriatic Retinal Camera

Features: The CR-2 AF 24 MP high-resolution camera provides auto-functionality for focus, capture, exposure and contrast enhancement with JPG or DICOM computer file storage and/or output to EHRs. Software review features include an RGB filter and an opacity (cataract) suppression filter to help identify conditions. The camera with computer can remain stationary or mobile using an optional hard shell transport case.

Link: bit.ly/CR-2AF

IMAGE: View the resulting image when using the opacity suppression filter (below) applied to the original image (above): Diabetic retinopathy can be seen to be more advanced using the software filter.

CENTERVUE

CenterVue COMPASS

Features:

Combined VF and confocal retinal imaging
Fundus-tracking technology reduces fixation loss.
Full network capabilities
No trial lenses are necessary due to auto-focus.

Link: bit.ly/CVCompass

IMAGE: 24-2 perimetry pattern registered to exact retinal location.

ESSILOR

RETINA 800

Features:

Fully automatic retinal imaging
Fast and space-saving design, at 18 inches by 17 inches by 13 inches.
Excellent image quality: clear and true color; 2.5 mm pupil size capability; 90° mosaic imaging
Delegation-ready user interface: intuitive and direct connection with DICOM server

Link: bit.ly/Retina800

IMAGE: 90° mosaic imaging of the retina.

HEIDELBERG ENGINEERING

Spectralis OCT

Features: Spectralis is a modular diagnostic imaging platform that combines scanning laser fundus imaging with high-resolution OCT. It is easily upgraded to suit the needs of the practice. Key features include:

Fundus imaging modalities: infrared, multicolor, bluepeak autofluorescence, blue reflectance (also known as red-free)
Confocal optics provide a high-contrast, high-quality image, even in patients who have cataracts or other opacities.
Patented TruTrack Dual Beam “Live” Eye Tracking tracks the eye to mitigate motion artifacts.
Auto-rescan automatically positions follow-up exams in the same location to aid in detecting change as small as 1 μm.
10-layer visualization provides high-resolution OCT images from vitreous through choroid.

Link: bit.ly/Spectralis

IMAGE: Multicolor image, grid-like visible reticular drusen.

KONAN

Nexy

Features: Robotic retinal imaging device, including:

Fully automated hands-free operation
Patented, polarized, high-fidelity imaging technology
45°, non-mydriatic camera that provides up to seven image locations with seamless mosaic
Competitively priced

Link: konanmedical.com/nexy/

IMAGE: Diabetic retinopathy; photos taken through undilated pupil.

KOWA

Kowa nonmyd 8s Retinal Camera

Features: The non-mydriatic digital fundus camera offers:

3.3 mm minimum pupil diameter
Multiple internal fixation targets
High-resolution recordings of the fundus and anterior segment
Upgradable DSLR cameras allow long-term use.
Low-flash intensity for patient-friendliness
The panorama function enlarges angle of view.
Networking and connectivity for an efficient workflow
Picture and documentation software VK-2 for data processing included.
Software-guided stereo recordings assist with accurate glaucoma diagnosis.

Link: bit.ly/Nonmyd8s

IMAGE: Epiretinal membrane due to posterior vitreous detachment with floater.

NIDEK

MP3 and MP3S (Scotopic)

Features: MP3 and MP3S are automatic microperimeters with 12 MP high-resolution non-mydriatic fundus cameras, including:

Wide measurement range
Auto-tracking and auto-alignment
Feedback exam for visual rehabilitation
Fixation test
Gray scale
Easy image acquisition
Scotopic microperimetry (factory-installed option)

Link: usa.nidek.com/microperimeter-mp-3/

IMAGE: Age-related macular degeneration (geographic atrophy)

OPTOS

Monaco

Features: Monaco combines true single-capture, ultra-widefield (UWF) optomap images with an integrated 40° SD-OCT. Monaco produces a six-image overview showing color and autofluorescence optomap images and OCT scans of both eyes in as few as two minutes.

Monaco also features the OptosCloud, a secure, conven-ient, economical option for storing and reviewing images and diagnostic reports.

Optomap meets the definition of true UWF retinal images, as established by the International Widefield Imaging Study Group, by encompassing retinal anatomy anterior to the vortex ampullae in all four quadrants.

Link: optos.is/MonacoUWFandOCT

IMAGE: Diabetic retinopathy with predominantly peripheral lesions.

OPTOVUE

Vivicon Non-Mydriatic Ophthalmic Camera

Features:

Easy-to-use with touch-screen tablet and automated image capture
Photo montage, external image and manual modes
Photo review, enhancement and export in choice of file formats
Affordably priced for the everyday eye care practice

Link: optovue.com/products/vivicon

TOPCON

Topcon Maestro2

Features: The Topcon Maestro2 provides OCT and fundus imaging. The Maestro2, direct successor to the Maestro OCT, offers optometrists a user-friendly device with powerful imaging capabilities, including fully automated SD-OCT, true color fundus photography and the new Hood Report for Glaucoma. With one touch, optometrists can align, focus and capture the images they need, saving time and creating a better experience for patients and practitioners. The Maestro2 is also compact and space-efficient, offering significant imaging and reporting features with a relatively small footprint.

Link: https://www.topconmaestro.com/

IMAGE: Note the 3D-wide glaucoma report.

VOLK

Pictor Plus

Features: The Pictor Plus is a portable, non-mydriatic, retinal camera that shoots high-resolution, detailed images in daylight or darkness. It is available in two modules: retina and anterior. The retina module allows the optometrist to examine and monitor conditions, such as glaucoma, diabetic retinopathy and AMD, through documentation of images, and facilitates patient education about disease status and the importance of regular eye exams. The anterior module helps with diagnoses by imaging corneal scratches, growths, rashes and other states present on the surface of the eye and surrounding areas. Additionally, the Pictor Workstation wirelessly transfers images from the device to a computer via Wi-Fi or USB, seamlessly integrating images into the EHR.

Link: bit.ly/PictorPlus

IMAGE: Note the drusen around the macula in dry AMD.

ZEISS

ZEISS CLARUS 700

Features: The Clarus 700:

Captures ultra-widefield images in true color — that is, color closely approximating the natural coloration of the retina, as viewed through direct observation
Provides quality images
Offers a complete suite of modalities, including fluorescein angiography
Also possesses advanced features, such as modalities of true color with RGB separation and stereo image pairs.

Link: bit.ly/CLARUS

IMAGE: This image from the Clarus 700 shows diabetic retinopathy OD, via widefield fluorescein angiography. OM

Resources

IN ADDITION TO THE COMPANIES LISTED, CONSIDER CONTACTING PROFESSIONAL ORGANIZATIONS, SUCH AS THOSE BELOW, FOR INFORMATION ON IMAGING AND DIAGNOSTIC DEVICES.

→ OPTOMETRIC GLAUCOMA SOCIETY: The society’s objectives include “to promote education of optometrists related to all aspects of glaucaoma,” the “About Us” page says. Find more information on the web at optometricglaucomasociety.org .

→ OPHTHALMIC PHOTOGRAPHER’S SOCIETY: This organization provides “primary and continuing education in the field of ophthalmic photography. . .” among other main objectives. More information about it can be found at opsweb.org .

→ OPTOMETRIC RETINA SOCIETY: The retina society’s website says, “We provide updates in retinal disease that are important to primary care optometrists.” Find out more about those updates and resources at optometricretinasociety.org .

PentaVision

Optometric Management