Ultra-widefield optomap Devices Continue to Set Doctors on the Forefront of Diagnostic Capability

For as long as Dr. David Way, OD, has been in practice, he has endeavored to employ frontline technology in the care of his patients. He explains that it was because of this he was an early adopter of optomap ultra-widefield (UWF™) retinal imaging technology.  Way is a big proponent of thoroughly examining the retina and aims to help patients understand the importance of comprehensive retinal exams.  “I help them to understand that the eye is the only part of the body that we can observe nerves and blood vessels without doing a CRT or an MRI; and that when I am examining them, I am checking ocular health, as well as, indicators of issues such diabetes, glaucoma, macular degeneration or hypertension”, explains Way.

Patients often refuse to be dilated because they are in a hurry, or simply want to avoid the discomfort. An optomap image, which can be obtained in a fraction of a second through an undilated pupil, allows them to receive a retinal exam without the perceived inconvenience. Over the years at Way’s practice, Spring Klein Vision Center, the acceptance rate for optomap is over 70% which has proved to be a revenue generator and a boon to practice flow.

 

Dr. Way started out in his private practice with optomap and later upgraded his device model to the Daytona, which quickly paid for itself. Dr. Way had no intention of upgrading again until he experienced the recently released Monaco, the first and only combined UWF and OCT device.   “When I saw what Monaco could do, I was floored,” Way explains. “I just knew I had to move forward with the purchase when I saw the multi-modality capabilities of Monaco. The fact that I can pull up color, autofluorescence and OCT on both eyes, at the same time, gives me a full spectrum view of the eye. The images are incredibly clear and detailed; even in the far periphery. The decision to purchase was really a no-brainer.”

Dr. Way stresses that the ability to walk into an exam room and immediately see all three modalities represented on the screen, enables him to make a quick initial assessment of how the exam should proceed. Way asserts that optomap technology has differentiated his practice for over a decade and that Monaco will continue to set him at the forefront of diagnostic capability in his area. “Patients notice the difference. If they come in and see our updated technology – and when they see and understand their own eye for the first time, they are probably not going to return to a practice without that capability. They request optomap when they return because they want the reassurance that their eyes are fine. Monaco solidifies that we are the upper echelon of practices that have the capability to image and compare year after year. I feel comfortable and reassured that I have provided the best care possible.”  Read Dr. Way’s full practice testimonial here

Monaco produces a 200° single-capture optomap image in less than ½ second and provides cross-sectional 40° OCT views of retinal structures. Monaco enables a rapid multi-modality capture featuring color, autofluorescence and OCT scans, for both eyes, in as little as two minutes.  UWF with integrated OCT saves time, space, and minimizes patient movement.  optomap images and OCT scans are correlated to facilitate pathology examination. Color, AF, and OCT images are shown in a single, comprehensive view on a single device.

Take advantage of Section 179 tax savings (US-based only) on any Optos ultra-widefield imaging device, including Monaco.  To learn more about Monaco, other ultra-widefield devices from Optos and how you can utilize Section 179 on the purchase of any new optomap device, visit our website.

UWF Assists Doctors in Finding Key Symptoms for Diabetic Retinopathy

For people over 40, diabetic retinopathy (DR), is the number one reason for the development of blindness, and these numbers are expected to triple over the next few decades as the diabetes epidemic continues to grow, according to an article published by Retinal Physician. With the ability of optomap® to capture a high resolution, 200 degree view of the retina in a single scan, ultra-widefield (UWF™) retinal imaging may enable improved diagnosis, better classification, and earlier detection of disease progression, with the potential to guide our treatment strategies in patients with DR.

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The traditional retinal imaging practice was to use a fundus camera and pupil dilation to achieve a 30 degree view of the retina. Capturing images from seven different fields to obtain a 100 degree view of the retina required skilled technical ability on behalf of the practitioner, as well as a high level of cooperation from the patient. Once wide-angled angiography entered the market, the viewing area of the retina was increased to between 150-160 degrees. However, the contact lenses required made the system more challenging for the doctor and was more intrusive to the patient than the fundus camera. The advent of Optos technology, which provides a 200 degree view of the retina in a single scan, was groundbreaking not only because of the wide view, but also because it was far easier for the doctor and non-invasive for the patient, all while consistently producing high quality images.

 

A case study conducted at the Jules Stein Eye Institute was completed with a 70-year old woman who had undergone previous photocoagulation for ischemia due to high-risk proliferative DR, presented with reduced vision after roughly 12 months. Suspecting macular edema, a UWF optomap with fa was performed. While the optomap did, in fact, confirm the macular edema, neovascularization was found in multiple areas of both eyes that were undetected during the physical exam. The findings allowed the doctors to develop a targeted photocoagulation treatment for the patient.

 

To learn more about diabetic retinopathy and UWF, we invite you to peruse our case studies or contact us to learn how Optos can help your patients and your practice.

 

What is a Detached Retina and What Can You Do About It?

A detached retina is a serious eye condition which can cause blindness if not treated by medical professionals. According to the Kellogg Eye Center, symptoms of a detached retina include seeing flashing lights and floaters, or a grey veil which moves across your field of vision.

 

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About Detached Retinas

The retina is essential for vision, as it is the vehicle that sends visual images to the brain. In normal conditions, the retina lies smoothly against the eyeball wall and functions like the film inside a camera. Many millions of light-sensitive retinal cells are responsible for processing and developing optical images and transmitting them to the brain. When a retina becomes detached, vision is blurred and immediate treatment is critical, as any form of detachment results in some loss of sight.

What Causes a Detached Retina?

As people age, the vitreous gel situated between the retina and the lens of the eye may begin to pull away. This is a normal occurrence in most cases, however, some people experience slight tears to the retina as the vitreous gel moves, eventually causing retinal detachment.

 

Although a detached retina can occur at any age, it is more common in middle-aged people and older. People at greater risk of retinal detachment include the nearsighted and those who had cataract operations or suffer from glaucoma.

Retinal Detachments and Treatments

There are a number of available treatments for retinal tears or detached retina:

  • Laser treatment or cryotherapy (freezing) for retinal tears or holes. These can be performed by ophthamologists, usually meaning the damage will not result in complete retinal detachment.
  • Different types of surgery for retinal detachment include pneumatic retinopexy, vitrectomy, or scleral buckle, depending on damage to the eye. Your consultant will make the decision on the best surgical treatment to suit your needs.

About Optos

Optos was established by Douglas Anderson in 1992, after his young son became blind in one eye due to retinal detachment his passion eventually lead to the development of . optomap®,a painless retinal examination which can assist in the detection of retinal detachments.

 

Regular eye examinations are one way of checking and maintaining the health of your eyes, including checking for a detached retina. Contact Optos today to find out how we can assist your practice.

optomap image of a retinal detachment in the periphery

optomap image of a retinal detachment in the periphery

 

What Women Should Know About Their Eye Health

According to Lighthouse International, several aspects that separate women from men contribute to greater risk factors when it comes to some areas of health. In fact, two-thirds of people in the U.S. who suffer from vision loss are women. This brings to the forefront the importance of women and eye health.

 

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Source: Pixabay

 

According to Vision Aware, age-related macular degeneration, glaucoma, and cataracts are all common diseases that can be exacerbated or caused by the aging process, especially in women. Any or all of these diseases can cause permanent, uncorrectable vision loss if not diagnosed early and treatment started in the onset. Only 9 percent of women realize they are at greater risk for eye disease, and by the time changes in vision are noticed and an exam is done, the damage is usually permanent.

 

Another factor affecting women and eye health are hormones, according to Vision Aware. Synthetic hormones are used for birth control in earlier years and for control over symptoms of menopause in our later years. While both applications have positive health benefits, they can also affect your vision. Synthetic hormones bring with them the risk of vascular complications such as blood clots and stroke, both of which can cause vision loss. Hormone replacement can also increase the chance of cataract formation. It is critical that you do not stop a hormone regimen, but consult a physician or your ophthalmologist to ensure your regimen is not affecting your vision.

 

Pregnancy brings with it an influx of hormones, therefore affecting vision, according to Vision Aware. Hormonal changes can cause dry eye syndrome which may not affect vision on its own; however, it may lead to infection or other complications. Further, hormone fluctuation can contribute to a change in your vision prescription, light sensitivity, and migraines, all of which may affect vision. Hormonal changes can also lead to the development of gestational diabetes. Since this is often an indicator that diabetes will develop within a maximum of ten years, comprehensive eye exams help in sustaining vision.

 

Do not allow your gender to dictate the course of your vision. Optos cares about women and eye health and would like to impress upon you the importance of booking and keeping your regular comprehensive eye exams.

 

Assisting Glaucoma Patients Living with Low Vision

Caused by excess fluid in the eye, glaucoma results in increased pressure in the eye that may eventually damage the optic nerve, according to The Glaucoma Foundation. Unfortunately, by the time vision loss is noticeable, it is also permanent. A regular comprehensive eye exam incorporating optomap®, which can help with early disease detection, is critical to prevent vision loss. For patients living with glaucoma and low vision, there is help. A low vision specialist can help you redesign your life so you can be safely independent.

 

Source: Pixabay

Source: Pixabay

 

Although there are many forms of glaucoma, the following four, according to The Glaucoma Foundation, are some of the most common:

 

1. Primary Open-Angle: Generally found in patients over 50, this is the most common form of glaucoma in the U.S. This form is characterized by blind spots that form first in the peripheral vision.

 

2. Normal Tension: Without the detection of higher-than-usual pressure in the eye, this form is thought to be caused by poor circulation of blood to the optic nerve. Vision damage can occur anywhere in the visual field.

 

3. Angle-Closure: Affecting nearly half a million Americans, this form of glaucoma affects those of Asian descent and far-sighted people the most. It is believed to be hereditary and may affect several family members.

 

4. Acute: Acute glaucoma occurs when the pressure in the eye builds rapidly. This form can be very painful in just a few hours and cause patients to see rings around lights and experience blurry vision.

 

According to the Glaucoma Research Foundation, regardless of the form it takes, living with glaucoma and low vision can be made easier with assistance from a low-vision specialist. Vision loss can be devastating, but often with glaucoma you have more vision than you may think. A specialist will perform an evaluation with you to determine how much vision you have and what your daily life entails.

 

By changing your living environment and how you accomplish some things, you can maintain your independence in a safe manner. Some simple, effective tips may include the use of an electronic magnifying device, bending the tip of your finger over the rim of a cup or glass to know when to stop filling, and reading books in large print.

 

Optos would like to impress upon you the importance of a regular, comprehensive eye exam using optomap to assist in the earlier detection of eye disease such as glaucoma.