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after instilling topical anesthetic drops and appl

After instilling topical anesthetic drops and applying lid speculum

676

or a stark white fundus lesion from extreme reflection of light can

Figure 4: Retcam imaging

reduce image quality. Poor mydriasis results in dark , round or ring shaped artifacts and dark choroidal pigmentation can impair visualization of retinal vascular details

1300 lens known as Retinopathy of prematurity lens, is used

Figure 5: The Field of View (FOV)

1200 lens known as childrens lens, is used for imaging pediatric
800 lens is used for high contrast in pediatric and young adults

Wide field Fluorescein angiography can also be performed with RetCam II.

The Retcam Technique

determine how the condition of the eye is changing. The RetCam is ideal for ROP screening because it is the only way to obtain objective, detailed images that can be precisely compared from one exam to the next to track the health of the eye over time.

(Figure 6)

Conclusion

The Retcam is a unique intregrated system for bedside wide-angle viewing. The availability of an immediate image means that precise diagnostic comparisons can be made over time rather than relying on innaccurate drawings in the patient’s chart. Because the RetCam is easy to use, it has been promoted for use in ROP screening by nursery staff and nurses. The digital capability also enables remote image transfer so that the clinician no longer needs to be in the same room or even the same country as the patient. The immediacy offered by the real-time view of the camera on the computer monitor can also serve as an excellent tool for training residents, fellows, and nursery staff as well as educating parents of infants screened.

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