Technology and ophthalmology go hand-in-hand. Whether it's the latest wide-field fundus photography system, OCT technology, or ultrasound, imaging devices have enhanced diagnosing and managing nearly all ophthalmological conditions. While some imaging devices have become commonplace, we aim to highlight devices that may not be as common but could benefit your practice and patient outcomes. In some cases, we argue for a unique application of an imaging modality that you may already have.
Technology and diversity in imaging options in ophthalmology, and in particular retina, only continues to expand. It is estimated that by 2025, the global retinal imaging devices market will exceed six billion dollars.
1) Intraoperative Optical Coherence Tomography (iOCT)
While OCT has revolutionized eyecare in a clinic setting, the utilization of OCT during surgery (i.e., intraoperative OCT) is still grossly underutilized. Survey data revealed that only approximately 25% of surgeons currently utilize iOCT.2-6 This is despite multiple studies showing the ability of iOCT to facilitate superior precision in surgery, superior endpoint visualization and reduction of unnecessary steps.2-6
Additionally, research shows that iOCT informs and changes surgical decision-making in anywhere from 10 to 40% of surgical cases.2-6 Whereas before handheld or portable iOCT devices were problematic and impractical, new microscope-integrated iOCT devices represent a new horizon allowing for seamless, live integration.
2) Remidio FOP NM10 Portable Fundus Camera
Smartphones cannot only benefit your practice but can help alleviate preventable eye disease burden globally. Smartphone-based handheld fundus photo systems such as Remidio’s FOP NM10 have become so sophisticated that they can capture retina images through a non-mydriatic eye with a 45-degree field of view. These devices can be used at the slit lamp, providing imaging equivalent to retina desktops in validated studies.
Additionally, the FOP NM10 can screen for diabetic retinopathy using an algorithm that takes just 10 seconds, also validated in multiple peer-reviewed journals as an evidence-based and high-quality screening tool.7-10 Having such non-mydriatic cameras in an internal medicine or family medicine practice may revolutionize the future of diabetic retinopathy screening.
Remidio FOP NM10 Portable Fundus Camera
3) Widefield Fundus Photography, Remidio Vistaro
While to some, it may be straightforward, not all have adopted widefield fundus photography imaging. The benefits of wider-field images of the fundus are multiple. Further assessment of the periphery allows for more accurate staging of diseases like diabetic retinopathy. Additionally, it allows for superior evaluation of hereditary retinal disorders, choroidal tumors, choroidal dystrophies, and peripheral degenerative patterns, all of which directly lead to more comprehensive and accurate diagnosis, prognosis, and management.
Remidio’s Vistaro represents one particular widefield fundus camera that is unique in that it is a smartphone-based, handheld imaging device that can provide the equivalent of the traditional seven-field ETDRS image.11 Additionally, it gives a field of view that extends to/beyond 60 degrees.