Franklin, ma september 17, 2018 heidelberg engineering, a privatelyheld imaging solutions company focused on advanced diagnostic instruments and it solutions for eye care professionals, announced today that it has received us food and drug. It provides the standard field of view of a mydriatic fundus camera for all spectralis fundus and oct imaging modalities, simplifying diagnostic protocols and facilitating the detection of peripheral pathology. Visualization of the peripheral retina using uwf imaging affects the detection of dr. Widefield retinal imaging in the management of noninfectious posterior uveitis. Covering the macula, the optic nerve head and areas beyond the vessel arcades in a single image, the widefield imaging module facilitates comprehensive diagnostics. The evolving role for imaging in optimizing treatment. Pdf comparison of ultrawidefield fluorescein angiography. Widefield imaging of retinal diseases touchophthalmology. Bluepeak is a noninvasive scanning laser fundus imaging mode that maps metabolic stress in the retina using lipofuscin as an indicator. Heidelberg engineering continuously optimizes imaging and healthcare it technologies to provide ophthalmic diagnostic solutions that empower clinicians to improve patient care. Fundus fluorescein and indocyanine green angiography. Wide field retinal imaging in the management of noninfectious posterior uveitis.
This post introduces the heidelberg spectralis oct with ultra widefield imaging to aid in the diagnosis of ocular diseases like macular degeneration, glaucoma, diabetic retinopathy and more. They provide the standard field of view of a mydriatic fundus camera for all the companys spectralis fundus and optical coherence tomography oct imaging modalities, simplifying diagnostic protocols and aiding the detection of peripheral pathology. Jan 28, 2019 the spectralis 2 heidelberg engineering is an sdoct platform with high image resolution lateral. Full text ultrawidefield fluorescein angiography in. Oct 02, 2014 customers who already own a widefield lens for spectralis can simply purchase a software upgrade to utilize this new modality, he added. Retinal physician the role of widefield angiography in the. The addition of noncontact ultrawidefield imaging to the spectralis extends the functionality of the multimodality imaging platform in an easytouse, costsaving and comprehensive fashion. The spectralis automatically detects which lens is mounted on the system. The heidelberg hra heidelberg engineering can be used to create widefield images if used in conjunction with a wideangle lens, such as the staurenghi lens system.
Aug 28, 2012 the addition of noncontact ultrawidefield imaging to the spectralis extends the functionality of the multimodality imaging platform in an easytouse, costsaving and comprehensive fashion. Ultrawidefield imaging in diabetic retinopathy, an overview. The anterior segment module captures high resolution images of the cornea and scleral structures. Ultrawidefield retinal imaging october 2015 new retina md. Delivery begins for spectralis widefield imaging module. Ultra wide field retinal imaging in detection, classification, and management of diabetic retinopathy. The ultrawidefield fluorescein angiography obtained with the optos and heidelberg spectralis ultrawidefield imaging systems are both excellent modalities that provide views of the peripheral retina. The lens easily accommodates to spectralis or hra2 of any age and is compatible with existent. Widefield imaging systems market global industry trends and. The 3nethra neo is a lightweight, nonwireless but compact, contactbased system for highdefinition imaging with a 120 field of view.
Widefield oct with spectralis optical coherence tomography news. The optional 55 wide angle lens for ir, rf and angiography widefield imaging is mounted the same way. The widefield oct scans can be acquired simultaneous to all confocal laser scanning laser fundus imaging modalities available on the various models of the spectralis product family. Tutorials spectralis ultrawidefield angiography module. Highresolution widefield oct angiography with self. The spectralis ultrawidefield imaging module captures an extremely wide field of view in one shot.
Heidelberg engineering presents noncontact ultra widefield. Comparison of wide field optical coherence tomography. This can usually be achieved while not having to dilate the patient, giving the patient a much more pleasant eye examination. Covering the macula, the optic nerve head and areas beyond the vessel arcades in a single image, the widefield imaging module facilitates comprehensive. Image acquisition using the ultrawidefield lens for. Area of peripheral retinal nonperfusion and treatment response in branch and central retinal vein occlusion published online ahead of print, april 11, 2014. The only difference between wfo and wfo2 is an enhanced anti. Capturing the macula, the optic nerve head and areas beyond the vessel arcades in a single image, the widefield imaging module facilitates comprehensive diagnostics. To present an overview on ultrawidefield imaging in diabetic retinopathy. The desire to image an ultrawide field of view quickly and.
Visualization of the peripheral retina has become essential to the screening, diagnosis, monitoring, and treatment of many visionthreatening eye diseases. Methods consecutive patients with vascular disorder patients underwent fa with 55degree lens spectralis heidelberg engineering, heidelberg, germany and octa with the prototype plexelite carl zeiss meditec, dublin, ca. The lens attaches easily to the camera head and is interchangeable with the existing high resolution 30 and 55 widefield lenses. Optos optos, dunfermline, united kingdom introduced retinal imaging with noncontact scanning laser technology to take the ultrawide field images. Spectralis ultrawidefield angiography module heidelberg. Jun 25, 20 the ultrawidefield angiography module consists of a dedicated lens and software. The arcoating of the wfo was optimized in order to reduce the remaining k172649. Purpose to describe the intraoperative use of the heidelberg spectralis for ultrawidefield fundus fluorescein angiography in infants.
Wide field imaging aids in diagnosing subclinical sickle cell retinopathy, thereby increasing awareness of this systemic disease and allowing for earlier identification of patients at higher risk of retinopathy. Using directional ultrawide field view and automontaging software, we could image the retina for a diameter of 28mm allowing a field of view to include the. Like all spectralis models, the octplus includes trutrack active eye tracking and autorescan features. Optos and heidelberg spectralis ultrawidefield imaging systems are. Incorporating stateoftheart, purposebuilt optical imaging technology, multiple imaging modalities, advanced software functionality, and a compact design with new features that improve ease of use for both the operator and the patient, california is a sophisticated and useful uwf platform.
Feb 21, 20 consequently, imaging angles larger than 30 or 50degrees have been referred to as widefield or wideangle. In july 2015, the widefield imaging module for spectralis has made easier available of peripheral pathologies, it also provides a 55 field of view for all spectralis fundus imaging modalities including multicolor, bluepeak, infrared reflectance, angiography, and also oct. Capturing the macula, the optic nerve head and areas beyond the vessel arcades in a single image, the widefield imaging module facilitates comprehensive. In order to expand the field of view, widefield and ultrawidefield imaging has been developed allowing to image up to 200 of retinal surface in one single shot. In the image taken using heidelberg spectralis two and half vortex veins can be visualised. The spectralis heidelberg engineering, heidelberg, germany is a noncontact ultrawidefield slo that takes a widefield of view of 102 as. A comprehensive search of the pubmed database was performed using the. More recently, the term ultrawidefield fundus imaging has gained popularity, although the exact definition and area of the retina imaged remains ambiguous.
Heidelberg engineering oct angiography module now available. Retinal physician the role of widefield angiography in. The spectralis 2 heidelberg engineering is an sdoct platform with high image resolution lateral. These capabilities allow for highquality imaging of all four vascular plexuses i. Downloads spectralis oct the modular imaging platform. Jun 27, 2015 fa is capable of wide field imaging of the retinal vasculature and is used for verification of the diagnosis in a variety of retinal vascular diseases, including retinal vein occlusion and. Noncontact ultrawide field lens system by heidelberg spectralis. Currently, two noncontact widefield imaging devices are the most popular widefield imaging systems worldwide ghasemi falavarjani et al. Methods a modified heidelberg spectralis was used to perform ultrawidefield fundus fluorescein angiography in infants undergoing an examination under general anesthesia for a. Spectralis diagnostic imaging platform from heidelberg. Ultrawidefield fundus fluorescein angiography was successfully performed in all infants and permitted capture of the posterior pole as well as the peripheral retina in a single shot centered on the. The module is compatible with spectralis scanning laser angiography, including fluorescein and icg angiography, that can be acquired both individually and simultaneously. It is intended for viewing the posterior segment of the eye, including.
The heidelberg spectralis noncontact ultrawidefield module offers a widefield of view of 120 with a scanning laser ophthalmoscopy. Visualization of the retinal vasculature using widefield. The module is compatible with spectralis scanning laser angiography, ultrawidefield fluorescein and icg angiography and can be performed as single. Early diagnosis of retinal or choroidal disease through diagnostic imaging could reduce potential vision loss. The spectralis octplus combines spectraldomain oct with confocal scanning laser fundus imaging. The spectralis heidelberg engineering, heidelberg, germany is a noncontact ultrawide. Widefield imaging systems market global industry trends. The company plans to begin shipping the new software by midnovember. The spectralis ultrawidefield angiography module captures an extremely wide field of view in one shot. Aug, 2015 the first spectralis widefield imaging modules have been delivered in the uk by heidelberg engineering. Open access full text article comparison of ultrawidefield. Ultrawidefield imaging in diabetic retinopathy sciencedirect.
Heidelberg spectralis ultrawidefield angiography module 102 fundus field measured from the centre of the pupil and the optomap 200 fundus field measured from the centre of the globe. Introducing the heidelberg spectralis oct with ultra. Oct, multiple scanning laser fundus imaging modalities, widefield and ultrawidefield, scanning laser angiography and. Imaging of the peripheral retina has become essential for the diagnosis, classification, and management of numerous diseases of the retina. The noncontact ultrawidefield lens makes peripheral imaging convenient for both patient and operator. From its inception in 1990, the company has collaborated with scientists, clinicians and industry to develop innovative products that deliver clinically relevant benefits.
The widefield imaging module provides the standard field of view of a mydriatic fundus camera for all spectralis fundus and oct imaging modalities. Notably, this study was performed with a standard 30 lens without further modifications to the device or the software. Comparison of ultrawidefield fluorescein angiography with the heidelberg spectralis noncontact ultrawidefield module versus the optos optomap matthew t witmer, george parlitsis, sarju patel, szilard kissdepartment of ophthalmology, weill cornell medical college, new york, ny, usapurpose. Consequently, imaging angles larger than 30 or 50degrees have been referred to as widefield or wideangle. As fundus cameras with up to 50degrees field of view emerged, they became widely used in clinical practice.
To compare ultrawidefield fluorescein angiography imaging using the optos optomap and the. To compare ultrawidefield fluorescein angiography imaging using. Peripheral lesions identified on ultrawide field imaging predict increased risk of diabetic retinopathy progression over 4 years. Customers who already own a widefield lens for spectralis can simply purchase a software upgrade to utilize this new modality, he added. Purpose to compare swept source octa device, with and without the extended field imaging efi technique, to standard fluorescein angiography fa in the clinical practice. Methods consecutive patients with vascular disorder patients underwent fa with 55degree lens spectralis heidelberg engineering, heidelberg, germany and octa with the prototype. Heidelberg spectralis ultrawidefield fundus fluorescein. This video from heidelberg engineering describes how to acquire images using the ultrawidefield lens with spectralis. To present an overview on ultra wide field imaging in diabetic retinopathy. Oct imaging can be single cross sections of the retina bscans, patterns of single cross sections, or complete threedimensional images. The new normative database, asymmetry analysis, and other new features are a part of the spectralis version 5. The widefield imaging module offers a 55 degree field of view for all spectralis fundus and oct imaging modalities. The spectralis is a noncontact ophthalmic diagnostic imaging device.
Heidelberg engineering plans to release the ultrawidefield angiography module for spectralis and hra2 devices in 20. To compare ultrawidefield fluorescein angiography imaging using the. Octa is a key component of the spectralis portfolio, delivering on the platforms upgradeability and multimodal image capabilities. Widefield imaging aids in diagnosing subclinical sickle cell retinopathy, thereby increasing awareness of this systemic disease and allowing for earlier identification of patients at higher risk of retinopathy. The heidelberg spectralis uwf imaging module heidelberg engineering uses a camera attachment to capture noncontactbased, highcontrast images of up to 102 of the retina. Since friberg and forrester first described ultrawidefield angiography in 2004, 16 it has been used to evaluate diabetic retinopathy in many retrospective studies. Spectralis oct the modular imaging platform heidelberg. The new heidelberg module is a costeffective alternative to wide field images generation devices, noncontact lenses and ultra wide field devices which provides appropriate peripheral images for the patient and operator. It delivers evenly illuminated, undistorted, highcontrast images even in the periphery. Spectralis widefield fundus and oct heidelberg engineering. Nov 01, 2012 since friberg and forrester first described ultra wide field angiography in 2004, 16 it has been used to evaluate diabetic retinopathy in many retrospective studies. Heidelberg, germany the delivery of the widefield imaging module has begun for heidelberg engineerings first customers.
It offers evenly illuminated, highcontrast images even in the periphery. The spectralis widefield imaging module provides a 55degree field of view for all fundus imaging modalities including multicolor, bluepeak, infrared reflectance, angiography, and oct. In the image taken using optomap, four vortex veins are seen. Comparison of ultrawidefield fluorescein angiography with. Jan 07, 2017 a total of 22 eyes of 11 infants underwent intraoperative ultrawidefield fundus fluorescein angiography using the modified heidelberg spectralis. Highresolution widefield oct angiography with selfnavigated motion correction xiang wei,1,2 tristan t. Jan 20, 2020 the 3nethra neo is a lightweight, nonwireless but compact, contactbased system for highdefinition imaging with a 120 field of view. A comprehensive search of the pubmed database was performed using the search terms of. Scanning laser ophthalmoscopy and angiography with a widefield contact lens system. Tutorials spectralis widefield fundus and oct heidelberg. It offers evenly illuminated, highcontrast images even.
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