Flächenbestimmung der Papille mittels indirekter Ophthalmoskopie

Haustein, Michael; Schmidt, E.; Spörl, E.; Pillunat, Lutz E; Böhm, Andreas

doi:10.1007/s00347-008-1774-3

Cited by 4 publications

(1 citation statement)

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“…For the start we recommend checking length and area calculations against optic-disc measurements taken by HRT (Dreher 1991 ) - keeping in mind that the main application of slit lamp measurements on the fundus is differentiating normal-sized from megalo- and micropapillae (Haustein et al 2009 ).…”

Section: Discussionmentioning

confidence: 99%

The fundus slit lamp

Gellrich¹

2015

SpringerPlus

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Fundus biomicroscopy with the slit lamp as it is practiced widely nowadays was not established until the 1980-es with the introduction of the Volk lenses +90 and +60D. Thereafter little progress has been made in retinal imaging with the slit lamp. It is the aim of this paper to fully exploit the potential of a video slit lamp for fundus documentation by using easily accessible additions.Suitable still images are easily retrieved from videorecordings of slit lamp examinations. The effects of changements in the slit lamp itself (slit beam and apertures) and its examination equipment (converging lenses from +40 to +90D) on quality and spectrum of fundus images are demonstrated. Imaging software is applied for reconstruction of larger fundus areas in a mosaic pattern (Hugin®) and to perform the flicker test in order to visualize changes in the same fundus area at different points of time (Power Point®).The three lenses +90/+60/+40D are a good choice for imaging the whole spectrum of retinal diseases. Displacement of the oblique slit light can be used to assess changes in the surface profile of the inner retina which occurs e.g. in macular holes or pigment epithelial detachment. The mosaic function in its easiest form (one strip macula adapted to one strip with the optic disc) provides an overview of the posterior pole comparable to a fundus camera’s image. A reconstruction of larger fundus areas is feasible for imaging in vitreoretinal surgery or occlusive vessel disease. The flicker test is a fine tool for monitoring progressive glaucoma by changes in the optic disc, and it is also a valuable diagnostic tool in macular disease.Nearly all retinal diseases can be imaged with the slit lamp - irrespective whether they affect the posterior pole, mainly the optic nerve or the macula, the whole retina or only its periphery. Even a basic fundus controlled perimetry is possible. Therefore fundus videography with the slit lamp is a worthwhile approach especially for the many ophthalmologists without access to the most recent diagnostic equipment or a professional photographer at hand.Electronic supplementary materialThe online version of this article (doi:10.1186/s40064-015-0838-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%