Non-contact ultra-widefield retinal imaging and fundus fluorescein angiography of an infant with incontinentia pigmenti without sedation in an ophthalmic office setting

Non-contact ultra-widefield retinal imaging of infants with suspected abusive head trauma

“…[8][9][10][11] Mydriasis was achieved with topical phenylephrine 2.5% and cyclopentolate 0.5%. Topical proxymetacaine 0.5% was instilled into each eye followed by insertion of a paediatric Lieberman speculum to part the eyelids, secured to the temple with Micropore tape.…”

“…We have not encountered any adverse events in infants undergoing non-contact Optos P200MA imaging in our centre-across any indication-using the 'flying baby position' in more than 100 examinations to date. [8][9][10][11] Larger numbers of Optos non-contact imaging studies are required before definitive conclusions can be made regarding safety.…”

“…[8][9][10][11] Colour images of both eyes in this series took o5 min in each infant. Retinal haemorrhages are present bilaterally in 83% of infants with AHT 1 ; 2 images are required with Optos P200MA compared to 10-12 images with RetCam (typically 5-6 images are required for each eye to capture the entire retinal periphery which may be montaged).…”

“…When our Retcam was not available in the ophthalmology outpatient facility, we started using the Optos P200MA Scanning Laser Ophthalmoscope (Optos, Dunfermline, UK), which has been demonstrated to attain high-quality retinal images in infants with retinopathy of prematurity (ROP), 8,9 incontinentia pigmenti, 10 and other paediatric retinal disorders 11 without the need for ocular contact. Optos captures a 200°retinal field enabling documentation of the retinal periphery in a single image, typically without the need for sedation.…”

Non-contact ultra-widefield imaging of retinopathy of prematurity using the Optos dual wavelength scanning laser ophthalmoscope

“…1 We had successfully obtained an oral fluorescein angiogram using a non-contact ultra-widefield scanning laser ophthalmoscope system in an infant referred for the management of incontinentia pigmenti and decided to use the ophthalmoscope to monitor the therapeutic response to intravitreal injection of bevacizumab. 2 We felt that the quality of noncontact ultra-widefield imaging (NC-UWFI) was superior to Retcam in many ways. On the…”