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C.R. Gonzales, A. Gupa, T.A. Young, D. Telander, C. Mango, R. Wirthlin, A.E. Kreiger, S.D. Schwartz; Peripheral Angiographic Evaluation of Vitreoretinal Diseases Using the Optos Panoramic200ATM Imaging System . Invest. Ophthalmol. Vis. Sci. 2005;46(13):2576.
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Purpose: To evaluate the utility of wide angle fluorescein angiography with the Optos Panoramic200ATM Imaging System in a variety of diseases affecting the retina and choroid. Methods: The Optos Panoramic200ATM was used to simultaneously image the posterior pole and retinal periphery angiographically in conditions affecting the vitreous, retinal vasculature, retinal pigment epithelium, and choroid. Conditions included asteroid hyalosis, Coats’ disease, diabetic retinopathy, central retinal vein occlusion, branch retinal vein occlusion, retinal detachment, traumatic macular hole, retinoschisis, retinal vasculitis, idiopathic polypoidal choroidal vasculopathy, age–related macular degeneration, peripheral disciform degeneration, sarcoidosis, angioid streaks in pseudoxanthoma elasticum, coloboma, presumed ocular histoplasmosis syndrome, punctuate inner choroidopathy, congenital hypertrophy of the retinal pigment epithelium, and choroidal melanoma. Results: High resolution, clinically useful macular and retinal peripheral images were acquired in all eyes studied Previously unrecognized, rarely appreciated, and/or clinically meaningful peripheral angiographic findings upon which treatment decisions were based were observed in a number of cases Conclusions: The Optos Panoramic200ATM Ultrawidefield Angiography System exceeded expectations in terms of image quality and peripheral angiographic data. In the relatively few patients studied, rarely appreciated peripheral angiographic features and clinically meaningful data were obtained. This panoramic angiographic system may become an important diagnostic option in the evaluation and treatment of vitreoretinal diseases.
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