June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Ultra-wide field fluorescein angiography using wireless hand-held retinal camera in pediatric retinal conditions
Author Affiliations & Notes
  • Syed Ali
    ophthalmology, moorfields eye hospital centre abu dhabi, Abu Dhabi, AD, United Arab Emirates
  • Igor Kozak
    ophthalmology, moorfields eye hospital centre abu dhabi, Abu Dhabi, AD, United Arab Emirates
  • Footnotes
    Commercial Relationships   Syed Ali None; Igor Kozak None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 3271 – A0323. doi:
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    • Get Citation

      Syed Ali, Igor Kozak; Ultra-wide field fluorescein angiography using wireless hand-held retinal camera in pediatric retinal conditions. Invest. Ophthalmol. Vis. Sci. 2022;63(7):3271 – A0323.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Ultra-wide field retinal imaging has become a useful tool for diagnosing and monitoring pediatric retinal diseases especially those affecting the retinal periphery. Recently, wireless retinal camera system has been used for ultra-wide field imaging mostly in pediatric population. This study investigated its additional feature, fundus fluorescein angiography (FFA) in diagnosing, treatment and follow-up monitoring of pediatric retinal conditions.

Methods : In this pilot, consecutive case series, the eyes with various retinal diseases were imaged at three sites: Moorfields Eye Hospital Abu Dhabi, Danat Al Emarat Hospital for Women and Children an d Kanad Hospital in al Ain, United Arab Emirates. PanoCam wireless hand-held retinal camera with built-in LED screen (Visunex, San Ramon, CA, U.S.A.) was used. Photos were taken of the posterior pole, including the optic nerve and macula and extended to 130° to include superior, inferior, nasal, and temporal retinal fields. Full control of illumination and image sharpness was achieved by finger control and focusing on working area and not on the screen. Weight calculate dose of fluorescein dye was injected intravenously and individual frames were captures. Images with significant artifacts were removed.

Results : Ultra-wide field fundus image acquisition and analysis was carried out in a total of 42 eyes of 21 children during the period from January and December 2020. Eight patient (16 eyes) had ultra-wide field FFA. All examination were uneventful. Patients were aged between 0 - 50 months, with mean age of 4.7 months. Of all 21 children, 11 were male and 10 were female. The diagnoses included retinopathy of prematurity, Coat’s disease, familiar exudative vitreoretinopathy, retinoschisis and others. Case management between different sites was made easy by sharing on Cloud.

Conclusions : By providing high quality fundus fluorescein angiograms the wireless hand-held retinal camera system is a suitable platform for diagnosis, treatment and follow-up monitoring of pediatric retinal diseases.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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