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Use of wide field digital retinal imaging (RET CAM II) in paediatric retinal diseases
Author(s) -
PINELLO L,
MAZZAROLO M
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.t118.x
Subject(s) - medicine , ophthalmology , fundus (uterus) , retinal , coloboma , retina , retinopathy of prematurity , choroid , optic disc , fundus photography , fluorescein angiography , gestational age , pregnancy , physics , genetics , biology , optics
Abstract Purpose To report our experience using the RetCam II to evaluate retinal pathology and morphology in children who did not cooperate for standard examination and to follow them by monitoring changes and development of the diseases Methods We reviewed charts of 107 consecutive uncooperative children with fundus abnormalities that were photographed using the RetCam as a routine part of patient care.Since 2004 detailed diagnostic examination with use of RetCam II was performed in children with ocular tumors, vitreo‐retinal dysplasia, hereditary retinal dystrophies, ROP, congenital abnormalities of optic disc, retinal haemorrhages in shaking injury, neuroretinitis. All eyes were dilated with 1% tropicamide. 0.4% oxibuprocaine drops were used prior image acquisition. A blefarostat was used to keep the eye lids wide apart during the examination.The children were directed to lie supine, under sedation. Results The authors report cases series: 7 cases of Ret Cam imaging (2 siblings with gyrate atrophy of the choroid and retina after reduction of plasma ornithine with diet; 1 Pedler’s coloboma with overlay of the peripapillary retina,2 cases with retinal haemorrhages in shaking injury in the acute phase and until the bleeding reabsorption,1 infant with early onset autosomal dominant hereditary rod‐cone dystrophy , 1 optic nerve glioma extending to the retina, 1 case with chorioretinal dysplasia in systemic disease. Conclusion In this study analysis of RetCam digital images allowed to evaluate objectively, to determine exactly the areas of the disease, and to estimate changes and worsening.In our cases series the wide‐field digital ophthalmic camera provided a new tool for the evaluation and precise documentation in paediatric retinal disease.