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  • Title: Comparison of Digital Widefield Retinal Imaging With Indirect Ophthalmoscopy in Pediatric Patients.
    Author: Ramkumar HL, Koduri M, Conger J, Robbins SL, Granet D, Freeman WR, Saunders L, Ferreyra H, Weinreb RN, Nudleman E.
    Journal: Ophthalmic Surg Lasers Imaging Retina; 2019 Sep 01; 50(9):580-585. PubMed ID: 31589756.
    Abstract:
    BACKGROUND AND OBJECTIVE: Approximately 16,000 children in the United States lose vision each year because of retinal disease. The authors compare digital ultra-widefield (UWF) photography to indirect ophthalmoscopy in children. PATIENTS AND METHODS: Prospective, single-center study of patients ages 3 to 17 years. Retinal area during indirect ophthalmoscopy was compared with retinal area in digital UWF fundus photographs. Image quality was graded. A survey to assess the usefulness of the retinal image was obtained. RESULTS: The retinal area (mean ± standard deviation, mm2) evaluated with indirect ophthalmoscopy was 413 ± 194 mm2, compared with 652 ± 117 mm2 with widefield photography (P < .001). The difference was largest in children younger than 14. Image quality was significantly associated with patient cooperation. CONCLUSIONS: High-quality UWF photographs evaluate more peripheral retina than the in-office dilated funduscopic exam in children under 14. Photography assisted with family counseling in 17% of patients and the avoidance of examination under anesthesia in 2% of patients. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:580-585.].
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