[optimal] Re: Optos

  • From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
  • To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
  • Date: Thu, 7 Aug 2014 10:32:55 -0700

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Steffens, Timothy
Sent: Thursday, August 07, 2014 10:12 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Optos

We've had a 200Tx for quite a while here at Kellogg and it's connected to OIS. 
We love it. It works well on all patients, large, small, small pupils, adults 
and kids. The youngest we've done is a 9 month old, awake and alert.

I regularly take off the blue cover because I get a slightly wider field of 
view and it's easier to position the patient. You need to watch out for the 
bump on the lower opening. It can rub against the patient's nose. We also taken 
off the small head rest band. It not necessary and with it off, allows 
patient's with larger heads to get into position better. Nasal to temporal 
images are great but superior and inferior are about 100 degrees. There are 
enough pixels to zoom into the images too or to send in for the Scientific 
Exhibit. :)

The biggest issue you'll have is positioning and getting lashes out of the way. 
Unlike a regular fundus camera you can't move it. You need to move the 
patient's head or chin. Also you only view the patient's pupil until you take 
the image. Lashes are tough too but with the blue mask off you can get to the 
lids easier.

Angiography is a simple and straight forward and so is FAF. The color images 
are very green but that's to be expected because it only has a red and green 
laser. They could add a blue laser but the acquisition time would decrease and 
you would end up with more lids. A white light laster would just cost to much.

Thanks,
Tim Steffens


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