I agree. If you have a glaucoma specialist he will hate your optic nerve photos. occ. If the pt has trouble holding still you can have different size discs. We have one and it is not user friendly, get use to not seeing the pathology 1st person, as your use to w/your Topcon. I use to give our sales rep heck with all my complaints. So when I mentioned this to our retina doc. Her response was “it’s easier for the pt” which after I thought about it I realized it is. Less photos = Less flash = Happy pt. Hope this all helps.. Sincerely, Andy Sanchez, COA Ophthalmic Photographer 210-358-7631 Eye Clinic-TDI 701 S. Zarzamora San Antonio, TX 78207 Sancheza6@xxxxxxxxxxx From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Paula Morris Sent: Thursday, August 07, 2014 10:28 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Optos Great response, Tom. I concur P From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Tom Steele Sent: Thursday, August 07, 2014 9:29 AM To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx> Subject: [optimal] Re: Optos Jim, I was one of the beta testers in 2008. This is not meant to be a replacement for 30 and 35 degree field fundus cameras. Holding eyelids is a challenge, there seems to be a swath of the image (middle) which is much sharper than the top and bottom of the image. Perhaps this was changed in the newer models in the last 6 years. Eye lashes sometimes are a problem with images, color imaging is not very accurate, tends to lean heavy on the green side. I like the wide angle, great for getting images out in the peripheral retina. The tight field imaging is still wider than tradition 30 and 35 degree cameras. Like all machines some will hate it others will praise it. The wide angle imaging complements the other imaging systems in the office: ie. Topcon, Zeiss and Heidelberg. Thank You, Tom Steele, CRA Midwest Eye Institute 200 West 103rd Street Indianapolis, Indiana 46290 317.817.1018 tsteele@xxxxxxxxxxxxxx<mailto:tsteele@xxxxxxxxxxxxxx> CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is confidential and/or privileged. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone and return the original message to us at the above email address From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> [mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On Behalf Of Jim Perry Sent: Thursday, August 07, 2014 10:08 AM To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx> Subject: [optimal] Optos Our retinal practice is planning to purchase the Optos 200tx.We will demo it for a month,with plans to add it as a second imaging device.We also have a Topcon 50dx and 50 ix, which will be moved to our seldom used sattelite office.I'd like to know what others experience and opinions are of the 200tx. Thanks!