[optimal] Re: Optos
- From: Hackel Richard <richardhackel@xxxxxxxxx>
- To: optimal@xxxxxxxxxxxxx
- Date: Thu, 7 Aug 2014 14:50:53 -0400
To add my fond memories of the Optos, I found that even though the head
positioning situation seemed at first a little odd, that most people found it
not un-comfortable and even young children were not intimidated or scared by
sticking their head into a big dark hole. I would speculate that holding their
head made them feel more comfortable.
I think of the camera as one that excels in real estate. While the color is
often not really very accurate, the territory covered in documenting
pathologies not seen otherwise is significant.
My "last" FA was performed on the Optos. A very sick cancer patient in a
wheelchair and I was able to hold his head, inject the dye, hold the lids, and
get great pictures. Mike Kelly once showed me a good trick, and that is to just
try pulling up the brow, and that often gets the lids up at the same time and
it's a lot easier to do.
Richard
Richard Hackel
Cambridge, MA
734-395-2239
richardhackel@xxxxxxxxx
www.richardhackel.com
On Aug 7, 2014, at 1:11 PM, Steffens, Timothy wrote:
> 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
>
>
> From: Jim Perry <jimperry275@xxxxxxxxx>
> Reply-To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
> Date: Thu, 7 Aug 2014 10:08:03 -0400
> To: "optimal@xxxxxxxxxxxxx" <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!
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