[optimal] Re: Fundus Camera Woes

From: Dennis West <dwestcra@xxxxxxxxxxxxx>
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Date: Wed, 1 Aug 2018 15:38:28 +0000 (UTC)

I have been using a system for the last 7 years that is made by Imacam.  I
shoot on a Topcon 50 X and 50 IA and would not trade it for anything new.  It
uses a full frame Canon DSLR 5d MkII,  that has the ability to shoot at 21
megapixels, but shooting at 6 MP is more than enough for super high quality
images. You can adjust the sensor ISO to help out with difficult patients that
we all get It can export in any file type that you could ever need. No
financial interest.
Dennis M. West, CRA
Dennis M. West, CRA, PAdwestcra@xxxxxxxxxxxxx

    On Wednesday, August 1, 2018 8:32 AM, Steve Lusk <slusk@xxxxxxxxxxxxx>
wrote:

#yiv9986193951 #yiv9986193951 -- P
{margin-top:0;margin-bottom:0;}#yiv9986193951 I'm with you guys. I still have 5
Topcon 50EX's and I hope to work them until they drop.
Steve Lusk, CRAVistar Eye Center Retina Consultantsphone (540)342-3400 ext.
4731cell (540)420-2232slusk@vistareye.comretina@vistareye.comFrom:
optimal-bounce@xxxxxxxxxxxxx <optimal-bounce@xxxxxxxxxxxxx> on behalf of
Bennett, Timothy <tbennett1@xxxxxxxxxxxxxxxxxxxxxxx>
Sent: Wednesday, August 1, 2018 8:28:24 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Fundus Camera Woes #yiv9986193951 #yiv9986193951
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You hit the nail on the head Jeremy. If it weren’t for clinical trials, I think
the traditional mydriatic fundus camera would be long gone by now. There just
isn’t much of a market for them these days unless you do study imaging. That’s
why a lot of places do everything they can to keep their old workhorse cameras
running for as long as they can. That’s also why there isn’t a device
comparison like Denice is looking for. If you want to purchase a new
traditional mydriatic fundus camera, there is only one choice in the US. Same
with many other modalities. There may be only one or two devices to choose from
once you decide on modality. The exception would be non-myds or myd/non-myd
hybrids where you have choices. Makes sense because there’s a market for
cameras that are perceived to be easier for the jack-of-all-trades tech to use.
I was consulting with a retina practice last week that was looking to replace
an older fundus camera because the techs there thought it was difficult to use.
The docs were satisfied with the images, so I advised them to keep it running
as long as possible and put that money into a modality they don’t already have.
They were surprised at that. I’ve also had a difficult time convincing some
docs that this is the time we live in. Manufacturers have to make compromises.
Sometimes they sacrifice quality for reliability and ease of use. We have a doc
who’s updating his retinal atlas and complains constantly about the current
state of image quality. We had to replace an aging system last year and he
hates the new images. As he edits his book, he’s comparing the new images with
the best of 15 years worth of images  from our old system. When we replaced it,
we got the best system possible. But he’s right, the images aren’t as good as
we could get in the past. I’ve explained the current state of technology to
him, but he’s not convinced. He’s skeptical saying that doesn’t make sense
because every year the camera in his iPhone keeps getting better, the same
should be true of fundus camera sensors. I keep pointing out to him there’s a
market for better smart phones, there isn’t for traditional fundus
cameras/sensors. All the R&D is going into newer technologies & modalities. I
could probably write a book on this topic, but I’ll stop here! tim From:
optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx]On Behalf Of ;
Jeremy Pantell
Sent: Wednesday, August 01, 2018 6:49 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Fundus Camera Woes Tim:Thanx for writing.  I just can't
imagine NOT having full MANUAL control when dealing with a challenging patient,
ie small pupil, poor fixation, cataract.  I guess I was lucky enough to have a
Classic Zeiss to use when I was called upon to do stereo discs or seven fields
studies.regards, Jeremy p. pantell, cra retired On Tuesday, July 31, 2018 4:53
PM, "Bennett, Timothy" <tbennett1@xxxxxxxxxxxxxxxxxxxxxxx> wrote: That’s
correct Jeremy, the 450 is no longer made or sold. I believe Zeiss will
continue to support it for a few years. To my knowledge the Topcon 50DX is the
only mydriatic camera still being sold in the US. The emphasis is more towards
ultra-widefield and hybrid devices (combination non-myd/myd, etc).
From:optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx]On ;
Behalf Of Jeremy Pantell
Sent: Tuesday, July 31, 2018 4:45 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Fundus Camera Woes Tim: Was just reading your article.
The Zeiss 450 is no longer in production?  What about support? Jeremy p.
pantell, cra retired On Tuesday, July 31, 2018 2:02 PM, "Bennett, Timothy"
<tbennett1@xxxxxxxxxxxxxxxxxxxxxxx> wrote: This might not be specific enough
for you, but this article from the current issue of Ophthalmic Professional
gives a current overview:
https://www.ophthalmicprofessional.com/issues/2018/july-august-2018/modes-of-retinal-imaging
If I had to replace a traditional fundus camera right now, I have no idea what
I’d get…. Good luck, tim From:optimal-bounce@xxxxxxxxxxxxx
[mailto:optimal-bounce@xxxxxxxxxxxxx]On Behalf Of Barsness, Denice
Sent: Tuesday, July 31, 2018 1:30 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Fundus Camera Woes Try as I might, I do not find a
comprehensive overview of current fundus systems, non myd or otherwise, where I
can do a quick at a glance comparison of featuresIf it’s out there, and I
missed, it, someone please enlighten me If I had a budget of 50-60K, to
purchase a camera, what would my tribe recommend? Full disclosure, I’ve been a
dedicated Topcon 50 series/ OIS Winstation kinda gal for the past two
decadesOpen to new ideas…. D. Denice Barsness, CRA, COMT, CDOS, FOPSCPMC Dept
of Ophthalmology/ The Eye InstituteOphthalmic Diagnostic Services711 Van Ness
Avenue Suite 250San Francisco CA 94109415-600-5781FAX 415-558-7011
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Follow-Ups:
- [optimal] Re: Fundus Camera Woes
  - From: Egnatz, Thomas

References:
- [optimal] Re: Fundus Camera Woes
  - From: Jeremy Pantell
- [optimal] Re: Fundus Camera Woes
  - From: Bennett, Timothy
- [optimal] Re: Fundus Camera Woes
  - From: Steve Lusk

[optimal] Re: Fundus Camera Woes

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