Heidelberg spectralis ultra-widefield fundus fluorescein angiography in infants.

Journal article

PURPOSE: To describe the intraoperative use of the Heidelberg Spectralis for ultra-widefield fundus fluorescein angiography in infants. DESIGN: Retrospective observational case series. METHODS: A modified Heidelberg Spectralis was used to perform ultra-widefield fundus fluorescein angiography in infants undergoing an examination under general anesthesia for a range of retinal vasculopathies. Peripheral angiographic findings, angiographic image acquisition time, and any complications were reviewed. RESULTS: A total of 22 eyes of 11 infants underwent intraoperative ultra-widefield fundus fluorescein angiography using the modified Heidelberg Spectralis. Ultra-widefield fundus fluorescein angiography was successfully performed in all infants and permitted capture of the posterior pole as well as the peripheral retina in a single shot centered on the macula. Peripheral retinal pathologies captured include neovascularization, capillary nonperfusion, and skip areas from previous laser treatment. Capturing of angiographic images took a mean time of 7.09 minutes. Image artifact from condensation of the ultra-widefield lens was noted during imaging of 1 infant. CONCLUSIONS: The modified Heidelberg Spectralis is an effective and reliable imaging tool for performing ultra-widefield fundus fluorescein angiography in infants. It is capable of capturing wide-angle images of high quality. The technique has advantages as an alternative to RetCam fluorescein angiography in infants undergoing an examination under general anesthesia.

Authors: Fung, T; Yusuf, I; Xue, K; Smith, L; Patel, C

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: Elsevier
• Journal: American journal of ophthalmology
• Volume: 159
• Issue: 1
• Pages: 78-84.e2
• Publication date: 2015-01-01
• DOI: 10.1016/j.ajo.2014.09.030
• EISSN: 1879-1891
• ISSN: 0002-9394
• Language: English