0
Case Report/Case Series |

Noncontact High-Resolution Ultra–Wide-Field Oral Fluorescein Angiography in Premature Infants With Retinopathy of Prematurity

Timothy H. M. Fung, MBChB1; Mahiul M. K. Muqit, FRCOphth1; David J. Mordant, FRCOphth1; Lewis M. Smith, BA1; Chetan K. Patel, FRCOphth1
[+] Author Affiliations
1Vitreoretinal Service, Oxford Eye Hospital, John Radcliffe Hospital, Oxford, England
JAMA Ophthalmol. 2014;132(1):108-110. doi:10.1001/jamaophthalmol.2013.6102.
Text Size: A A A
Published online

Importance  We report for the first time, to our knowledge, the acquisition of noncontact ultra–wide-field oral fluorescein angiograms in premature infants with retinopathy of prematurity.

Observations  High-resolution oral fluorescein angiograms were successfully obtained in 3 consecutive premature infants with retinopathy of prematurity at the Oxford Eye Hospital, Oxford, England, using the Optos Panoramic 200MA imaging system (Optos PLC).

Conclusions and Relevance  Noncontact ultra–wide-field oral fluorescein angiograms captured using the Optos Panoramic 200MA fluorescein angiographic system provide a safe and alternative method for evaluating the retinal vasculature in premature infants with retinopathy of prematurity.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Place holder to copy figure label and caption
Figure 1.
Imaging Process With the Optos Panoramic 200MA

The premature infant is held in the “flying baby” position and images are captured when the pupil is appropriately aligned with the camera lens.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Ultra–Wide-Field Images Acquired in Case 1

A and B, Ultra–wide-field color fundus photographs of the infant demonstrate stage 3 zone 2 retinopathy of prematurity with pre–plus disease in both eyes. C and D, Ultra–wide-field oral fluorescein angiograms reveal obvious leakage at areas of neovascularization in both eyes.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.
Ultra–Wide-Field Images Acquired in Case 2

A, Ultra–wide-field color fundus photograph of the right eye reveals stage 3 posterior zone 2 retinopathy of prematurity with plus disease. B, A single fluorescein angiogram reveals more than 180° of neovascularization.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 4.
Ultra–Wide-Field Images Acquired in Case 3

A, Ultra–wide-field color fundus photograph demonstrates stage 3 zone 2 retinopathy of prematurity with plus disease. B, Ultra–wide-field oral fluorescein angiogram clearly shows the isolated neovascular tuft as well as the zone of neovascularization.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();