Wide-Field Imaging with NAVILAS Laser System

Purpose: to study the potential of wide-field imaging with NAVILAS laser system.Material and methods. In this study we included patients diagnosed with indirect ophthalmoscopy as having one of the follows: diabetic retinopathy (6 eyes), central retinal vein occlusion (5 eyes), choroidal melanoma (3...

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Main Authors: A. N. Kulikov, D. S. Maltsev, M. A. Burnasheva, V. V. Volkov, V. F. Danilichev, R. L. Troyanovskiy
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2019-06-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/958
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author A. N. Kulikov
D. S. Maltsev
M. A. Burnasheva
V. V. Volkov
V. F. Danilichev
R. L. Troyanovskiy
author_facet A. N. Kulikov
D. S. Maltsev
M. A. Burnasheva
V. V. Volkov
V. F. Danilichev
R. L. Troyanovskiy
author_sort A. N. Kulikov
collection DOAJ
description Purpose: to study the potential of wide-field imaging with NAVILAS laser system.Material and methods. In this study we included patients diagnosed with indirect ophthalmoscopy as having one of the follows: diabetic retinopathy (6 eyes), central retinal vein occlusion (5 eyes), choroidal melanoma (3 eyes), rhegmatogenous retinal detachment (4 eyes), and peripheral chorioretinal degeneration (10 eyes). Using NAVILAS 532 laser system and a wide-field contact lens (HR Wide Field (VOLK)) a wide-field central image and a panoramic (consisted of 4 to 6 images) images were obtained in all patients. Fundus images were evaluated according to their diagnostic value versus indirect ophthalmoscopy and wideness of the viewing angle versus standard color fundus photography (55°). In each patient within a single session were obtained: 1) a central fundus image and 2) panoramic image (4-field and in dynamic mode). In a subgroup of patients with central retinal vein occlusion and lattice retinal degeneration, we studied the ability of simultaneous laser photocoagulation wide-field imaging.Results. A single field images obtained with NAVILAS allows to visualize up to 130.3 ± 9.6° of the eye fundus while four-field and dynamic acquisition up to 150.1 ± 8.9° and 171.3 ± 17.0°, respectively. Representative findings of diabetic retinopathy, central retinal vein occlusion, choroidal melanoma, rhegmatogenous retinal detachment, and peripheral lattice degeneration were identified in all cases. Insufficient visualization was found for “snail track” degeneration because the subtle retina and choroid changes were hardly seen on the low magnified image. In 4 patients with lattice retinal degeneration and 3 patients with central retinal vein occlusion within a single session, both wide-field imaging and laser photocoagulation were performed. Surgical goals were achieved in all cases.Conclusion. Wide-field imaging with NAVILAS laser system demonstrated high potential in the documentation of the most widely spread eye fundus disease the and represents an adequate alternative for wide-field fundus cameras. Aside from wide-field imaging this approach also allows for simultaneous laser photocoagulation in entire eye fundus including far peripheral retina.
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spelling doaj-art-00aa0649feec4dc18363616dc055baba2025-08-20T02:56:15ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452019-06-0116221021710.18008/1816-5095-2019-2-210-217541Wide-Field Imaging with NAVILAS Laser SystemA. N. Kulikov0D. S. Maltsev1M. A. Burnasheva2V. V. Volkov3V. F. Danilichev4R. L. Troyanovskiy5Military Medical Academy, Department of OphthalmologyMilitary Medical Academy, Department of OphthalmologyMilitary Medical Academy, Department of OphthalmologyMilitary Medical Academy, Department of OphthalmologyMilitary Medical Academy, Department of OphthalmologyMilitary Medical Academy, Department of OphthalmologyPurpose: to study the potential of wide-field imaging with NAVILAS laser system.Material and methods. In this study we included patients diagnosed with indirect ophthalmoscopy as having one of the follows: diabetic retinopathy (6 eyes), central retinal vein occlusion (5 eyes), choroidal melanoma (3 eyes), rhegmatogenous retinal detachment (4 eyes), and peripheral chorioretinal degeneration (10 eyes). Using NAVILAS 532 laser system and a wide-field contact lens (HR Wide Field (VOLK)) a wide-field central image and a panoramic (consisted of 4 to 6 images) images were obtained in all patients. Fundus images were evaluated according to their diagnostic value versus indirect ophthalmoscopy and wideness of the viewing angle versus standard color fundus photography (55°). In each patient within a single session were obtained: 1) a central fundus image and 2) panoramic image (4-field and in dynamic mode). In a subgroup of patients with central retinal vein occlusion and lattice retinal degeneration, we studied the ability of simultaneous laser photocoagulation wide-field imaging.Results. A single field images obtained with NAVILAS allows to visualize up to 130.3 ± 9.6° of the eye fundus while four-field and dynamic acquisition up to 150.1 ± 8.9° and 171.3 ± 17.0°, respectively. Representative findings of diabetic retinopathy, central retinal vein occlusion, choroidal melanoma, rhegmatogenous retinal detachment, and peripheral lattice degeneration were identified in all cases. Insufficient visualization was found for “snail track” degeneration because the subtle retina and choroid changes were hardly seen on the low magnified image. In 4 patients with lattice retinal degeneration and 3 patients with central retinal vein occlusion within a single session, both wide-field imaging and laser photocoagulation were performed. Surgical goals were achieved in all cases.Conclusion. Wide-field imaging with NAVILAS laser system demonstrated high potential in the documentation of the most widely spread eye fundus disease the and represents an adequate alternative for wide-field fundus cameras. Aside from wide-field imaging this approach also allows for simultaneous laser photocoagulation in entire eye fundus including far peripheral retina.https://www.ophthalmojournal.com/opht/article/view/958wide-field imagingnavigated laser therapydiabetic retinopathycentral retinal vein occlusionchoroidal melanomarhegmatogenous retinal detachmentperipheral chorioretinal degeneration
spellingShingle A. N. Kulikov
D. S. Maltsev
M. A. Burnasheva
V. V. Volkov
V. F. Danilichev
R. L. Troyanovskiy
Wide-Field Imaging with NAVILAS Laser System
Oftalʹmologiâ
wide-field imaging
navigated laser therapy
diabetic retinopathy
central retinal vein occlusion
choroidal melanoma
rhegmatogenous retinal detachment
peripheral chorioretinal degeneration
title Wide-Field Imaging with NAVILAS Laser System
title_full Wide-Field Imaging with NAVILAS Laser System
title_fullStr Wide-Field Imaging with NAVILAS Laser System
title_full_unstemmed Wide-Field Imaging with NAVILAS Laser System
title_short Wide-Field Imaging with NAVILAS Laser System
title_sort wide field imaging with navilas laser system
topic wide-field imaging
navigated laser therapy
diabetic retinopathy
central retinal vein occlusion
choroidal melanoma
rhegmatogenous retinal detachment
peripheral chorioretinal degeneration
url https://www.ophthalmojournal.com/opht/article/view/958
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AT dsmaltsev widefieldimagingwithnavilaslasersystem
AT maburnasheva widefieldimagingwithnavilaslasersystem
AT vvvolkov widefieldimagingwithnavilaslasersystem
AT vfdanilichev widefieldimagingwithnavilaslasersystem
AT rltroyanovskiy widefieldimagingwithnavilaslasersystem