Click image to enlarge.Īs we know, the retina is divided into various regions, including the posterior pole, equator and periphery. Severe nonproliferative diabetic retinopathy captured with the DRSplus (iCare). To maximize interpretation of these modalities, a basic understanding of retinal anatomy is necessary. UWF imaging encompasses various modalities, including color fundus photography (using true color laser/confocal scanning laser ophthalmoscopy), UWF optical coherence tomography (OCT), fundus autofluorescence (FAF), fluorescein angiography (FA) and indocyanine green (ICG) angiography. The introduction of UWF imaging has enabled image capture into the far periphery and has brought on a renewed interest in peripheral retinal abnormalities and their impact on various disease entities. ![]() 2 Standard imaging solely encompasses the posterior pole, retinal blood vessels, macula and optic nerve head. UWF imaging is a single-capture view of the retina in the far periphery in all four quadrants. Widefield is defined as a single-capture image centered on the fovea that includes the retina in all four quadrants posterior to and including the vortex vein ampullae. To establish consistent nomenclature regarding imaging of the retinal periphery, the International Widefield Imaging Study Group published guidelines on “widefield” and “ultra-widefield (UWF)” peripheral retinal imaging. Diagnostic advances have since allowed for adequate visualization of the retinal periphery, which has become essential in the screening, diagnosis, monitoring and treatment of vision-altering diseases. Early imaging modalities helped capture the posterior pole however, imaging of the retinal periphery was not viable. 1 Advances in diagnostic technology have led to a broader understanding of retinal and choroidal disease and have provided new and innovative ways of evaluating the retina. R etinal imaging has dramatically evolved since the advent of the first ophthalmoscope in 1851. The Review Education Group planners, managers and editorial staff have nothing to disclose. Managers and Editorial Staff: The PIM planners and managers have nothing to disclose. Acuña and Alloju have no financial interests to disclose. Rodman receives consulting fees from Optovue, Maculogix and iCare. Those involved reported the following relevant financial relationships with ineligible entities related to the educational content of this CE activity: Authors: Dr. PIM is committed to providing its learners with high-quality, accredited CE activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company. All identified conflicts of interest are thoroughly vetted and mitigated according to PIM policy. Check with your local state licensing board to see if this counts toward your CE requirement for relicensure.ĭisclosure Statements: PIM requires faculty, planners and others in control of educational content to disclose all their financial relationships with ineligible companies. Reviewed by: Salus University, Elkins Park, PAįaculty/Editorial Board: Julie Rodman, OD, MSc, Veronica Acuña, OD, and Pooja Alloju, ODĬredit Statement: This course is COPE approved for 2 hours of CE credit. PIM is accredited by COPE to provide CE to optometrists. ![]() PIM is jointly accredited by the Accreditation Council for Continuing Medical Education, the Accreditation Council for Pharmacy Education and the American Nurses Credentialing Center to provide CE for the healthcare team. Target Audience: This activity is intended for optometrists engaged in managing patients with peripheral retinal disease.Īccreditation Statement: I n support of improving patient care, this activity has been planned and implemented by PIM and the Review Education Group. Diagnose peripheral retinal lesions and initiate management.Review what conditions can arise in the peripheral retina.Recognize what these conditions look like on OCT imaging and other observational techniques.Use OCT imaging to differentiate peripheral retinal lesions and degenerations.Discuss peripheral retinal imaging and disease assessment.Jointly provided by Postgraduate Institute for Medicine (PIM) and Review Education GroupĮducational Objectives: After completing this activity, the participant should be better able to: īy Julie Rodman, OD, MSc, Veronica Acuña, OD, and Pooja Alloju, ODĮstimated Time to Complete Activity: 2 hours Using the right tools can help differentiate lesions and degenerations in this region. Peripheral Retinal Imaging and Disease Assessment
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