Retinal Camera Oct

Rapid and simple operation with one-touch acquisition. Comprehensive Reporting. Analyze the retina, optic nerve and anterior segment with easy-to-interpret reports. High Quality Imaging. Clear, detailed OCT and true color fundus images. PinPoint Registration provides direct comparison of suspected pathology on the fundus photo, OCT B-scan and 3D map. USER-FRIENDLY: Robotic OCT and fundus camera with single-touch automated capture.
Bioptogen
WIDEFIELD SCAN: 12x9mm 3D wide scan captures macula and optic disc and includes the Hood Report for Glaucoma. HIGH RESOLUTION: Multimodal Imaging: OCT and true color fundus photography.*. COMPACT FOOTPRINT: Space-saving design fits into any practice setting . *True, full color fundus image simultaneously captured with white light, 24-bit color.
Use the form below to register for instant access to an on-demand Maestro2 demo. If you’re ready to talk to a Topcon Healthcare representative, you can call us at 1-844-9-TOPCON. For technical support, please click here. Helpful tips for operating your Maestro2. To access our complete library of eye health education, register for Topcon Healthcare University today. Empowering Providers with the Multimodal Maestro2 Read more > . Watch How This Top Practice Puts Customers First Read more > . How to Capture a Radial Anterior Segment Scan with Maestro2 Read more > . Images sourced from Topcon’s own clinical database. Want to accelerate your learning curve? Train your brain with our OCT Mastery Trainer. Listed here are 80-90% of the OCTs that you are going to be seeing.
Most OCT is used for imaging the retina, so that’s what we’ll focus on. It’s revolutionized the field of retina, helped us revise the pathophysiology of multiple diseases based on OCT evidence, and is a standard for the treatment of multiple macular diseases. Optical coherence tomography is a non-contact, high-resolution, in vivo imaging modality. It produces cross-sectional tomographic images just like ultrasound.
Decreased OCT image quality can be attributable to cataracts which block light, patient motion artifact, or any other media opacity. The macular OCT can be used to evaluate the premacular vitreous, macula, and choroid. We’ll look at the OCT through a number of common diseases. Below, we’ve highlighted a few diseases with their common OCT findings:. Wet AMD leads to intraretinal fluid (IRF) and subretinal fluid (SRF) accumulation.
Carl Zeiss Meditec
The choroidal neovascular membrane (CNV) can be visualized. This is an OCT of a pigment epithelial detachment (PED) in wet AMD with some adjacent subretinal fluid (SRF) and an overlying area of focal intraretinal fluid (IRF). Drusen: Lumps of deposits under the RPE. Geographic atrophy: Atrophy of the outer retinal layers with OCT signal penetrating deeper into the choroid. Another example of wet AMD: Eyes show fibrovascular pigment epithelial detachments (PEDs), neovascular membranes and subretinal fibrosis along with fluid.
This is classic DME with cystoid intraretinal fluid pockets in the outer plexiform layer (OPL). Subretinal fluid (SRF), which is present in severe DME, is also seen here. This central retinal vein occlusion (CRVO) causes severe cystoid macular edema (CME). There isn’t a clear differentiation between CME from CRVOs and CME from diabetic retinopathy on OCT, but the fundus appearance is obvious. In comparison to CRVO, this branch retinal vein occlusion (BRVO) shows retinal edema on the temporal side of the macula, which is a more common finding in BRVO. You know it’s the temporal side because the nasal side of the OCT has a thicker retinal nerve fiber layer (RNFL). Here is a BRVO with central macular edema. Chronic RVOs lead to inner retinal atrophy, which is also characteristic of the disease. CSR has a central SRF collection, no intraretinal fluid (IRF), and a thickened choroid. With CSR, there can often be a component of pigment epithelial detachment (PED) inside the area of serous detachment.
These PEDs can be quite large. This example of CSR displays a very thick choroid. A dense epiretinal membrane (ERM) can be seen here leading to inner retinal wrinkling and distortion of the foveal contour. A severe ERM can also be associated with cystoid macular edema. A mild-moderate ERM. Full-thickness macular holes (FTMH) are very easy to diagnose with OCT. They are always a foveal, full-thickness defect that can have associated cystoid macular edema.
Here, there is traction from the posterior hyaloid membrane that opens the hole in a “can opener” effect. Here, the posterior hyaloid has separated, leaving a central operculum and a full thickness defect. RP is a rod-cone dystrophy. The photoreceptor layer is completely lost except for a central island.
Heidelberg Technology
Along with it comes thinning of the outer nuclear layer (ONL), which is where the cell bodies of the photoreceptor cells reside. Vision loss from RP can also come from CME (cystoid macular edema) which is something to keep in mind for your RP patients. You can treat this with topical dorzolamide. A retinal detachment is usually diagnosed clinically and with exam, but shallow macular detachments are sometimes hard to appreciate early on. If any doubt, a retinal OCT can demonstrate a detachment easily. Optic nerve and nerve fiber layer OCT helps in the management of glaucoma. The OCT machines provide automated, serial analysis of the nerve fiber layer thickness, cup-to-disc ratio, and other measurements. They can compare the patient’s optic nerve and nerve fiber measurements against age-matched normal patients to show areas of loss. These analyses have become an important adjunct to visual field testing in the treatment of glaucoma.
It can also be used to track optic nerve edema. Anterior segment OCT is most commonly used to evaluate the iridocorneal angle, such as for patients with narrow angles. It can also be used for corneal biometry to measure the thickness and steepness of the cornea. AS-OCT of an eye with narrow angles. OCT is a non-contact, cross-sectional imaging modality providing high-resolution images of the macula. Wet age-related macular degeneration (AMD)Intraretinal fluid (IRF) and subretinal fluid (SRF) accumulationPigment epithelial detachments (PEDs). Intraretinal fluid (IRF) and subretinal fluid (SRF) accumulation. Pigment epithelial detachments (PEDs). Diabetic macular edema (DME)Cystoid macular edema (CME), intraretinal fluid pockets in the outer plexiform layerSRF (subretinal fluid) if severe.
Optopol/Canon
Cystoid macular edema (CME), intraretinal fluid pockets in the outer plexiform layer. SRF (subretinal fluid) if severe. Central retinal vein occlusions (CRVO)Severe CME. Branched retinal vein occlusions (BRVO)Retinal edema on temporal side of maculaChronic RVOs lead to inner retinal atrophy, which is characteristic of the disease. Retinal edema on temporal side of macula. Chronic RVOs lead to inner retinal atrophy, which is characteristic of the disease. Central serous chorioretinopathy (CSR)Central SRF (subretinal fluid) collection, no IRF (intraretinal fluid), and a thickened choroidCan have PED (pigment epithelial detachment) inside the area of SRF (subretinal fluid) accumulation. Central SRF (subretinal fluid) collection, no IRF (intraretinal fluid), and a thickened choroid. Can have PED (pigment epithelial detachment) inside the area of SRF (subretinal fluid) accumulation. Epiretinal membrane (ERM)Inner wrinkling and distortion of foveal contourCystoid macular edema if severe. Inner wrinkling and distortion of foveal contour. Cystoid macular edema if severe. Macular holeFoveal, full-thickness defectCan have associated. Foveal, full-thickness defect. Can have associated.
Epiretinal membrane (ERM)Inner retinal wrinkling and distortion of foveal contourCystoid macular edema if severe. Inner retinal wrinkling and distortion of foveal contour. Cystoid macular edema if severe. Macular holeFoveal, full-thickness defectCan have associated CME (cystoid macular edema).
Foveal, full-thickness defect. Can have associated CME (cystoid macular edema). Retinitis PigmentosaLoss of photoreceptor layer, with sparing of a central islandThinning of outer nuclear layer (ONL)CME can be present (cystoid macular edema). Loss of photoreceptor layer, with sparing of a central island. Thinning of outer nuclear layer (ONL). CME can be present (cystoid macular edema). Retinal detachmentUsually diagnosed clinically and with exam, but OCT can be used to check shallow macular detachments. Usually diagnosed clinically and with exam, but OCT can be used to check shallow macular detachments. Topcon Maestro2 is fast, multi-modality OCT/Fundus imaging and advanced data management. The Maestro2 is the complete clinical workstation for any busy practice. With a single touch, the Maestro2 automatically performs alignment, focus, optimizing, and capturing. After capturing, the report can be immediately displayed by clicking on the icon. In addition to automated capture, the Maestro2 offers manual/semi-manual options for difficult-to-image patients.
Optos
The Maestro2 has an integrated full-color fundus camera. With one touch, you can simultaneously acquire a posterior OCT image and a true color fundus image. This allows for PinPoint Registration and structural confirmation of the pathology. A small pupil function is also available, as well as fundus only capture. The Topcon Maestro2 also features IMAGEnet 6 capture software for dynamic viewing of OCT and imaging data. Additionally, Topcon’s exclusive PinPoint Registration precisely matches specified areas within OCT, and OCTA scans upon the color fundus image. The Maestro2’s new follow-up scan feature scans the same location at each patient visit, beneficial for follow-up visits and tracking disease over time. An extensive portfolio of the macula, anterior, and glaucoma reports allows the practitioner access to advanced diagnostic data. Full automation (alignment, focus, and capture) 3D OCT and fundus capture technology, combined with automatic report functions, delivers fast office workflow and ensures that any of your staff can easily take images.
Comprehensive assessment of ONH and macula in one scan with innovative 12mm x 9mm scanning protocol. Extensive Reference Database of RNFL, Total Retinal, GCL + IPL, and GCL + IPL + RNFL thickness measurements. 50,000 A Scans/sec Spectral Domain OCT with a non-mydriatic color fundus camera saves space and saves the expense of purchasing 2 systems. High-quality images – 2D, 3D, and fundus images. PinPoint™ Registration of OCT image with fundus image. Latest automatic layer segmentation algorithms.
Optovue
All-in-one compact system to fit small office settings. Online instrument training program significantly reduces training time of new staff.
With a single touch, the Maestro2 automatically performs alignment, focus, optimizing, and capturing. After capturing, the report can be immediately displayed by clicking on the icon. MANUAL/SEMI-AUTO CAPTURING. In addition to automated capture, the Maestro2 offers manual/semi-manual options for difficult-to-image patients. Topcon could not have made OCT capturing any easier by introducing the Maestro2, a near fully automated instrument combining fundus photography, anterior OCT, posterior OCT, and possibly in the future (pending FDA clearance) OCT-A as well. Due to the automation of the Maestro2, it was by far the fastest instrument we tested, as the speed of the acquisition surprised both our patient and me. However, if you have an SD-OCT in your office now, you’ll understand that the actual scanning time is negligible.
It’s the alignment, focusing, and image plane selection that takes so much technician time. To have an automated instrument in a busy practice would be valuable. Still, I would wonder about reliability in patients with fixation loss, such as a patient with advanced macular degeneration with geographic atrophy. Would they be able to fixate where necessary? In such cases, manual fixation will need to be used. The Maestro2 captures a 12mm x 9mm widefield OCT scan, encompassing both the macula and disc. Ideal for an annual eye exam, this scan reduces patient testing time. It provides thickness and reference data for the retina, RNFL, GCL+, GCL++, and Disc topography, including automated LCDR values.
The Maestro2 has the added advantage of Anterior Segment OCT scanning capability without an additional expensive/external lens. By simply adding the anterior headrest support, the Maestro2 can capture corneal, and chamber angle scans together with the ability to measure corneal thickness using the integrated caliper tools. Tear meniscus height can also be visualized and measured together. A high-resolution B-scan and smooth 3D graphics facilitate the observation of pathology and each layer of the retina.
Topcon
High-quality color fundus photography gives fundamental and additional information. The OCT and color fundus is an inseparable combination for daily diagnosis.
The Maestro2 is a fully automated OCT system that can capture high-resolution non-mydriatic, true color fundus photography, OCT, and OCTA with the single press of a button. This multimodal system also now offers the “Hood Report” for glaucoma structure/function analysis. Additionally, according to Topcon, it features a 360° rotating intuitive touchscreen, a small footprint, and a space-saving design. The Topcon Maestro2 provides rich analysis functions for the Macula and Glaucoma. Comprehensive, predefined reports can be quickly printed or sent to your image management system.
“The Maestro2 is the culmination of our efforts to deliver a powerful OCT system that features not only exceptional image quality and advanced diagnostic capabilities such as OCTA but also offers the practitioner workflow enhancements, detailed image analysis, and reporting functions, and data management capabilities,” John Trefethen, Vice President of Global Marketing & Product Design for Topcon, said in the news release.
“With the addition of fully automated OCTA, the Maestro2 truly is the most comprehensive OCT system in the marketplace, and we are excited to bring this innovative technology to eye care specialists around the globe.”. Interested in a cheaper one?
Find Topcon 3D OCT-1 Maestro.