Ultra-widefield retinal imaging through a black intraocular lens.


PURPOSE To evaluate the feasibility of ultra-widefield retinal imaging in patients with near infrared (IR)-transmitting black intraocular lenses (IOLs). SETTING Oxford Eye Hospital, Oxford, United Kingdom. DESIGN Laboratory evaluation of a diagnostic technology with interventional case report. METHODS The field of retinal imaging through a Morcher poly(methyl methacrylate) (PMMA) black IOL was determined in a purpose-built adult schematic model eye with the HRA2 Spectralis confocal scanning laser ophthalmoscope using standard imaging, Staurenghi retina lens-assisted imaging, and ultra-widefield noncontact imaging. Retinal imaging using each modality was then performed on a patient implanted with another Morcher PMMA black IOL model. RESULTS Ultra-widefield noncontact imaging and lens-assisted imaging captured up to 150 degrees of field (versus 40 degrees with a standard confocal scanning laser ophthalmoscope). Ultra-widefield retinal images were successfully acquired in a patient eye with a black IOL. CONCLUSIONS This study has identified the first ultra-widefield retinal imaging modalities for patients with near IR-transmitting black IOLs. Should larger studies confirm this finding, noncontact ultra-widefield confocal scanning laser ophthalmoscopy might be considered the gold standard imaging technique for retinal surveillance in patients with near IR-transmitting black IOLs. FINANCIAL DISCLOSURE No author has a financial or proprietary interest in any material or method mentioned.

DOI: 10.1016/j.jcrs.2015.10.038

Cite this paper

@article{Yusuf2015UltrawidefieldRI, title={Ultra-widefield retinal imaging through a black intraocular lens.}, author={Imran H. Yusuf and Timothy H M Fung and Chetan Kantibhai Patel}, journal={Journal of cataract and refractive surgery}, year={2015}, volume={41 9}, pages={1926-33} }