February 2020 Imaging Spotlight

ZEISS Imaging Spotlight is a monthly feature in Ophthalmology Management highlighting unique and challenging clinical cases that demonstrate how ultra-widefield imaging continues to advance disease detection and management with expanded visualization in multiple imaging modalities. To learn more about the ZEISS Imaging Spotlight program in 2020, visit www.zeiss.com/imagingspotlight.

Central Retinal Artery Occlusion OS (CRAO)

TOPCON

Images and diagnoses courtesy of James Lai, MD

DIAGNOSIS:

63-year-old Caucasian female presenting with hypertension, hearing loss and Central Retinal Artery Occlusion (CRAO).

IMAGING:

Utilizing the PrecisionFocus1 feature of the CLARUS® 700 from ZEISS, the swollen nerve and tiny yellow specs in the retina can be clearly observed in focus.

DETAILED VISUALIZATION:

The single widefield True Color image on the ZEISS CLARUS 700 clearly shows a cherry red spot (1a) and swollen nerve, choroidal folds (1b).

In the fundus fluorescein angiography (FA) images, the delayed arterial venous transit can be seen (2a), and leakage is revealed consistent with disc swelling (2b) and decreased arterial perfusion.

Choroidal folds are visible in the FA early phase (3, time code: 0:25 second).

1PrecisionFocus feature allows you to quickly see the details in region of interest by selecting where to optimize focus, without losing the macula focal point.

The diagnoses provided by the healthcare professionals reflect only their personal opinions and experiences and do not necessarily reflect the opinions of any institution with whom they are affiliated. The healthcare professionals credited in this case study have a contractual relationship with Carl Zeiss Meditec, Inc., and have received financial compensation.

Do you have an interesting case to share?

Submit your images captured with the ZEISS CLARUS HD Ultra-widefield Fundus Imaging System today. Visit zeiss.com/imagingspotlight.

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