Utilizing Optos fundus photography in pediatric patients

Verlyn Yang


Purpose and Aim: There has been an increasing trend towards utilising ultra-wide field, non-contact fundus photography systems like the Optos P200DTx, especially in paediatric patients. As a challenging opulation, this requires the use of techniques such as modification of the equipment, development of specific holds and positioning of the child. We describe the specific techniques utilised to take fundus photos on the Optos P200DTx for paediatric patient groups, 0-1 years, 1-3 years and and above 3 years old. Methods: A systematic literature review of techniques used to image paediatric a patient on the Optos P200DTx was conducted, case reports studied, and expert opinions consulted. For primary data collection, parents were consented for clinical digital images and video recordings to be taken of their child undergoing Optos imaging in a tertiary hospital Ophthalmology clinic. The subsequent media was analysed and compared with the current literature, to develop specific techniques for each age group, 0-1 years, 1-3 years and & above 3 years old. Results: Photos displaying the specific techniques were illustrated, accompanied by step-by-step descriptions of the methodology. The ‘Flying Baby’ position, ‘Back-to-face’ position and kneeling/seated position were employed for each respective age group. Conclusion: These results support the use of the Optos P200DTx for fundus photography in paediatric patients of all ages, provided, tailored techniques are utilised.

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