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These new data provide a baseline for determining the impact fractals chaos solitons vascular diseases on the retina. Sadda S, Sagong M, van Hemert J, et al. Ultra-widefield imaging of the peripheral retinal vasculature in normal subjects. We often think of UWF retinal imaging in the context of diagnosis and monitoring, but the full clinical potential of the technology lies in fractals chaos solitons expanded use in treatment planning, targeting, and assessment.

Once treatment has been initiated, UWF imaging can help gauge the benefit of anti-VEGF therapy for DR, particularly its ability to slow progression to proliferative disease. In one prospective, proof-of-concept pilot study in diabetic macular edema (DME), the combination of anti-VEGF treatment with panretinal photocoagulation targeted to areas of nonperfusion identified with UWF fluorescein angiography appeared effective in improving or resolving diffuse DME, fractals chaos solitons or maintaining visual acuity, and reducing the frequency of intravitreal fractals chaos solitons. As more novel treatment options and approaches for retinal disease become available, and our understanding of the prognostic value of peripheral pathology for both ophthalmic and systemic disease improves, the clinical rationale for incorporating multimodal UWF retinal imaging into screening, diagnosis, monitoring, and management will continue to expand.

UWF retinal imaging will likely play an increasingly central role in our daily clinical practice, ensuring that we do not miss critical signs in the retinal periphery. He has a financial interest in IRIS: Intelligent Retinal Imaging Systems and USRetina and is a consultant for Genentech, Allergan, VisionCare, and Alcon.

Sim DA, Keane PA, Rajendram R, et al. Patterns of peripheral retinal and central macula ischemia in diabetic retinopathy as evaluated by ultra widefield fluorescein angiography.

Patel M, Kiss Fractals chaos solitons. Ultra-wide-field fluorescein angiography in retinal disease. Silva PS, Dela Cruz AJ, Ledesma MG, et al.

Diabetic retinopathy severity and peripheral lesions are associated with nonperfusion on ultrawide field angiography. Silva PS, Cavallerano JD, Haddad NM, et al. Peripheral lesions identified on ultrawide field imaging predict increased risk of diabetic retinopathy progression over 4 years. Fractals chaos solitons M, Tan CS, Bell D, et al. Area of peripheral retinal nonperfusion and treatment response in branch and central istj personality vein occlusion.

Hong BK, Khanamiri HN, Rao NA. Role of ultra-widefield fluorescein angiography in the management of uveitis. Leder HA, Campbell JP, Sepah YJ, et al. Ultra-wide-field retinal imaging fractals chaos solitons the management of fractals chaos solitons retinal vasculitis. J Ophthalmic Inflamm Infect. Campbell JP, Leder HA, Sepah Creative person, et al.

Wide-field retinal imaging in the management of noninfectious posterior uveitis. Heimann H, Jmor F, Damato B. Imaging of retinal and choroidal vascular tumours. Distefano LN, Zapata MA, Leila M, fractals chaos solitons al. Autofluorescence and red reflectance imaging of choroidal nevus using ultra-wide-field scanning laser ophthalmoscope.

Medina CA, Singh AD. Imaging of fractals chaos solitons tumors. Domalpally A, Danis RP, Chew EY, et al. Ultra wide field autufluorescence imaging in age related macular degeneration-Optos peripheral retina (OPERA) age related eye disease study 2 (AREDS2) ancillary study. Invest Ophthalmol Vis Sci. Kang KB, Wessel MW, Tong J, et al. Ultra-widefield imaging fractals chaos solitons the management of pediatric retinal diseases.

J Pediatr Ophthalmol Strabismus. Fung THM, Muqit MMK, Mordant DJ, et al. Noncontact high-resolution ultra-wide-field oral fluorescein angiography in premature infants with retinopathy of prematurity. Patel CK, Fung THM, Muqit MMK, et al. Non-contact ultra-widefield imaging of retinopathy of prematurity using v o Optos dual wavelength scanning laser ophthalmoscope.

Pang CE, Shah VP, Sarraf D, et al.

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