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Fundus camera

Manufactured by Zeiss
Sourced in Germany

The Fundus camera is a specialized medical imaging device designed to capture high-quality photographs of the interior of the eye, particularly the retina. It uses a flash of light and a system of lenses to illuminate and photograph the back of the eye, providing a detailed view of the optic nerve, blood vessels, and other structures.

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7 protocols using fundus camera

1

Comprehensive Diabetic Retinopathy Diagnosis

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The diagnosis of diabetic retinopathy (DR) in our study was rigorously conducted using a multi-modal imaging approach. Initial assessments involved slit lamp microscopy and optical coherence tomography to identify retinopathy changes during funduscopic examinations. This was followed by confirmatory diagnosis using 45° four-field stereoscopic digital photography with a Carl Zeiss Fundus Camera, which allowed for the detailed capture of images from both eyes across designated fields, eliminating the need for mydriasis (26 (link)).
Experienced ophthalmologists then evaluated these images, classifying DR according to the International Clinical Diabetic Retinopathy Disease Severity Scale into four severity levels. The identification of any severity lesion based on this scale was considered diagnostic of DR (26 (link)), ensuring an accurate and comprehensive diagnostic process (27 (link)).
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2

Glaucoma Diagnosis from Color Fundus Images

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This research used a total of 84 color fundus images (41 glaucoma and 43 normal), which were collected from two hospitals in Yogyakarta, and approval was obtained from the Ethics Committee (No. IRB KE/FK/1108/EC/2015). All the images were divided into two datasets because these images were obtained by different tools. First, the Set-1 dataset was obtained from Dr. YAP Eye Hospital, and it contained 44 images taken by fundus camera (Carl Zeiss AG, Oberkochen, Germany) with a 30° field-of-view (FOV) and Nikon N150 digital camera (Nikon, Natori, Japan) with the resolution of 2240 × 1488 pixel. Second, the Set-2 dataset was obtained from Dr. Sardjito Hospital, and it contained 40 images taken using a 45° FOV Topcon TRC-NW8 fundus camera (Topcon Medical Systems Inc., Oakland, NJ, USA) and digitized at 4288 × 2848 pixels. Both datasets were provided in JPEG format. To evaluate our proposed method, an expert provided the label class (normal/glaucoma) for all the images. Forty-two sample images (19 glaucoma and 23 normal) were used in the stage of forming the features database, and 42 testing images (22 glaucoma and 20 normal) were used in the testing stage.
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3

Comprehensive Diabetic Retinopathy Assessment

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All eligible patients were interviewed by trained bilingual interviewers. All instruments were developed initially in English and later translated into Tamil (the regional spoken language), ensuring that the contents and the meanings were preserved. A comprehensive eye examination was performed in a mobile van which was equipped with an Early Treatment of Diabetic Retinopathy Study (ETDRS) chart and a fundus camera (Carl Zeiss) and other equipment (figure 2); this was performed to ensure that a participant need not travel to the city, as that would increase the compliance rate. The fundi of all patients were photographed using 45°, four-field stereoscopic digital photography; however, an additional 30°, seven-field stereo digital pairs were taken for those who showed any evidence of DR. The diagnosis of DR was based on Klein's classification (modified ETDRS Scales).13 (link) The clinical grading of digital photographs was performed by two independent observers (experienced retinal specialists) in a masked fashion (k=0.82).
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4

Non-invasive Monitoring of Submacular Grafts

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The subsequent clinical course of the submacular hRPESC-RPE grafts was monitored non-invasively by ophthalmic imaging devices at 3, 7, and 14 days post-surgery and then monthly for 3 months. OCT was performed using a Heidelberg Spectralis (Heidelberg Engineering, Germany), which provides in vivo depth image and layer-specific information of the retina with eye-tracking capabilities. It also allows the OCT scans to be obtained at the same position at baseline and on follow-up examinations. Scanning laser ophthalmoscope-based FAF and retinal FA were also obtained using the same device; color fundus images were taken by a fundus camera (Zeiss, Germany).
Retinal function was assessed by ERG using an Espion system (Diagnosys, USA) with protocols and procedures based upon those recommended for humans by the International Society for Clinical Electrophysiology of Vision, but with an LA 5.0 stimulus strength (McCulloch et al., 2015 ).
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5

Corneal Endothelial Cell Transplantation for Dysfunction

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CEC-like cells were transplanted according to our previous method11 (link)
. Briefly, the corneal endothelium was mechanically scraped with a lacrimal passage irrigator (Shandong Weigao) from the Descemet’s membrane to create monkey corneal endothelial dysfunction models. 50 µl aqueous humor was first extracted from the models’ anterior chamber. Then, 4.0 × 105 CEC-like cells suspended in 50 µl culture medium supplemented with 1.6 µg of Y-27632 (Selleck) were injected into the anterior chamber of four monkeys. And 50 µl culture medium supplemented with 1.6 µg of Y-27632 was injected into the anterior chamber of one monkey. Four monkeys that had cells injected were the experimental group and the other one monkey that had no cells injected was the control group. Peribulbar and subconjunctival injection of triamcinolone and dexamethasone were given after surgery. The eyes of all monkeys were kept in a face-down position for 6 hours under general anesthesia. 0.3% Tobramycin and 0.1% Dexamethasone were given topically 3–4 times a day. The corneas were examined by a slit-lamp microscope (Topcon), Visante OCT (Carl Zeiss), non-contact specular microscopy (Topcon), tenonometer (Suzhou liuliu), gonioscope (Volk), B-ultrasonography (Suoer), and fundus camera (Carl Zeiss) at certain times. The contralateral normal eyes of the monkeys were observed as the normal group.
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6

Diabetic Retinopathy Risk Factors

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The primary outcome measures of the study were to analyze awareness and prevalence of DR and to subsequently study the association of DR with identified risk factors including, gender, age, duration of diabetes, smoking status, glycated hemoglobin levels, treatment therapy for T2DM, lipid profile, hypertension, microalbuminuria, DKD, cardiac morbidity, and anemia. A validated questionnaire was used to assess awareness of DR. Dilated Fundus photos were taken on Carl Zeiss Fundus Camera. DR was graded by modified Airlie House Classification.
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7

Retinal Imaging for Diabetic Retinopathy

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All participants with diabetes underwent retinal photographs using Carl Zeiss fundus camera (Visucamlite, Jena, Germany). DR was classified according to the modified Klein classification (Modified Early Treatment DR Study scales [13 (link)]) by two independent observers in a masked fashion with a high agreement (k = 0.83).
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