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    UWF: ultra-widefield imaging or ultra-widefield fighting?


    I practice better with it

    When you shake it all out, I’m still glad I have UWF in my practice. It gives me a valuable alternative view and increases my chances of a correct diagnosis.2 I could practice without it, but I practice better with it.

    Oh, and that patient in the video? It was the first time he’d ever seen his retina and his laser repair. He was duly impressed.

    But when I tried to do BIO immediately afterward, he was so photophobic that I barely got a glimpse of retina amid all the tearing and tugging.

    “I don’t understand,” he protested. “Why are you trying to blind me with that bright light? I thought you already got a good look in the back!”

    I started to spout all the dogma and shibboleths about dilation, stereo, and standards of care, but the words just wouldn’t come out. I stood there, slack-jawed, just like that first time I looked through a 90 D.

    I had to admit—the man had a point.


    1. Sun JK, Aiello, LP. The future of ultrawide field imaging for diabetic retinopathy. JAMA Ophthalmol. 2016 Mar;134(3):247-8.

    2. Brown K, Sewell JM, Trempe C, Peto T, Travison TG. Comparison of image-assisted versus traditional fundus examination. J Eye and Brain. 2013;(5):1-8.

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    Michael Brown, OD, MHS-CL, FAAO
    Dr. Brown has practiced medical optometry in a comanagement center and with the U.S. Department of Veterans Affairs Outpatient Clinic in ...


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