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

    The views expressed here belong to the author. They do not necessarily represent the views of Optometry Times or UBM Medica.

    Can we talk a few minutes about ultra-widefield imaging (UWF) without another kind of UWF (ultra-widespread fighting) breaking out?

    I hope so.

    But first a disclaimer: I have no industry ties—nor shirts, shoes, or pants. All my opinions are generic, straight off the rack, and steeply discounted. There are only a handful of people (mostly non-optometric, no organizations of any stripe on the list) who receive my unqualified endorsement and utter fealty. All others can expect nuance.

    Related: Keeping up with the latest diabetic eye disease research

    That said, I love all the options that I have available for viewing retinas these days. I remember the time I looked through my first 90 D, a small, amber jewel of a lens that I use to this day. I gasped like a slack-jawed 1950s kid in Keds and a coonskin cap staring into a GAF View-Master.

    Going high tech

    I eventually learned on my own that with a 90 D you can see all the way to the ora with a cooperative and well-dilated patient gazing eccentrically and that its view of the posterior pole through an undilated pupil is usually superior to that of a direct ophthalmoscope.

    Fast forward a couple of decades, and I find myself in the middle of a high-tech makeover.

    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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