Rossi Alfa, Toslak Devrim, Erol Muhammet Kazim, Rahimi Mojtaba, Son Taeyoon, Chan R V Paul, Yao Xincheng
Department of Biomedical Engineering, University of Illinois Chicago, Chicago, IL 60607, USA.
Antalya Training and Research Hospital, Department of Ophthalmology, Antalya 07100, Turkey.
Biomed Opt Express. 2024 Oct 2;15(11):6171-6182. doi: 10.1364/BOE.537633. eCollection 2024 Nov 1.
Widefield fundus photography is critical for the detection, documentation, and management of pediatric eye diseases. Existing clinical pediatric fundus cameras offer a limited field of view (FOV) and suboptimal image contrast, hindering comprehensive peripheral retina examination. Additionally, the high cost and lack of portability of commercial devices restrict their use in resource-limited settings. We introduce a cost-effective smartphone-based pediatric camera (PedCam) that provides a 180° eye angle (126° visual angle) snapshot FOV. Utilizing trans-pars planar illumination, the device enables nonmydriatic imaging by allocating the pupil exclusively for imaging, eliminating the need for pharmacological pupillary dilation. By adjusting the optical axis of the PedCam relative to the ocular axis, the effective FOV can be expanded up to 240° eye angle (180° visual angle), enabling complete retinal evaluation. This innovative smartphone PedCam represents a significant advancement in affordable telemedicine for the screening, monitoring, and management of retinopathy of prematurity and other pediatric eye conditions.
广角眼底摄影对于小儿眼病的检测、记录和管理至关重要。现有的临床小儿眼底相机视野(FOV)有限,图像对比度欠佳,妨碍了对周边视网膜的全面检查。此外,商业设备成本高昂且缺乏便携性,限制了它们在资源有限环境中的使用。我们推出了一款经济高效且基于智能手机的小儿相机(PedCam),它能提供180°视角(126°视场角)的快照视野。该设备利用经瞳孔平面照明,通过将瞳孔专门用于成像实现非散瞳成像,无需药物散瞳。通过调整PedCam相对于眼轴的光轴,有效视野可扩大至240°视角(180°视场角),从而实现对视网膜的全面评估。这款创新的智能手机PedCam在用于早产儿视网膜病变及其他小儿眼部疾病筛查、监测和管理的经济实惠的远程医疗方面代表了一项重大进展。