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IMAGING THE RETINA

PHOTOGRAPHY SYSTEMS AID IN DIAGNOSIS, MANAGEMENT AND EDUCATION

IT’S NO secret that time is of the essence when it comes to diagnosing and treating retinal diseases, such as AMD. After all, the longer such conditions go undiagnosed, the worse the prognosis for our patients. Thankfully, early detection is now possible through the assistance of retinal photography systems.

OVERVIEW

Through images of the retina, we can not only identify pathological features and monitor changes, we can also determine the best course of action — management-wise — giving our patients an excellent chance of maintaining their vision.

Personally, I appreciate the retinal auto-fluorescence feature, which has become a standard of care for screening hydroxychloroquine toxicity and detecting other subtle posterior segment findings, such as optic nerve head drusen. Further, the ability to utilize filters to separate the retina and choroid, due to their variable wavelength absorption, is another benefit.

Beyond diagnosis, documentation and treatment, retinal photography systems aid in patient education. As the old adage goes, “A picture is worth a thousand words,” and this is particularly true for patients. Show them an image of their retina, briefly explaining the structures and clinical finding(s), and they not only understand the importance of acquiring photos, but also why it’s crucial to comply with our prescribed treatments and follow-up appointments.

A CAVEAT

Although you can offer retinal photography as baseline documentation to all patients willing to pay out-of-pocket for peace of mind, billing to insurance requires medical necessity. Do not forget that an appropriate interpretation and report of the diagnostic test should be documented in the patient’s medical record. OM

KEVIN GEE, O.D., practices in Houston and is an assistant clinical professor at the University of Houston College of Optometry. He is a Fellow of the American Academy of Optometry, an ABO Diplomate and an OCRT member. Also, he’s on Allergan’s advisory board and is a consultant for Solution Reach. Email him at drgee@geeeyecare.com, or visit tinyurl.com/comment to comment.