Heavy and cumbersome, an overloaded of functions that take too much time to process for a busy practice (even with decently high spec PC), image quality drops dramatically even with modest lens opacity, never mind with pts with unstable fixation, scarcely customisable scan during acquisition. I can use whatever available that does the job but this machine is definitely not my preferred one.
@laurentNantel2 ай бұрын
With newly purchased Topcon Triton, ImageNet6 is also used for creating reports and acquiring OCT, no more duality of software.
@ocularimagingaficionado86492 ай бұрын
Thanks, for the update!
@siddharthsane2 ай бұрын
Is it better to go for A Topcon maestro 2 with OCTA plus eidon fa OR a Triton PLUS. If both alternatives cost the same.
@ocularimagingaficionado86492 ай бұрын
I will go for uwf eidon and maestro. But naturally it depends on your needs: how much do you need FA/FP, are you high Volume practice, do you have extra space, extra power consumption, do you have a technician, how often do you need FP/FA
@siddharthsane2 ай бұрын
Im in a conundrum as both alternatives are costing me the same. Eidon gives beautiful cslo Uwf images with video fa. But maestro is sd Oct. whereas triton plus gives fa octa Oct fp all in one. But no wide field and no cslo.
@siddharthsane2 ай бұрын
Also. Between maestro 2 and optopol revo which one would be better for a Retina specialist if we opt for Eidon.
@ocularimagingaficionado86492 ай бұрын
You need to ask yourself how much do you need perioheral FA i.e. do you have mostly DR patients or AMD/CSR. For DR,/RVO having wide field FA is a huge advantage.
@ocularimagingaficionado86492 ай бұрын
I was going to write that you should check Revo or new Nidek RS. I have never checked maestro as we use Triton. I know optopol introduced a UWF add on lens that makes up to 21 mm scans as a new addition, generally Revo makes great line scans with higher resolution then Triton, Oct-A, after new upgrade is much better but still not as good as with cirrus or solix. Why don't you talk to sales representative to have a demo device and see for yourself?
@siddharthsane2 ай бұрын
Eidon fa with Topcon maestro octa is a bit more expensive than Topcon triton PLUS. What would you recommend. Get the combo or only triton plus?
@otiebrown99993 ай бұрын
Cornea 30% of power. Total power = 60 diopters.
@otiebrown99993 ай бұрын
5:00 Cornea
@otiebrown99993 ай бұрын
2:00 Length of eye measure.
@otiebrown99993 ай бұрын
Incredible. I hope this instrument helps me go from 20/50 to 20/20. Eye total power = 60 diopters.
@balajee50035 ай бұрын
If possible pls make a video on analysis of abberation map of the pentacam
@ocularimagingaficionado86495 ай бұрын
I will probably do it in the future so far there is a nice video here: kzbin.info/www/bejne/n4TEnnWafKicq8U&ab_channel=OCULUSOptikger%C3%A4teGmbH
@balajee50035 ай бұрын
Does axl wave display lenticular abberation value seperately from corneal abberation
@ocularimagingaficionado86495 ай бұрын
Partially as you have the total and corneal abberations so if you compare the corneal vs total all it's left is lenticular
@balajee50034 ай бұрын
@@ocularimagingaficionado8649 Thank you, Dr. Is there any tool available inbuilt on Pentacam AXL WAVE that does the calculation to separate corneal from total to arrive at the numerical value of lenticular abberation?
@balajee50034 ай бұрын
@@ocularimagingaficionado8649 @ocularimagingaficionado8649 Thank you, Dr. Is there any tool available inbuilt on Pentacam AXL WAVE that does the calculation to separate corneal from total to arrive at the numerical value of lenticular abberation?
@ocularimagingaficionado86494 ай бұрын
@@balajee5003 No you don't. Remember that "internal" abberations in iTrace also contain posterior cornea, so currently you don't have a machine that will be able to do just the lens. The only way is to compare the total vs. Corneal.
@manuelsinger9575 ай бұрын
Thank you for this very comprehensive review! I am right now thinking about what perimeter to get and since I have a Revo FC 130 this is one of the candidates. Might I ask you some questions: in results presentation is it possible to get a colour map similar to octopus? Or get a progression graph showing MD over time? Also what exactly does it mean that MD and PSD are not adjusted to the normal population? You mentioned again that this device in combination with Revo is good for glaucoma specialists. Did you not find that the pRNFL measurements do tend to have significant variability even measuring the same eye multiple times in a row? Also I personally miss the Tomogram which corresponds to the pRNFL (TSNIT) thickness plot to check the segmentation. Again thank you very much for this great review. Did you think about doing a follow up video to show some examples of glaucoma eyes and how one could detect and follow up glaucoma with the different tests and plots? Kind regards
@ocularimagingaficionado86495 ай бұрын
Thanks for watching and commenting! Progression graph with MD: sure there is an option in the progression tab. Regarding the Octopus color map there is no option like that. When I said that MD and PSD indices are not age-matched I referred to Zeiss HFA where MD and PSD global indices are colored in green, yellow, or red and basically work as 95%, 5%, or 1% probability indicators. Regarding low repeatability of the RNFL; what I see most often is caused by artifacts like blinking, motion, or wrong positioning of the scan when the ONH is not centered, also in cases of lower RNFL then 50 um OCT is generally not reliable. Having said that, patients with some large or tilted ONH the segmentation had to be redone manually because the repeatability was really off between visits. I know that Optopol is getting the FDA approval for Revo, so they need to upgrade their RNFL segmentation this means that soon we will get the new version of their software with better segmentation. The Tonogram feature is nice with Cirrus or Topcon, as it allows a quick view of the segmentation errors so I agree that this is a shortcoming. However you can change the size and thickness of the TSNIT ring to verify segmentation on the plot. You just need to click on the RNFL map and then you see the segmentation. Thank you once more for your kind words. In this channel, I want to focus on reviewing machines and our clinic has many new ones like Anterion or Solix so I will have plenty of work with them.
@manuelsinger9575 ай бұрын
@@ocularimagingaficionado8649thank you for your answer and your continued work on this unsponsored presentations. You are doing something that is unique globally
@MrJpo586 ай бұрын
The optos Nikon machine burnt my eyes it's taken a month to some what come back to normal.
Excellent and very comprehensive review. Did you ever compare the Revo 130 FC Tomography with the Pentacam? Of course it can not be as good but can one detect a straight forward keratoconud with the Revo?
@ocularimagingaficionado86497 ай бұрын
Thank you, We have Pentacam Wave since November 2023 so we will will probably do it especially with ACD and angles. We tried to do it with our 10 years old Pentacam HR, but the camera was covered in dust and not really reproducible so we ended up comparing Revo against Galilei and Casia journals.plos.org/plosone/article?id=10.1371/journal.pone.0230589
@manuelsinger9575 ай бұрын
@@ocularimagingaficionado8649thank you for answer and the interesting paper!
@gorgavin77797 ай бұрын
very useful
@ocularimagingaficionado86497 ай бұрын
Thank you
@DRV137 ай бұрын
Please keep doing this
@ocularimagingaficionado86497 ай бұрын
Thank you
@ocularimagingaficionado86498 ай бұрын
It really depends on your needs. Cirrus 6000 is newer, smaller, has better OCTA and it's slightly faster, higher resolution Oct that has some basic corneal analysis without the lens but the patient positioning is harder due to two chinrests and has no fundus camera. Also if you don't buy Zeiss Forum the progression analysis is limited. Triton is still nice OCT with ability to add Fluorescein Angiography, but is larger compared to cirrus. Honestly both are capable devices.
@DRV138 ай бұрын
Which one u think is better.this or cirius 600?
@marcoirvine58395 ай бұрын
Topcon. Forever. Swept source gives back amazing images
@VadymVus8 ай бұрын
thank you
@buraakubaisi75619 ай бұрын
Thank you very much for the nice informative review..is the pc all in one screen touch or not
@ocularimagingaficionado86499 ай бұрын
The PC is an all in one and has a touch screen.
@MrJcrancho11 ай бұрын
How much is the Eidon?
@ocularimagingaficionado864911 ай бұрын
never mention prices, as they vary between countries depending on the distributor. For instance, when we bought Eidon in 2019 for the price of one California, you could purchase ~5 Eidons.
@algeria_algeria Жыл бұрын
Dear colleague, I want to express my deep gratitude for your invaluable contribution to the medical community. Your commitment to sharing in-depth reviews of medical devices on KZbin is an invaluable resource for us healthcare professionals. Thanks to your videos, we can make more informed decisions when it comes to selecting the best tools for our practices. Your ability to highlight the qualities and drawbacks of each device is extremely instructive and helps us provide higher quality care to our patients. Your work in knowledge sharing is truly inspirational, and I strongly encourage you to continue your excellent work. You have a positive impact on our medical community, and I genuinely thank you for it. With all my respect
@ocularimagingaficionado8649 Жыл бұрын
Thank you for your kind words!
@srf7425 Жыл бұрын
Are you able to capture OCTs with the wide field lens in place? This is one drawback of the Heidelberg Spectralis - OCT is only possible with the 55 degree (and less) lens, not with their wide field lens.
@ocularimagingaficionado8649 Жыл бұрын
It's the same with Mirante; as soon as you put the UWF lens you can only take photos/Fa or Retro.
@Dr.Prashant-AIIMS Жыл бұрын
Sir could review Xephilio OCT-S1 ?
@ocularimagingaficionado8649 Жыл бұрын
S1 is really exciting but I don't have it, sorry. I have plans to do PlexElite in future.
@danivision261 Жыл бұрын
Very good review! Thanks for sharing!
@vaibhav1313dr Жыл бұрын
Very clear and crisp review. Thank you Dr Adam 😊
@icare_usa Жыл бұрын
Thank you for creating this video! Great work! 👀
@DrAhmedFawzi671 Жыл бұрын
Thank you so much for your excellent videos. I really enjoy them as they're informative and helpful for new doctors.
@ocularimagingaficionado8649 Жыл бұрын
You're welcome
@nickvigo50822 жыл бұрын
I really appreciate your in-depth review of this device! This was very helpful and seeing the less obvious things like the ports and interface was great.
@ocularimagingaficionado86492 жыл бұрын
Thank you!
@caxxovuoi2 жыл бұрын
Really amazing video! I wish to see your next one about posterior segment as soon as possible!