A prospective comparative study published recently in Ophthalmology found substantial agreement (80%) between Optos UWF and ETDRS 7-standard field images of eyes with DR. However, by identifying additional lesions in the retinal periphery, UWF imaging led to a more severe DR assessment in 10% of eyes, compared to assessments based on conventional photography. The authors call for further prospective study to evaluate the implications of these lesions for DR progression within different levels of severity.
Silva PS, Cavallerano JD, Sun JK, Soliman AZ, Aiello LM, Aiello LP. Peripheral lesions identified by mydriatic ultrawide field imaging: Distribution and potential impact on diabetic retinopathy severity. Ophthalmology. 2013: 1-9. [Epub ahead of print]