Side illuminator for 3 advanced slit lamp techniques
Speed miebography $995 purchased alone. If bundled with EyePhotoDoc at time of purchase upgrade is $300 more
Slit lamp Speed Meibography offers a rapid assessment of the meibomian glands, allowing for early detection and management of MGD. By integrating this diagnostic tool into routine examinations, you can ensure a comprehensive evaluation of the ocular surface and better tailor your treatment plans to address the underlying causes of dry eye symptoms. This approach not only improves patient outcomes but also enhances the overall efficiency and effectiveness of your practice.
Slit Lamp View
Using just your Slit Lamp
Your slit lamp magnification can show amazing detail. The special light is red free to visualize the glands more easily
Meibography using Camera Apps
Photographic Speed Meibography
Above is Camera1 App gives a black and white diagnostic photo comparable to Meibography
Below Introducing the Free Negative Image App, designed to enhance your diagnostic capabilities by converting black and white photos taken with Camera1 into negative images. This feature is particularly useful for visualizing vessels associated with meibomian glands, aiding in the assessment and documentation of Meibomian Gland Dysfunction (MGD)
Comparison of histology on left to speed meibography
Visualize Acinar Structures
You can examine with Incredible detail by increasing magnification on your slit lamp. Note how Speed Meibography and histology are similar. It is superior to infrared meibography, because the detail of each acinar structure can be seen. The resolution is 25 times greater and the only limitation is optical zoom.
Each acinar structure can be seen early in the course of the disease. This allows you to track effects of treatment.
Meibography
Speed meibography is done by a special ‘red free’ green light. The camera apps sees it in black and white. Both offer exceptional detail. The diagram demonstrates the common abnormalities. These adds to the traditional meiboscores by having higher resolution of the acinar structures.
Acinar meibography
Use of the EyePhotoDoc camera to analyze and track treatment
The camera along with Apps allow you to document findings. You can make them into black and white monochromes to resemble the IR meibography. Indeed that will increase contrast and make it feel ‘familiar’.
Using the finger stretching of the photo allows you to enlarge the area of interest for easier diagnosis. The iPhones with 48 megapixels are ideal.
Nodular changes
Missing gland
Orifice obstructions
Bloated glands
Angiography showing gland loss
High power shows missing gland
Case study
When you study this low magnification photo can you see the abnormalities of the glands? Using your slit lamp you can zoom up and see incredible detail. Remember your eyes have 40 times the resolution of the 12 megapixel camera!
Find:
1. Missing glands
2. Dilated acinar structures
3. Missing acinar structures in gland
4. Segmented glands
5. Fun bonus question Can you see the accessory lacrimal glands?
Can you find the abnormality?
See an actual exam!
This is a video of the lower lid showing meiboscopy. Your actual resolution using your eyes is 40 times greater!! The black and white insert shows it in normal meibography format.
