Professor, MD, PhD, FEBO
Director of the University Orthoptic Department
South University Hospital of Amiens
We have a wide range of users globally from different specialty fields, ranging from small private clinics to large university hospitals.
Professor, MD, PhD, FEBO
Director of the University Orthoptic Department
South University Hospital of Amiens
“The Smartscope is very interesting to me as I am a pediatric ophthalmologist. It’s a handheld device and it’s very easy to handle, which is essential for pediatric use. This device has many applications, as it can be used both for anterior segment and fundus imaging. It is a very good tool for diagnosis and follow-up of ophthalmic pathologies in children such as congenital cataract and congenital glaucoma. The camera has good image resolution and the usage of the device is easily learned. For all these reasons I feel that the Smartscope is a very suitable device for pediatric ophthalmology. ”
Professor, MD, PhD, FEBO
Chief Physician, Ophthalmology department
Turku University Hospital
“The Smartscope camera is extremely well suited for all those situations where fundus imaging is needed but traditional imaging equipment cannot be used, e.g. emergency patients, child patients, and eye examinations under general anesthesia. Also small private clinics can benefit a lot from this type of imaging tool. You can get excellent images from the posterior pole and optic disc, which enables the screening and follow-up of glaucoma patients, together with the possibility to consult glaucoma specialist when necessary.”
President of Lithuanian Telemedicine Association
Professor of Ophthalmology of Lithuanian University of Health Sciences
Head of Telemedicine Centre of Lithuanian University of Health Sciences
“The Smartscope camera is an easy-to-use device for medical units of all sizes. It can be used in primary care as well as at an ophthalmologist’s office. The Smartscope is easy to carry along and use even in remote locations as well as with impaired patients. The camera is suitable for screening and monitoring of such diseases as diabetic retinopathy, AMD, glaucoma and ROP. The anterior segment module gives added value to this high quality camera. All in all, Smartscope is broadly comparable to desktop cameras, and it’s a worthy investment.”
Kristiina Vasara, Ophthalmologist
Helsinki University Hospital
I have been using the Optomed Smartscope PRO camera since August 2015. The camera is easy to use and especially useful in taking pictures of small babies and other patients who cannot sit in front of standard fundus cameras. Central parts of the retina and anterior parts of the eye can be quickly documented. Photographs are easy to transfer and store for later consultation and follow-up.
Dr. Tero Kontiokari, MD, Docent, Pediatrician
Medical Centre Mehiläinen, Oulu, Finland
“I have been using the Smartscope PRO for about two years now, and I have grown quite attached to it: it would be hard to imagine working without it. Performing ophthalmoscopy on child patients is very challenging with traditional ophthalmoscope and many times you have to settle for just a quick glimpse. With the Smartscope you are able to take images with most patients and you can review the image as long as it is necessary. It’s also possible to use the images for consultation purposes with a colleague when needed.
I use the device on a daily basis, for example when examining patients with headache. I also use the dermatoscopic module for documentation and follow-up on skin lesions. It’s quite easy to learn to use the camera and it has become as an essential tool for me as the stethoscope, otoscope or tympanometer. I would feel uncomfortable working without the Smartscope.”
Dr. med. Gregor Willerding
Leitender Oberarzt Klinik für Augenheilkunde, Berlin
“In summer 2013 I was looking for a mobile device to document ophthalmoscopic findings in children under general anesthesia. Dealing retinoblastoma patients with Smartscope PRO, I was attracted by the fine quality of the photos allowing for a reliable comparison of the retinal pathology at disparate follow up points. The images can be captured quickly and downloaded easily with very little practice.
For lesions anterior to the equator the technique of image capturing is a bit more challenging but in the setting of an anesthetized patient with full pupillary dilation and scleral indentation, also the ora serrata can be illustrated. Composite images can be created with any available software in the market.
The Smartscope FA module, which I was happy to introduce in my service recently, substantially expands my diagnostic options in this group of patients.
Increasingly, I also use the Smartscope PRO for retinal documentation and for anterior segment findings in the daily clinic. It supersedes extra chair time needed for our stand-alone digital camera and I find the print-out of choroidal nevi and other pathologies decent and suitable for the communication with colleagues.
Given the nice image quality, its handiness and not to mention its affordability, I can fully recommend this device from Finland”.
Anna Majander, Ophthalmologist, MD, PhD
Helsinki University Central Hospital, Paediatric ophthalmoloy unit
“I have been using the Optomed Smartscope M5 for three weeks. The device has been in daily use at the paediatric ophthalmology unit in Helsinki University Central Hospital. Patients who have been examined consist of children aged between 3 months and 18 years with different optic nerve and macular diseases.
Based on my usage experience
The overall quality of the product is good.
Image quality is good enough for documentation we need in this patient group.
Ease of use is satisfactory, but would be better with a fixation picture for the patient and a slightly faster focusing.
Suitability for screening and diagnosing optic nerve and macular diseases is good, but not for midperipheral retinal diseases.
Suitability for follow-up and remote consultation purposes is good for the disease mentioned above.
My assessment is that the Smartscope is well suited to be used in paediatric ophthalmology for documentation of optic nerve and macular abnormalities and there is a need for this type of product in the market”.
Prof. Alvydas Paunksnis
Eye Clinic of Lithuanian University of Health Sciences
“I have been using the Smartscope M5 from 2010, and I can say it is an easy to use device for medical units of all sizes. The camera and retinal module EY3 can be used in primary care as well as in ophthalmologist’s or optometrist’s office. The modular size of Smartscope makes it easy to carry along and use even in remote locations. Connecting the camera to PC and downloading images is effortless and does not require IT know-how.
The camera is suitable for screening purposes of such diseases as diabetic retinopathy and AMD. For this purpose the Smartscope M5 with EY3 module is broadly comparable to traditional fundus cameras. The anterior eye module ES1 gives extra value added to the product with the ability to take pictures and video from the exterior parts of the eye with both white and blue illumination. The Smartscope is a worthy investment and well suitable for many different users throughout the healthcare sector.”
Digvijay Singh, Senior Resident, Strabismology, Neuro-ophthalmology and Glaucoma Services
Dr. Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences, New Delhi, India
“I have been using the Smartscope M5 for nearly two years now in my ophthalmology clinics. The Smartscope is being used by me at the Dr. Rajendra Prasad Centre for Ophthalmic sciences, All india Institute of Medical Sciences, New Delhi, India in the speciality of neuro-ophthalmology and pediatric ophthalmology. The device is serving me well and besides the daily usage in the above two specialities, I have also used it during screening camps for diabetes and glaucoma which are occasionally held in an outreach setup.
The Smartscope has been an extremely apt and helpful tool for my practice.The prime benefits of this instrument are:
1. The low weight and portability makes it easy to carry for camps and also ensures a tireless examination of the patients.
2. The non-mydriatic imaging is of definite advantage when examining a glaucoma patient. Considering that in India, about half of the glaucoma patients are having angle closure and a significantly large number of normal patients are having shallow anterior chambers, dilatation may precipitate an angle closure attack,and therefore it is best avoided. Despite non- mydriatic imaging, the image quality is good and disc details are easily seen.
3. The red free imaging enables good visualisation of the nerve fibre layer and is an added pearl for glaucoma diagnosis.
4. For neuro-ophthalmology, non-mydriatic imaging enables preservation of pupillary signs and red free imaging enables nerve fibre bundle defect detection.
5. While using for diabetic screening, I found the smartscopes ability to take large field of view at high resolution and post processing and magnification of the images, to be of vaue. even single microaneurysms can be observed and diagnosis can be reached at with certainity. Following up such a patient is also easy with the PC software provided to store sequential images.
6. In my pediatric ophthalmology practice, the smartscope is a beneficial tool as it enables quick single click fundus photography and is its manoeuvrability makes it simple to take photographs in a slightly uncooperative child or a child under general anaesthesia. The IR focusing beam instead of the white light does not scare off the children due to the low brightness and intensity. However, for children, the non-mydriatic function is less useful and I would recommend full dialation of the pupil.
With the upcoming upgrade of the instrument even few existing the minor glitches, such as no fixation target and better focusing, are addressed to make this camera at par with any other portable and non-portable fundus camera.
Without any hesitation, I recomend the Smartscope to anyone looking for a portable non-mydriatic fundus camera.”
Optometrist Rajesh Wadhwa, New Delhi, India
“It is a pleasure to write about Smartscope non-mydriatic camera by Optomed. In my optometry practice of over 30 years, I had been missing the ability to provide digital images for fundus & eye-surface. Main reasons for not having introduced digital-imaging facility so far in my clinic were:
1. Space available in office
2. Barriers to learning the required skills
3. Consideration of extra chair-time to be spent on this procedure
4. Barrier towards dilation of pupils
5. Cost and break-even time
I was introduced to Smartscope non-mydriatic camera by Optomed a little over a year back. All the points listed above and much more was addressed in very simple way.
a) Space: This instrument can fit into drawers of clinic
b) New skill set : After a few minutes of instructions, I could click very good images of eye-surface and fundus
c) Extra chair time: It takes less than one minute for each eye to have quality images.We went a step ahead and acquired a stand-alone photo printer. From in-to-out time for a patient, within 10 to 15 minutes the eyes are imaged and patient walks away with printed photographs.
d) Dilation: This is non-mydriatic camera and does not need dilation. Covers upto 40 degrees of retina.
e) We have been able to break-even our initial investment in just 1 year by doing only 3 patients per working day.
I am very satisfied with this instrument and recommend that in countries like India, where the optometrist does not dilate pupils, funds are limited, office-space is less and professional-will to upgrade is high, this instrument is a boon.
Among other applications, this camera is portable and therefore images can be clicked at patient’s home. Images can be clicked whether patient is sitting or lying down. In eye-camps and in physicians’ diabetic camps, several patients can be imaged during the event and then images can be analyzed by experts later. Each patient can be assigned different folder number. Once charged, the battery lasts for about 40 to 50 patients.
With blue-light feature, fluorescein patterns of tricky fits can be imaged. We can use this in keratoconus fitting and scleral lens fitting to seek opinion from peer group. The images clicked by this digital camera can be zoomed and edited. These can also be emailed anywhere for opinion. Images can be compared over an interval when clicked at different times.
We found this camera very useful in cases of RGP contact lens fitting, diabetic retinopathy, hypertensive retinopathy, glaucoma and several other conditions.We have slit-lamps in our clinics as a professional necessity. I am hopeful that soon such instruments as Smartscope will also become equally important in optometry setups.”
Dr David Segal, Paediatric Endocrinologist
Wits Donald Gordon Medical Centre, South Africa
“I have a large paediatric and adolescent diabetes practice of over 1000 patients and see between 4 and 15 per day. We have a doctor and a diabetes educator doing routine annual diabetes eye screening.
We purchased the Optomed Smartscope in September 2012. We have found the camera easy to use and train on. The pictures we get are more than adequate for diabetic eye screening and allow for repeat testing and comparison over time. The children ranging from 6 years of age to late teens are able to co-operate with the testing requirements, and obtaining decent quality images is not difficult.
My overall assessment is very positive having done extensive side by side comparisons with the competitor products prior to purchasing the Optomed and I do not regret my choice.”
Qingdao Diabetes Prevention Program
“Smartscope M5 fundus camera was used in the third stage of diabetic eye screening program of the World Diabetes Foundation. The program took place mainly in Jiaonan area of Qingdao, Shangdong China. In total there were 458 patients, aged from 35 to 74 years old, who were suspected to have diabetes.
As the camera is lightweight and easy to carry along, it is especially useful for diabetic retinopathy screenings in rural area of Qingdao. It is a convenient and economical way to perform eye examinations for those people who cannot easily reach the big city hospitals. We have used the M5 fundus camera for the examinations on site, and then analyzed the photos once we were back to the city. In this way, the efficiency and effectiveness of the fundus review are greatly improved and the scope of the screening can be expanded. We believe that the Smartscope M5 is suitable to large-scale rural screenings.”
Michael Seward, MD, Ophthalmologist
Goroka Hospital in Papua New Guinea
“I have been using the Optomed Smartscope M5 with primarily the retinal lens since May 2012. The device has been used several times per week in our eye clinic. Patients who have been examined consist of mostly adults with an unusual retinal vasculitis or other vascular disease.
Based on my experience the overall quality of the product is good. I know that there are more fancy cameras available, but considering the prices I have seen, I think this camera is an excellent value. Image quality is sufficient for my purposes so far, which have involved emailing of fundus photos to retina specialists in several distant locations. I was impressed that the quality of the images was good enough that a retina specialist was able to differentiate between neovascularization and shunt vessels, for example. This, along with some focal venous tortuosity helped the specialist to recognize that in that particular case we were dealing with a primarily venous pathology.
Although I expected to use the Smartscope solely for emailing photos to retina specialists for needed distance consultations, I have found that patients are also very interested to see their images. This has led me to use the camera in some cases only to help patients be able to understand their disease.
Ease of use is one of the main benefits of this camera. I just picked it up and started using it immediately. Downloading images to the computer was no different than with any digital camera. I got decent pictures of the very first patient I imaged, and whatever learning curve I did experience was minutes, not hours. Another benefit is that this camera takes up very little space which is a big advantage for us because we don’t really have space to dedicate to a camera that requires its own table.
My assessment is that the Smartscope is well suited to be used for documenting fundus abnormalities that involve the posterior pole or vascular arcades, and there is a definite place for this type of product in the market. It has certainly been helpful in my practice, and I really like that it requires a lower overhead compared to most cameras, both in purchase price and floor space.”
Kenneth R. Mueller, OD
International Eye Care Center
Hannibal Missouri, USA
“One of Optomed’s new hand-held wireless cameras, the Smartscope, weighing in at only one pound, has found a home in our busy practice over the past year. Here is why you may want to give it a look.
Optomed is a Finnish company known for its high quality optics and optical products. Their new non-mydriatic Smartscope imaging device fits well with their heritage. The Smartscope is a small, surprisingly affordable, high-tech camera with excellent image quality. It is quick and easy to use, is very portable and takes nice, reflection free anterior and posterior images (Dermatoscopic and otoscopic modules are also available.) Cobalt blue light can be used for anterior shots for use with fluorescein dye. Smartscope’s features include auto and manual focus, zoom, plus and minus 20 diopter range, infra-red focusing, infra-red and white light images, simultaneous red-free images, and a 40 degree fundus view. Images are stored in the device in standard jpeg format and can be easily downloaded to computer or into many EMR software programs by simply placing the unit onto its base.
In our practice, the Smartscope is highly valued in several different situations. We utilize the Smartscope for imaging patients with limited mobility-for instance, supine and obese patients for whom our standard fundus camera does not work. It is excellent for our babies and very small children who, likewise, are ill-suited to our standard fundus camera. The Smartscope device is invaluable for nursing home and hospital visits, and has proved quite handy on screenings and mission trips. Smaller satellite offices without room or budget for a large stationary fundus camera would also be an excellent fit.
With any potential medical equipment purchase, it is useful to evaluate the economics. To pay off the Smartscope unit in one year, under current reimbursement guidelines, one would have to bill in the neighborhood of 10 fundus photos per month (CPT code 92250 with interpretation and report currently yields an allowance of approximately $60 to$90 bilaterally.) or some combination of anterior segment (CPT code 92285 with interpretation and report is currently $25-$80 bilaterally.) and fundus photos.
The Smartscope is a quick and easy-to-use camera with excellent image quality. It has been completely reliable, is loaded with features, and would be an excellent value for many practice situations. I recommend it unequivocally.”
Four separate case studies of children aged 6 months to 3,5 years with Retinoblastoma. All studies have been performed with Smartscope FA: