Clinical Report: Enhanced Retinal Imaging and Analysis with the MonacoPro
Overview
The MonacoPro integrates high-resolution ultrawidefield (UWF) and spectral-domain OCT imaging with intelligent analysis tools, enabling detection of 29.4% more macular pathology than UWF alone. Its advanced features improve diagnostic precision, streamline workflow, and support comprehensive retinal and systemic disease assessment.
Background
Optos has developed the MonacoPro as a next-generation retinal imaging device that combines 200° UWF scanning laser ophthalmoscopy with spectral-domain OCT. This integration allows visualization of up to 80% of the retina in a single image, including peripheral areas where early disease manifestations often occur. The device builds on a large reference database and incorporates new software tools to enhance clinical interpretation and workflow efficiency. It is designed for use in diverse patient populations and clinical settings, including screening and chronic disease management.
Data Highlights
| Feature | Benefit |
|---|---|
| 200° UWF Imaging | Captures extensive retinal area including periphery |
| Combined UWF + OCT | Detects 29.4% more macular pathology vs UWF alone¹ |
| AreaAssist Tool | Automates lesion measurement and sensitivity adjustment |
| Imaging Modalities | Up to 6 modalities in ~60 seconds without dilation |
| Reference Database | Largest US database for age-matched comparison and disease monitoring |
Key Findings
- The MonacoPro’s 200° UWF imaging enables assessment of peripheral retina where early disease signs often appear.
- Integration of spectral-domain OCT with UWF imaging improves detection of macular pathology by 29.4% compared to UWF alone.
- The AreaAssist tool automates lesion measurement, enhancing workflow and diagnostic confidence.
- Multimodal imaging includes red-green color, red-free, choroidal views, and green autofluorescence for comprehensive retinal evaluation.
- Images can be obtained quickly without pupil dilation, facilitating use in diverse patient populations including children and those with limited mobility.
- The device supports management of retinal, choroidal, and systemic diseases such as glaucoma, diabetes, and hypertension through advanced analysis and historical comparison.
Clinical Implications
The MonacoPro enhances early detection and monitoring of retinal diseases by providing sharper, more comprehensive images and automated analysis tools that reduce manual workload. Its ability to capture multiple imaging modalities rapidly without dilation supports efficient screening and follow-up in primary and specialty care. Clinicians can leverage its extensive reference database to improve diagnostic accuracy and tailor treatment decisions, potentially reducing unnecessary referrals and expediting care.
Conclusion
By combining ultrawidefield imaging, spectral-domain OCT, and intelligent software, the MonacoPro represents a significant advancement in retinal diagnostics. It empowers clinicians with detailed visualization and streamlined workflows to deliver more informed, patient-centered care.
References
- Aiello et al. 2023 -- Integrating macular optical coherence tomography with ultrawide-field imaging in a diabetic retinopathy telemedicine program using a single device
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