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Updated: Aug 26, 2026

Quantitative Fundus Autofluorescence for the Evaluation of Retinal Diseases
Published on: March 11, 2016
Use of the RetCam 120 for fundus evaluation in uncooperative children
Mohamed A W Hussein1, David K Coats, Evelyn A Paysse
1Cullen Eye Institute, Houston, Texas, USA.
Insights
The RetCam 120 camera effectively diagnoses pediatric retinal conditions in uncooperative children. This digital fundus camera aids in diagnosis, potentially avoiding sedation or anesthesia.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Medical Imaging
Background:
- Diagnosing retinal pathology in uncooperative children presents significant clinical challenges.
- Standard in-office fundus examinations are often inadequate for this patient group.
Purpose of the Study:
- To evaluate the utility of the RetCam 120 digital fundus camera.
- To assess its effectiveness in diagnosing suspected retinal pathology in uncooperative pediatric patients.
Main Methods:
- An interventional case series design was employed.
- Retrospective chart review of eight uncooperative children with suspected fundus abnormalities.
- Fundus photography was performed using the RetCam 120 as part of routine patient care.
Main Results:
- The RetCam 120 facilitated fundus examination in three children with inadequate standard examinations.
- Detailed examination was possible for five children with suspected or confirmed pathology.
- A diagnosis was reached or ruled out in all evaluated children.
Conclusions:
- The RetCam 120 serves as a valuable in-office diagnostic tool for pediatric fundus examinations.
- It offers a potential alternative to examination under anesthesia or sedation for selected cases.
Purpose:
To report our experience using the RetCam 120 to evaluate suspected retinal pathology in children who did not cooperate for standard in-office examination.
Design:
Interventional case series.
Methods:
We reviewed charts of eight consecutive uncooperative children with suspected fundus abnormalities that were photographed using the RetCam 120 as a routine part of patient care.
Results:
Three uncooperative children with suspected pathology required RetCam 120 photos because of inadequate fundus examination. Five had pathology or suspected pathology that required more detailed examination. In all of these children, we were able to reach or rule out a diagnosis.
Conclusion:
The Retcam 120 digital fundus camera has utility as an in-office diagnostic tool for fundus examination of poorly cooperative children and may be a good alternative to examination under anesthesia or sedation in selected cases.

