Glyxambi
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 2200
  • Home
  • Print this page
  • Email this page


 
   Table of Contents      
ORIGINAL ARTICLE
Year : 2016  |  Volume : 64  |  Issue : 9  |  Page : 663-667

Do it yourself smartphone fundus camera – DIYretCAM


1 Department of Vitreoretinal Diseases, Vasan Eye Care Hospital in Association with Ranjini Eye Hospital, Kochi, India
2 Department of Cataract and Anterior Segment Surgeries, Vasan Eye Care Hospital in Association with Ranjini Eye Hospital, Kochi, India
3 Department of Glaucoma, Westend Eye Hospital, Kochi, India
4 Department of Vitreoretinal Diseases, L V Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India

Date of Submission13-Feb-2016
Date of Acceptance03-Aug-2016
Date of Web Publication17-Nov-2016

Correspondence Address:
Dr. Biju Raju
Vasan Eye Care Hospital in Association with Ranjini Eye Hospital, Near Powerhouse, Vyttila, Kochi - 682 019, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.194325

Rights and Permissions
  Abstract 

This article describes the method to make a do it yourself smartphone-based fundus camera which can image the central retina as well as the peripheral retina up to the pars plana. It is a cost-effective alternative to the fundus camera.

Keywords: Fundus camera, fundus photography, mobile phone fundus camera, retinal imaging, smartphone


How to cite this article:
Raju B, Raju N, Akkara JD, Pathengay A. Do it yourself smartphone fundus camera – DIYretCAM. Indian J Ophthalmol 2016;64:663-7

How to cite this URL:
Raju B, Raju N, Akkara JD, Pathengay A. Do it yourself smartphone fundus camera – DIYretCAM. Indian J Ophthalmol [serial online] 2016 [cited 2019 Oct 17];64:663-7. Available from: http://www.ijo.in/text.asp?2016/64/9/663/194325

Fundus photography plays a key role in monitoring and follow-up of patients. Recently, smartphones have been used for fundus documentation.[1] Here, we describe a cost-effective method of a do it yourself (DIY) smartphone fundus camera (DIYretCAM) using commonly available materials [Table 1], [Figure 1].
Table 1: Materials required

Click here to view
Figure 1: Materials required for the do it yourself smartphone fundus camera

Click here to view



  Assembling the Do it Yourself Smartphone Fundus Camera Top


Align and center the narrow end of the large reducer base on the camera hole of the smartphone cover. The area of contact of the reducer and cover is then carefully glued [Figure 2]. The 50 mm pipe is used as the optical tube. A piece of sandpaper 17 cm × 14.8 cm, is rolled and inserted into the tube and glued, the sanded surface facing inward to prevent dazzle. Another 15.5 cm × 2 cm sandpaper is glued inside the reducer base leaving 1.0 cm bare area toward the wider end [Figure 3].
Figure 2: The reducer glued to the back cover

Click here to view
Figure 3: Sandpapers used to reduce the dazzle

Click here to view


Insulation tape is used to camouflage the optical tube and reducer base. At one end, for the condensing lens, apply 8–12 rounds of tape for snug fitting of the lens [Figure 4]a and [Figure 4]b. The phone is positioned in the cover, the optical tube inserted into the reducer, the 20 D fixed and the handheld device is ready [Figure 4]c. For phones where the centers of the camera and flash are separated beyond 1 cm, a longer optical tube will be required.
Figure 4: (a) The optical tube camouflaged with insulation tape. To fit the 20 D, few more rounds are applied to increase the thickness (arrow). (b) The condensing lens fixed on the optical tube. (c) The handheld device is ready to use

Click here to view



  Assembling the Slit Lamp Mount Top


On each cardboard, make a hole to fit the bolt (8 mm for Haag-Strait model/Carl Zeiss Slit lamps or 6 mm for Topcon Model Slit lamps), using a pointed knife/Mica cutter and scissors, centered at 2.5 cm from one of its edges. The nut is tightened on the bolt, and the bolt passed through the holes in the cardboard pieces and tightened. The washer glued, centering the inner ring on the bolt at the under surface of the cardboards. Two cardboards are then glued together forming the platform for the slit lamp mount. Glue is applied around the nut also [Figure 5]a. The small reducer is glued on the platform with its wider side facing up at the opposite edge [Figure 5]b. A 40 mm pipe, 10 cm long, is fixed to the reducer [Figure 5]c. For the optical tube holder, a 50 mm pipe is cut transversely, at approximately two-third of its diameter, to a length of 10 cm, and the smaller piece is discarded. The larger piece is then glued with its concave surface facing up, to the second small reducer, on to its narrower end as in [Figure 5]d. The mount is then assembled as shown in the [Figure 5]e. The shorter part of the optical tube holder faces the patient's eye. The mount is also camouflaged with the insulation tape. Alternatively, using spray painting can enhance the appearance (optional) [Video 1].
Figure 5: Slit lamp mount. (a) The nut, bolt, and washer in place. (b) Reducer is fixed. (c) 40 mm pipe fixed. (d) Optical tube holder. (e) Assembled mount. (f) Bolt placed in the slot. (g) The do it yourself smartphone fundus camera on the slit lamp

Click here to view




  Using the Do it Yourself Smartphone Fundus Camera Top


To use the DIYretCAM on the slit lamp, move the observation illumination columns to one side, and fix the mount by placing the bolt in the slot for the focusing rod [Figure 5]f. Different slit lamps have different diameters for the slot. For slit lamps with larger diameter slots, a few rounds of insulation tape on the bolt will improve stability. The optical tube is placed on the holder. The DIYretCAM can now be used like a fundus camera using the joystick [Figure 5]g, with the camera in the continuous flash on mode.

As in indirect ophthalmoscopy, the images are laterally reversed and vertically inverted, and therefore the movements to align the field of view, will be in opposite direction to the images seen. In the handheld method, one can hold the optical tube or the camera or the 20 D lens [Figure 6]a and [Figure 6]b, and use the camera in the photo or video mode. In video mode, imaging of the peripheral retina till pars plana [Figure 7] is possible with simultaneous scleral depression [Figure 6]c.
Figure 6: (a) The do it yourself smartphone fundus camera used as a hand held the device. (b) The do it yourself smartphone fundus camera can be held at the condensing lens and supported with the other hand on the camera. (c) Like in indirect ophthalmoscopy, scleral depression is done after stabilizing the do it yourself smartphone fundus camera

Click here to view
Figure 7: Stereo pair showing pars plana cysts

Click here to view


The camera app which is preloaded in the smartphone is good enough for basic fundus photography. We have used Camera FV-5 and Cinema FV-5 (FGAE Studios, Germany, http://www.cinemafv5.com/index.php) for Android and Camera Plus (Global Delight Technologies, Udupi, India, www.globaldelight.com/iphone/cameraplus) for iPhone and these apps give more control on the image capture with various options such as focus lock and exposure lock.

Image editing can be done on the smartphone itself using Adobe Photoshop Express (Adobe Systems Incorporated, www.photoshop.com/products/photoshopexpress). Editing involves capturing the screenshot of the desired frame from the video and opening the screenshot or image in Photoshop [Figure 8]a. The image is then cropped, rotated to proper orientation [Figure 8]b and corrected for brightness and contrast [Figure 8]c as required. The central reflections may be removed using the blemish removal tool [Figure 8]d and [Figure 8]e. Finally, the image mask (circle black) is applied [Figure 8]f and the image is saved.
Figure 8: Editing the images. (a) The images opened in Photo Express. (b) The image cropped, rotated to correct orientation. (c) Improve the contrast, brightness, etc., (d) The blemish removal tool is used to remove the reflections (e) After removing the reflections. (f) The circle black mask is applied

Click here to view


DIYretCAM captures cost-effective [Table 2] quality fundus images. It is also capable of imaging up to the pars plana with scleral depression. Stereo fundus photography of the central [Figure 9] and peripheral retina [Figure 7] are possible with the DIYretCAM. The DIYretCAM is a cost-effective option for documenting the fundus changes in retinopathy of prematurity [Figure 10] and in bedridden patients. Although useful in such settings, this device is not intended to replace the fundus camera especially in macular imaging, where, the fundus camera with its reflex free, high-quality imaging gives a better resolution of the macular details.
Table 2: Cost of DIYretCAM

Click here to view
Figure 9: Stereo pair taken with the do it yourself smartphone fundus camera shows a recurrent retinal detachment with macular hole. Note the bullous detachment inferonasally

Click here to view
Figure 10: Stereo pair of a Zone II Stage 3 retinopathy of prematurity showing popcorn lesions. The mount of the scleral depressor is clearly made out in stereo

Click here to view


Holding the phone with one hand and the 20 D lens with the other hand helps to stabilize the device during the learning curve. Once familiar with this technique, the device can be held with the hand holding the 20 D lens, with the optical tube resting within the web of the thumb and the index finger. We made this device with commonly available materials on the “Do-It-Yourself” concept. With professional help, the mount can be made from sturdier materials like medium density fibreboard (MDF) or Polyvinyl chloride (PVC) pipes, with custom made anchoring bolt, giving a better appearance, and stability to the device. Fluorescein angiography is also possible [Figure 11] with this device using matched filters as described by Suto et al.[2] This device is also capable of capturing good quality anterior segment photographs as well [Figure 12]a and [Figure 12]b.
Figure 11: Do it yourself smartphone fundus camera fluorescein angiography. (a) Preinjection photo with only the barrier filter, showing dense asteroid hyalosis. (b) The mid-phase fundus fluorescein angiography showing capillary nonperfusion, macular ischemia and neovascularization on the disc suggestive of neovascular branch retinal vein occlusion with macular ischemia

Click here to view
Figure 12: Anterior segment photographs taken with the do it yourself smartphone fundus camera. (a) Vascular pterygium (b) wrinkling of the posterior capsule in a pseudophakic eye

Click here to view


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Raju B, Raju NS. Regarding fundus imaging with a mobile phone: A review of techniques. Indian J Ophthalmol 2015;63:170-1.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Suto S, Hiraoka T, Oshika T. Fluorescein fundus angiography with smartphone. Retina 2014;34:203-5.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8], [Figure 9], [Figure 10], [Figure 11], [Figure 12]
 
 
    Tables

  [Table 1], [Table 2]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Abstract
Assembling the D...
Assembling the S...
Using the Do it ...
References
Article Figures
Article Tables

 Article Access Statistics
    Viewed15770    
    Printed42    
    Emailed0    
    PDF Downloaded954    
    Comments [Add]    

Recommend this journal