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Review: The Kowa nonmyd WX 3D

Instruments
Bill Harvey tries out a new camera which makes high quality stereo-imaging of the disc accessible to even the least skilled operator and also boasts extensive analytical software

Remember the first time you viewed the optic disc using stereo slit-lamp biomicroscopy? Seeing the disc in detailed relief immediately made assessment of its structure much easier, more accurate, and less likely to suffer inter-observer variation. The ability to capture this appearance with 3D photography, therefore, is a valuable asset to any glaucoma screening programme, or indeed wherever any three-dimensional structural details needs to be recorded, analysed or transferred for further opinion.

Harper and Spry1 noted that ‘stereoscopic photography is the option of first choice because rim loss may be underestimated and observer agreement reduced when using monoscopic photographs and cup-depth determination is less reliable with the non-simultaneous stereoscopic images’. When they wrote this, the technology allowing you to view stereoimages on a 3D screen was of limited availability and 3D tended to be achieved by convergence of side by side disparate images or by a flicker presentation method.

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