Optos MonacoPro

Abstract
The MonacoPro is the only ultra-widefield retinal imaging device with integrated SD-OCT, producing a 200° single-shot optomap image in less than ½ second while providing cross-sectional 40° OCT views of retinal structures. Launched in February 2025, MonacoPro represents the next-generation ultra-widefield (UWF™) SLO and spectral domain retinal imaging solution building on the legacy of Monaco®.
Imaging Specifications:
Ultra-Widefield Imaging:
- 200° single-capture field of view in less than 0.5 seconds
- optomap color resolution: 20 μm, optomap plus/autofluorescence: 14 μm
- Exposure time: Less than 0.4 seconds
Spectral Domain OCT:
- 40° cross-sectional views at 70,000 scans per second with axial resolution under 10μm
- Multiple scan patterns: Line scan, Raster scan, Retina topography scan
- Enhanced OCT image quality for detailed retinal layer visualization
Imaging Modalities:
- Color, autofluorescence and OCT scans for rapid multi-modality capture
- optomap color (red/green laser)
- optomap plus (red laser)
- optomap af (green laser): autofluorescence
Workflow Efficiency:
- Captures up to five imaging modalities for both eyes in just 90 seconds
- Rapid multi-modality capture for both eyes in as little as two minutes
- UWF with integrated OCT saves time, space, and minimizes patient movement with correlated optomap images and OCT scans
Advanced Features:
- One of the largest reference databases in retinal imaging with 879 eyes, filtering results based on optic disc sizes and age
- Enhanced OCT image quality provides detailed and precise retinal images for clearer and more accurate visualization of retinal layers
- Advanced automation and data analysis capabilities
- Correlated imaging between UWF and OCT modalities
Clinical Applications: The MonacoPro's integrated approach allows simultaneous assessment of peripheral retinal pathology (via 200° UWF) and detailed macular analysis (via high-resolution OCT), making it particularly valuable for comprehensive diabetic retinopathy screening, AMD monitoring, and detecting peripheral retinal lesions that might be missed with conventional imaging.
The system's speed and multi-modal capability make it ideal for high-volume screening environments while maintaining diagnostic precision for detailed pathology assessment.
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