The biggest difference is that retinal imaging records the eye in images

https://florentine-periodical-e46.notion.site/Comprehensive-eye-exams-provide-careful-monitoring-of-your-sight-helping-protect-vision-update-pre-3e4ab00214a280aeabc2df142816a36b

The biggest difference is that retinal imaging records the eye in images, while a traditional eye exam depends more on direct examination and clinical judgment.